Prevention Paradox: HIV Decline may lead to STI Increase
  • 28/03/2013
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Prevention Paradox: HIV Decline may lead to STI Increase

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Descripción de Prevention Paradox: HIV Decline may lead to STI Increase

Dr. Rietmeijer will discuss recent advances in biomedical interventions for HIV prevention, specifically HIV treatment as prevention (TasP). The key concept of TasP is to decrease the viral load in the HIV-infected community to levels that will result in rates of HIV transmission that are sufficiently low to extinguish the HIV epidemic. Central to the effectiveness of TasP is the concept of the spectrum (“cascade”) of engagement into HIV care that will ultimately affect the community viral load. Dr. Rietmeijer will then discuss the resurgence of syphilis and other sexually transmitted infections (STI) among men who have sex with men in the U.S. that occur despite decreasing rates of HIV in certain U.S. jurisdictions. He concludes that a sole focus on biomedical approaches for HIV prevention may be accompanied by increasing risk behaviors and that the gains in HIV prevention may come at a price of rising rates of other STI in the absence of a continued commitment to behavioral risk reduction interventions.

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health chip hiv uconn prevention intervention Kees Rietmeijer

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