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- W2072777719 abstract "The scope of the AIDS pandemic demands a systematic approach to implementing multiple levels of prevention strategies to control the spread of HIV infection. On the individual level voluntary counseling and testing (VCT) remains the frontline in HIV prevention. With effective HIV risk reduction counseling there are clear preventive effects in conjunction with VCT and risk reduction counseling can be effective independent of VCT. Similarly risk reduction interventions delivered to small groups of at risk persons demonstrate significant preventive benefits in carefully controlled trials. The greatest concern with implementing these effective individual level behavioral interventions is that people who are counseled inevitably return to their unchanged social and risk environments where risk-taking practices are normative and socially reinforced. Interventions such as microbicides pre-exposure antiretroviral prophylaxis diagnosis and treatment of sexually transmitted infections and male circumcision may lead to population level reductions in HIV/AIDS risk but their effects will be limited if compensating behaviors are not contained and exposure behaviors are kept at least constant. Interventions that structurally alter the social context within which sexual and drug using behaviors occur are therefore necessary for facilitating supporting and maintaining HIV risk behavior change. (excerpt)" @default.
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- W2072777719 date "2007-04-01" @default.
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- W2072777719 title "Design and concepts of the NIMH Collaborative HIV/STD Prevention Trial" @default.
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- W2072777719 doi "https://doi.org/10.1097/01.aids.0000266452.36570.a3" @default.
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