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Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
This is the first comprehensive review and examination of the effectiveness of behavioral interventions to reduce HIV-related high-risk behaviors. It describes current theoretical models and emprical studies of behavioral interventions; details the state-of-the-art of behavioral intervention strategies for high-risk populations; and identifies limitations and gaps in prior research and discusses implications for future investigations. This vital text will help researchers and clinicians plan, develop, and evaluate behavioral change approaches to HIV prevention.
The United States has spent two productive decades implementing a variety of prevention programs. While these efforts have slowed the rate of infection, challenges remain. The United States must refocus its efforts to contain the spread of HIV and AIDS in a way that would prevent as many new HIV infections as possible. No Time to Lose presents the Institute of Medicine's framework for a national prevention strategy.
This Handbook provides a comprehensive overview of the theories, methods and approaches for reducing HIV-associated risk behaviors. It represents the first single source of information about HIV prevention research in developed and developing countries. It will be an important resource for students, researchers and clinicians in the field.
This book provides a comprehensive overview of behavioral interventions to prevent HIV-AIDS risk-related behaviors. It synthesizes the empirical literature on individual, group, and community-level interventions and provides an objective and detailed assessment of intervention outcomes. Factors associated with behavioral risk for HIV transmission, theories of HIV risk behavior change, and the state of HIV prevention technology transfer are also reviewed. Additionally, behavioral interventions for adolescents and adults of diverse ethnic and sexual backgrounds are discussed with respect to each intervention type. Although the focus is on sexual risk reduction, interventions for sexual behavior of substance abusing populations are also covered.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
The AIDS epidemic continues to grow in this country and around the world. Currently, the only hope of stopping this tragedy is through interventions that change individual behavior. This book provides an excellent overview of current knowledge and research on how to promote the behaviors of safer sex and safer drug use, which will slow down the spread of HIV. It will be a useful resource for researchers who examine HIV prevention and for community workers and clinicians who wish to use sound, well-tested techniques for their intervention work. In addition, the book can serve as a thorough introduction for students who are new to the area of behavioral research on HIV and AIDS. --from the Overview by Suzanne C. Thompson & Stuart Oskamp Bringing together some of the most active and respected researchers in the field, this volume presents a state-of-the-art, integrated examination of behavioral research aimed at reducing the transmission of HIV. In almost 20 years of battling the AIDS epidemic, one theme has consistently emerged: The solution to stopping the spread of the AIDS virus rests with individual behavior. Understanding and Preventing HIV Risk Behavior grapples with the critical question of how to influence people to change high-risk behaviors, particularly in sexual activity and drug use. The contributors take an in-depth look at the most current HIV and AIDS epidemiological findings; the information-motivation-behavioral skills model of risk behavior; and empirical analyses of contraceptive decision making, denial processes, and the role of attraction in heterosexual behavior. This timely volume also examines research with special populations, including African American youths, Latinos, both gay and straight residents of HIV-impacted communities, active drug users, and adolescents in countries that have different AIDS risk levels and public health policies. Representing the latest in research on safer sex and altering drug use behaviors, Understanding and Preventing HIV Risk Behavior will be a valuable resource for HIV-prevention researchers, community workers, and clinicians who want to utilize research findings in their HIV intervention programs. This volume will also benefit students seeking an up-to-date overview of research on HIV/AIDS risk behavior.
Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic. The editors of HIV/AIDS in South Africa 25 Years On present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class, and politics. Including largely overlooked populations and issues (e.g., prisoners, persons with disabilities, stigma), as well as challenges shaping future research and policy, the contributors approach their topics with rare depth, meticulous research, carefully drawn conclusions, and profound compassion. Among the topics covered: The relationship between HIV and poverty, starting from the question, "Which is the determinant and which is the consequence?" Epidemiology of HIV among women and men: concepts of femininity and masculinity, and gender inequities as they affect HIV risk; gender-specific prevention and intervention strategies. The impact of AIDS on infants and young children: risk and protective factors; care of children by HIV-positive mothers; HIV-infected children. Current prevention and treatment projects, including local-level responses, community-based work, and VCT (voluntary counseling and testing) programs. New directions: promoting circumcision, vaccine trials, "positive prevention." South Africa’s history of AIDS denialism. The urgent lessons in this book apply both globally and locally, making HIV/AIDS in South Africa 25 Years On uniquely instructive and useful for professionals working in HIV/AIDS and global public health.
During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease. During this period of great uncertainty, decision-making regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system. The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was doneâ€"and recommends what should be done to produce better outcomes in the face of future threats to blood safety. The committee frames its analysis around four critical area: Product treatmentâ€"Could effective methods for inactivating HIV in blood have been introduced sooner? Donor screening and referralâ€"including a review of screening to exlude high-risk individuals. Regulations and recall of contaminated bloodâ€"analyzing decisions by federal agencies and the private sector. Risk communicationâ€"examining whether infections could have been averted by better communication of the risks.
One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.