HIV risk assessment & test counselling

Question 1

BUTIPS for HIV risk

Answer 1

blood products
unprotected sex
travel & immunisations
IVDU
paying for sex
same sex/anal

Question 2

blood products

Answer 2

haemophilia?
received transfusion <1985 or developing country?
same questions about partner

Question 3

unprotected sex

Answer 3

anal, vaginal, oral

when, where, how often, how many
(receptive –> higher risk)

Question 4

travel

Answer 4

continental Africa?
sex abroad?
sex with anyone from abroad?
vaccinations whilst travelling

Question 5

IVDU

Answer 5

inject self?
share needles?
partners inject themselves

Question 6

paying for sex

Answer 6

have you ever paid for or been paid for sex?

Question 7

same sex/anal

Answer 7

same gender sex
anal, unprotected or otherwise
sexual practices of partner

Question 8

summarise HIV rapid test

Answer 8

rapid POC (15-40mins)

finger prick

NOT sensitive

results take 48-72hrs

test for HIV antibodies (4-8w to develop)

all +ve/-ve results need confirming

Question 9

summarise HIV accurate test

Answer 9

test for antibodies

need 3 months until body produces sufficient ABs for test

shows HIV status, not AIDS

manageable but not curable. good mx prolongs time to develop AIDS
- response to tx, dialogue with med staff, healthy & safer habits

Question 10

pros HIV testing

Answer 10

-ve result –> peace of mind

+ve –> receive tx, prolong good health, future planning (pregnancy etc); access support groups & specialist care

Question 11

cons HIV testing

Answer 11

anxiety awaiting results

stigma

insurance: if -ve, won’t alter. if +ve, can carry one current policies or seek HIV-specific ones

limit work prospects

anxiety/fear about death

Question 12

closing pieces

Answer 12

your choice

confidentiality

partner notification

additional tests (HBV, syphillis, HCV)