Changes in sexually transmitted disease rates after HIV testing and posttest counseling, Miami, 1988 to 1989

Am J Public Health. 1993 Apr;83(4):529-33. doi: 10.2105/ajph.83.4.529.


Objectives: The effects of posttest counseling on acquisition of sexually transmitted diseases in patients at a large urban sexually transmitted disease clinic were studied.

Methods: Comparisons were made of the percentage of patients who had a positive gonorrhea culture (or any sexually transmitted disease) in the 6 months before and after human immunodeficiency virus (HIV) counseling and testing.

Results: For 331 patients counseled about a positive HIV test, the percentage with gonorrhea was 6.3 before and 4.5 after posttest counseling (29% decrease). For 666 patients counseled about a negative test, the percentage with gonorrhea was 2.4 before and 5.0 after posttest counseling (106% increase). With any sexually transmitted disease as the outcome, patients who tested positive for HIV had a 12% decrease and patients who tested negative had a 103% increase after counseling.

Conclusions: HIV counseling and testing was associated with a moderate decrease in sexually transmitted diseases among patients who tested positive for the virus, but risk increased for patients who tested negative. This suggests a need to improve posttest counseling in this clinic and to assess the effects of counseling and testing in other clinics.

MeSH terms

  • AIDS Serodiagnosis / standards*
  • Adolescent
  • Adult
  • Ambulatory Care Facilities
  • Child
  • Contact Tracing
  • Counseling / organization & administration
  • Counseling / standards*
  • Female
  • Florida / epidemiology
  • Gonorrhea / diagnosis
  • Gonorrhea / epidemiology*
  • Gonorrhea / prevention & control
  • HIV Seroprevalence
  • Health Behavior
  • Health Status Indicators
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Organizational Objectives
  • Outcome Assessment, Health Care
  • Program Evaluation
  • Recurrence
  • Retrospective Studies
  • Risk Factors
  • Sexual Behavior
  • Sexually Transmitted Diseases / diagnosis
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / prevention & control