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HIV Primary Care

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3 Table 1. Initial Assessment—History—Present and Past (continued) Social History • Race and ethnicity • Gender and sexual identity • Health-related behaviors: tobacco, alcohol, and drug use • Patient birthplace, residence and travel history • History of receipt of blood products, organ transplant, or semen donation • Employment history • Pets, diet and exercise; • Establish mode(s) of infection: ▶ Sexual contacts (men, women, both), types of activity, condom use ▶ History of injection drug use, shared needles/syringes. ▶ History of transfusion or receipt of blood products, especially 1975-1985. Artificial insemination by an unidentified donor • Review specific sexual practices, including exposure sites • Marital/relationship status, partner's health and HIV status and his or her access to health care, including HIV testing, and disclosure of HIV status to partner(s) • Social support and participation in support groups • For minors review legal guardianship

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