By Seth C. Kalichman
HIV remedy as Prevention: Primer for Behavior-Based Implementation offers the 1st sensible consultant to integrating behavioral prevention with antiretroviral cures for individuals residing with HIV an infection. This short ebook discusses the historic and social context embedding the transferring panorama in HIV prevention, the place using potent remedies became the point of interest of HIV prevention. whereas utilizing remedies for prevention is promising, the historical past of HIV prevention deals numerous very important pitfalls that has to be kept away from if HIV remedies are to finally reach fighting new HIV infections. classes discovered from the successes and screw ups of alternative biomedical applied sciences utilized in HIV prevention, in particular syringes, condoms, and HIV checking out are severe to the good fortune of utilizing HIV remedies for prevention. HIV remedy as Prevention: Primer for Behavior-Based Implementation summarizes the clinical facts for advancing using antiretroviral treatments for HIV prevention. The proof makes transparent that HIV remedies can hinder HIV transmission, yet will fail if behavioral facets of therapy and HIV transmission are missed. Of maximum obstacle are medicine adherence and dangers for contracting different sexually transmitted infections. putting HIV therapy in the context of behavioral interventions for conserving medicine adherence and lowering sexual possibility behaviors is hence necessary to the way forward for HIV prevention. HIV remedy as Prevention: Primer for Behavior-Based Implementation highlights pioneering behavioral interventions geared toward maximizing the results of antiretroviral treatments for combating HIV transmission. one of many interventions, constructed via the Author’s learn group, is mentioned intimately and the intervention guide is integrated as an Appendix.
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Additional resources for HIV Treatments as Prevention (TasP): Primer for Behavior-Based Implementation
Sample text
The number of syringes exchanged in New York increased from under 500,000 in 1990 to over three million in 2002. HIV incidence decreased during that same period from nearly 4% per year to less than 1% (see Figs. 2). Hepatitis C virus (HCV) is ten times easier to transmit through blood than is HIV, and syringe exchange programs demonstrate significant impacts on this disease as well. In 1990 80% of HIV uninfected injection drug users in New York were infected with HCV. Following implementation of syringe access programs, HCV infection rates dropped off sharply to 59% in 2001.
Our intervention used unannounced phone-based pill counts for medication monitoring with problem solving and medication management Behavioral Principles for TasP 27 coaching sessions. In an initial pilot test of the behavioral self-regulation counseling intervention, we found that participants who received self-management counseling demonstrated improved adherence immediately after the final session and 1 month after counseling. New and emerging technologies for improving medication adherence will also play important roles in TasP.
The NIH Panel noted that the new Federal policies were not in synch with the science and concluded: The single greatest increase in HIV prevention funding occurred with 1996 Federal legislation in the United States providing $50 million within block grant entitlements for programs teaching adolescents abstinence from sexual behavior. Among the criteria for programs funded through the block grant program are the following two requirements: (a) ‘has as its exclusive purpose, teaching the social psychological, and health gains to be realized by abstaining from sexual activity’ and (b) ‘teaches that a mutually faithful monogamous relationship in the context of marriage is the expected standard of human sexual activity’ (Public Health Service Act, Public Law 104-193, Sec.