+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Helping patients to reduce their risk of acquiring sexually transmitted disease

Helping patients to reduce their risk of acquiring sexually transmitted disease

Journal of the American Osteopathic Association 92(5): 646-647

Counseling patients about sexually transmitted disease (STD) prevention is imperative to primary care. Physicians have a tendency not to discuss STDs, however. The AIDS epidemic makes STD counseling very essential. In the US, heterosexual adolescents and heterosexual women suffer from the highest increase in HIV infections rates. AIDS 1st struck the homosexual community which has reduced the incidence of all STDs including HIV infection by counseling and condom use. Thus physicians should speak to their patients frankly about STD prevention including the details of how to use a condom properly regardless of their STD and HIV status. They should also promote sex education of younger people before they become sexually active. The only way to not acquire STDs is to practice sexual abstinence. Another safe way to prevent STDs is a monogamous relationship between uninfected partners. If a partner was sexually active in the past, he/she should undergo serologic testing to determine STD and HIV status. Each sexually active individual not in a monogamous relationship must practice risk reduction behavior to prevent transmission of STDs and HIV. The best condom to use is a latex condom with a tip and lubricated with the spermicide nonoxynol-9. Users must put on the condom on an erect penis before it comes in contact with any mucus regardless of the mucous origin. The man should withdraw the condom protected penis while still erect. Physicians should stress to younger or sexually less experienced people the difference between contraception and prophylaxis. They should also inform all patients that anal intercourse is the riskiest sexual activity. Vaginal intercourse, fellatio, and cunnilingus also pose sizable risk of STD and HIV transmission. Physicians must remind patients to be extra careful during oral or anal intercourse and that condoms can leak. They must remember that low risk groups do not exist, but low risk behaviors do.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 040260003

Download citation: RISBibTeXText

PMID: 1601700

Related references

The prevalence of psychiatric disorders in sexually transmitted disease clinic patients and their association with sexually transmitted disease risk. Sexually Transmitted Diseases 31(1): 8, 2004

The efficacy of behavioral interventions in reducing HIV risk sex behaviors and incident sexually transmitted disease in black and Hispanic sexually transmitted disease clinic patients in the United States: a meta-analytic review. Sexually Transmitted Diseases 34(6): 319-332, 2007

Risk factors for sexually transmitted diseases and casual sex among Chinese patients attending sexually transmitted disease clinics in Hong Kong. Sexually Transmitted Diseases 29(6): 360-365, 2002

Enteric disease episodes and the risk of acquiring a future sexually transmitted infection: a prediction model in Montreal residents. Journal of the American Medical Informatics Association 23(6): 1159-1165, 2016

Client-reported sexually transmitted disease history and perception of HIV risk among female crack-using clients in a sexually transmitted disease clinic setting, US 1991. IXTH INTERNATIONAL CONFERENCE ON AIDS AND THE IVTH STD WORLD CONGRESS IXth International Conference on AIDS in affiliation with the IVth STD World Congress : 731, 1993

Sexually transmitted disease/HIV transmission risk behaviors and sexually transmitted disease prevalence among HIV-positive men receiving continuing care. Sexually Transmitted Diseases 32(1): 20-26, 2005

Risk factors for sexually transmitted disease among rural-to-urban migrants in China: implications for HIV/sexually transmitted disease prevention. Aids Patient Care and Stds 19(1): 49-57, 2005

Utility of behavioral changes as markers of sexually transmitted disease risk reduction in sexually transmitted disease/HIV prevention trials. JAIDS Journal of Acquired Immune Deficiency Syndromes 31(1): 71-79, 2002

Associations between sexually transmitted disease diagnosis and subsequent sexual risk and sexually transmitted disease incidence among adolescents. Sexually Transmitted Diseases 31(4): 205-208, 2004

Effect of risk-reduction counseling with rapid HIV testing on risk of acquiring sexually transmitted infections: the AWARE randomized clinical trial. JAMA 310(16): 1701-1710, 2013

Assessment of sexually transmitted diseases as risk factors for HIV seroconversion in a New Orleans sexually transmitted disease clinic, 1990-1998. Annals of Epidemiology 15(1): 13-20, 2004

Narrative Review: Sexually Transmitted Diseases and Homeless Youth-What Do We Know About Sexually Transmitted Disease Prevalence and Risk?. Sexually Transmitted Diseases 44(8): 466-476, 2017

Sexually transmitted diseases and the increased risk for HIV transmission: implications for cost-effectiveness analyses of sexually transmitted disease prevention interventions. Journal of Acquired Immune Deficiency Syndromes 24(1): 48-56, 2000

Social and behavioral determinants as risk of sexually transmitted diseases. Report by a sample from the Sexually Transmitted Disease Unit in Florence, Italy. Giornale Italiano di Dermatologia e Venereologia 147(4): 341-348, 2012

A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China. Aids 21(Suppl. 8): S95, 2007