Integrating HIV prevention activities into the HIV medical care setting: a report from the NYC HIV Centers Consortium.
With the maturing of the HIV epidemic and availability of potent antiretroviral therapies in the US, priorities for HIV prevention have shifted from general population approaches to case finding, treatment, risk reduction and relapse prevention activities among those at greatest risk for acquiring or transmitting HIV infection. The challenges of this approach include ensuring access and adherence to HIV care and treatment and appropriate prevention activities to ensure adequate and sustained sexual and drug use risk reduction across diverse populations. Experience with approaches to address these issues, particularly in the context of primary care, has been limited. An agenda for future research and practice includes continued development and evaluation of interventions that can address this next generation of health care issues.
Wilson
Tracey E
TE
HIV Center for Women and Children, Department of Preventive Medicine and Community Health, State University of New York, Downstate Medical Center, NY 11203, USA. Tracey.Wilson@downstate.edu
Vlahov
David
D
Crystal
Stephen
S
Absalon
Judith
J
Klein
Susan J
SJ
Remien
Robert H
RH
Remein
Robert H
RH
Agins
Bruce
B
D023241:Antiretroviral Therapy, Highly Active; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006297:Health Services Accessibility; D006801:Humans; D010349:Patient Compliance; D010353:Patient Education as Topic; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D019966:Substance-Related Disorders