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Research ArticleMedical Practice

AIDS Risk Assessment In Primary Care

Norman Hearst
The Journal of the American Board of Family Practice January 1994, 7 (1) 44-48; DOI: https://doi.org/10.3122/jabfm.7.1.44
Norman Hearst
From the Departments of Family and Community Medicine and of Epidemiology and Biostatistics and the Center for AIDS Prevention Studies, School of Medicine, University of California, San Francisco. Address reprint requests to Norman Hearst, MD, MPH, University of California, San Francisco, Box 0886, San Francisco, CA 94143.
MD, MPH
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Abstract

Background: Human immunodeficiency virus (HIV) disease is a major cause of premature death in the United States. Primary care physicians can and should play an important role in its prevention. Detailed acquired immunodeficiency syndrome (AIDS) education, however, is not a cost-effective use of physicians’ time for the great majority of patients, most of whom are at low risk for HIV infection.

Methods: Recommendations for AIDS prevention in the primary care setting were formulated based on a review of the published literature and on the author’s personal experience as an AIDS epidemiologist and a practicing family physician.

Results and Conclusions: Because risk for HIV infection is not uniform, primary care physicians can have the greatest impact by concentrating their prevention efforts on the minority of patients who are at high risk. This article proposes a 30-second AIDS risk assessment for use in routine adult health care. Patients found to be at high risk should receive counseling on HIV risk reduction based on their individual needs. Also described are other situations when primary care providers should talk with their patients about AIDS prevention.

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The Journal of the American Board of Family     Practice: 7 (1)
The Journal of the American Board of Family Practice
Vol. 7, Issue 1
1 Jan 1994
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AIDS Risk Assessment In Primary Care
Norman Hearst
The Journal of the American Board of Family Practice Jan 1994, 7 (1) 44-48; DOI: 10.3122/jabfm.7.1.44

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AIDS Risk Assessment In Primary Care
Norman Hearst
The Journal of the American Board of Family Practice Jan 1994, 7 (1) 44-48; DOI: 10.3122/jabfm.7.1.44
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