Beyond Condoms: Alternative Approaches to HIV Prevention

Description

Our contemporary division of the progress of time should be delineated as B. A. E. (Before the AIDS Epidemic, i. e. , 1981) and P. A. E. Everyone keeps predicting the end of the epidemic, as Newsweek did in 1996 when combination therapy was introduced. But as far as we can tell from this vantage point, the virus continues, albeit a bit hobbled by a few drugs here and there, but moving forward nonetheless. Predictions are that over 100 million people will be infected with HIV by 2005. It is also clear that the number of people living with HIV in the US and other developed countries will continue to grow, as people with HIV live longer and better lives, but, paradoxically and perhaps as a result, the number of people acquiring HIV also continues to grow. HIV vaccines are at least 20, and perhaps 40 years away. When they do come on board, they may not prevent infection but may, instead, change the course of illness in those infected and hopefully render them less infectious. Further, the first vaccines will, in all likelihood, be less than 100% effective. The next generation of prevention strategies need to combine the best of biomedical, social, and behavioral approaches in order to protect the population. The male condom, along with reduction in the number of sexual partners or outright abstinence, have been the mainstay of HIV prevention. Negotiated Safety Agreements Among Gay Men....Pages 1-15 Structural Barriers and Facilitators in HIV Prevention: A Review of International Research....Pages 17-46 Female-Controlled Prevention Technologies....Pages 47-76 STD Diagnosis and Treatment as an HIV Prevention Strategy....Pages 77-90 HIV Treatment Advances as Prevention....Pages 91-108 The Abstinence Strategy for Reducing Sexual Risk Behavior....Pages 109-137 Assessing the Cost-effectiveness of Alternative Approaches to HIV Prevention....Pages 139-171 “Gray Area Behaviors” and Partner Selection Strategies....Pages 173-198 Selective Serotonin Reuptake Inhibitors as a Treatment for Sexual Compulsivity....Pages 199-220 Prevention Triage: Optimizing Multiple HIV Intervention Strategies....Pages 221-231