Health Care Provider Discussions Regarding HIV/Sexually Transmitted Infection Risk Factors and Associations with HIV/Sexually Transmitted Infection Screening Among Men

Arch Sex Behav. 2023 Jul;52(5):2111-2121. doi: 10.1007/s10508-023-02629-z. Epub 2023 Jun 9.


Little is known regarding the specific discussions health care providers (HCP) have with their patients and how these discussions may increase rates of HIV/STI screening. The main objective of this study was to examine the content of HCP-patient discussions and associations with HIV/STI screening while adjusting for patient characteristics. Using the 2017-2019 National Survey of Family Growth data, seven survey-weighted multivariable multinomial/binary logistic regression models were analyzed in men ages 15-49 years old (N = 4260). Patients had significantly higher odds of a lifetime HIV test when their HCP asked about number of sexual partners (adjusted odds ratio [aOR] = 2.325; 95% CI 1.379-3.919) and discussed HIV/AIDS (aOR = 4.149; 95% CI 2.877-5.983). Odds of a recent STI screening were higher among patients with HCP that asked about: sexual orientation (aOR = 1.534; 95% CI 1.027-2.291), number of sexual partners (aOR = 2.123; 95% CI 1.314-3.430), use of condoms (aOR = 2.295 95% CI 1.484-3.548), type of sexual intercourse (aOR = 1.900; 95% CI 1.234-2.925), and discussed HIV/AIDS (aOR = 1.549; 95% CI 1.167-2.056). Results may provide insight on how HCPs may potentially promote HIV/AIDS and STI screening among men and which patient groups are more likely to receive a discussion of risks factors from their HCPs.

Keywords: HIV/AIDS; Health care providers; Men; National Survey of Family Growth; Sexually transmitted infections.

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Adolescent
  • Adult
  • Female
  • HIV Infections* / diagnosis
  • HIV Infections* / prevention & control
  • Health Personnel
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Sexual Behavior
  • Sexually Transmitted Diseases* / diagnosis
  • Sexually Transmitted Diseases* / prevention & control
  • Young Adult