{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:33:36Z","timestamp":1790062416886,"version":"4.0.1"},"reference-count":11,"publisher":"American Public Health Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1993,4]]},"abstract":"<jats:p> 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. <\/jats:p>","DOI":"10.2105\/ajph.83.4.529","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:18:52Z","timestamp":1227964732000},"page":"529-533","source":"Crossref","is-referenced-by-count":101,"title":["Changes in sexually transmitted disease rates after HIV testing and posttest counseling, Miami, 1988 to 1989."],"prefix":"10.2105","volume":"83","author":[{"suffix":"Jr","given":"M W","family":"Otten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A A","family":"Zaidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J E","family":"Wroten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J J","family":"Witte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T A","family":"Peterman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"Division of STD\/HIV Pnevention Annual Report, 1990. Washington, DC: US Deptof Health and Human Services; 1991."},{"key":"p_2","doi-asserted-by":"crossref","unstructured":"Fitte JE, Synamon M. AIDS knowledge and attitudes for April-June 1990. Provisional data from the National Health Interview Survey. Vital Health Stat. 1990; 195. DHHS publication PHS 91-1250.","DOI":"10.1037\/e608672007-001"},{"key":"p_3","doi-asserted-by":"crossref","unstructured":"Higgins DL, Galavotti C, O'Reilly KR, etal. Evidence for the effects of counseling and testing on risk behaviors. JAAL4. 1991;266:2419-2429.","DOI":"10.1001\/jama.266.17.2419"},{"key":"p_4","unstructured":"1988 Population and 1987 Per Capita Income Estimnates for Counties and Incorporated Places: South. Washington, DC: US Bureau of the Census; 1990:24. Series P-26, No. 88-S-SC."},{"key":"p_5","unstructured":"Otten MW, Zaidi A, Peterman T, Wroten J. Are clients at high risk being tested for HIV in the STD clinic? Dade County, Florida, 1988-1989. Presented at the Sixth International Conference on AIDS; June 20-24, 1990; San Francisco, Calif. Abstract S.C. 675."},{"key":"p_6","unstructured":"National HIV Seroprevalence Surveys. Summary of Results: Data from SerosurveilanceActivities through 1989. Washington, DC: US Dept of Health and Human Services; 1990. HIV\/CID\/9-90\/006."},{"key":"p_7","first-page":"150","author":"Cochran WG.","year":"1977","journal-title":"NY: Wiley"},{"key":"p_8","unstructured":"Dean AD, Dean JA, Burton JH, Dicker RC. Epi Info, Version 5: A Word Processin, Database, and Statistics Progam for Epidemiology on Microcomputers. Atlanta, Ga: Centers for Disease Control; 1990."},{"key":"p_9","unstructured":"StallR, CoatesTJ, MandelJS, Morales ES, Sorensen JL. Behavioral factors and intervention. In: Kaslow RA, Francis DP, eds. The Epidemiology of AIDS: Expression, Occumnce, and Control ofHuman Immunoeiiency 14ns Ty)pe 1 Infection. New York, NY: Oxford University Press; 1989."},{"key":"p_10","doi-asserted-by":"crossref","unstructured":"Valdiserri RO, Lyter D, Leviton LC, Callahan CM, Kingsley LA, Rinaldo CR. Variables influencing condom use in a cohort of gay and bisexual men.AmJPublic Health. 1988;78:801-805.","DOI":"10.2105\/AJPH.78.7.801"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.9.3.253"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.83.4.529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T19:12:00Z","timestamp":1652123520000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.83.4.529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,4]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1993,4]]}},"alternative-id":["10.2105\/AJPH.83.4.529"],"URL":"https:\/\/doi.org\/10.2105\/ajph.83.4.529","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,4]]}}}