HIV prevention in developed countries

HIV prevention in developed countries is marked by impressive successes and dismal failures. The successes point the way to what works; the failures highlight obstacles that must be overcome. Successes include important behavioural changes among gay and bisexual men, antiviral use to prevent vertica...

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Bibliographic Details
Published in:The Lancet (British edition) 1996-10, Vol.348 (9035), p.1143-1148
Main Authors: Coates, Thomas J, Aggleton, Peter, Gutzwiller, Felix, Jarlais, Don Des, Kihara, Masahiro, Kippax, Susan, Schechter, Martin, van den Hoek, J Anneke R
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Acquired Immunodeficiency Syndrome - epidemiology
Acquired Immunodeficiency Syndrome - prevention & control
AIDS
AIDS/HIV
Biological and medical sciences
Bisexuality
Developed Countries
Disease prevention
Disease transmission
Drug use
Health Promotion
Heterosexuality
HIV
Homosexuality, Male
Human immunodeficiency virus
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Industrialized nations
Infections
Male
Medical sciences
Prevention
Preventive Health Services - economics
Preventive Health Services - methods
Sexually transmitted diseases
Social change
STD
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Summary:HIV prevention in developed countries is marked by impressive successes and dismal failures. The successes point the way to what works; the failures highlight obstacles that must be overcome. Successes include important behavioural changes among gay and bisexual men, antiviral use to prevent vertical transmission, and securing the safety of the blood supply. New strategies are needed to reach the residual of individuals continuing with unsafe practices (a special hazard in high-prevalence areas); to reach young people who are beginning to engage in sexual relations and injection drug use; and to overcome political opposition to prevention strategies.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(96)02307-0