The Hidden Epidemic Confronting Sexually Transmitted Diseases (1997) / Chapter Skim
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INTRODUCTION AND BACKGROUND
INTRODUCTION AND BACKGROUND
Pages 19-27
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From page 19... ...
Two major potential health consequences of sexual intercourse are unintentional pregnancy and sexually transmitted diseases (STDs) , including HIV infection.
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From page 20... ...
Despite the fact that high-risk sexual behaviors are usually initiated during adolescence, STD prevention efforts for adolescents in the United States remain unfocused and controversial. · Campaigns to increase public awareness of STDs and behavioral interventions to promote condom use and other healthy behaviors have been implemented with varying success.
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From page 21... ...
The role and impact of improved STD prevention on HIV transmission needs to be included in national HIV prevention strategies. · Many physicians and other health care professionals do not have adequate skills or training to obtain an accurate sexual history, diagnose and treat STDs, or counsel patients regarding high-risk sexual behavior (Stamm et al., 1982; Merrill et al., 1990; Boekeloo et al., 1991; MacKay et al., 1995~.
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From page 22... ...
Because HIV prevention is relatively better funded and HIV prevention efforts are more visible compared to other STDs, the committee was charged to focus its study on STDs other than HIV infection. However, because the prevention of sexually transmitted HIV infection and other STDs are inextricably linked, the committee presents information on and provides recommendations concerning HIV infection as it relates to other STDs in this report in the following areas: costs of sexually transmitted HIV infections (Chapter 2)
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From page 23... ...
The committee invited a small number of representatives from managed care organizations, public health agencies, and an employer-purchaser coalition to advise the committee on potential roles and responsibilities of the public and private health care sectors in STD prevention. Because data regarding STD-related services in managed care organizations are limited, the committee subsequently conducted a brief survey of managed care organizations to collect information regarding STD-related services.
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From page 24... ...
STD prevention involves a spectrum of health- and nonhealth-related disciplines and organizations and therefore makes an excellent case study of a major public health problem whose solution requires the cooperation of the public and private sectors and various interest groups. The committee hopes to reach a multidisciplinary audience, including policymakers, public and private sector health care professionals, government agencies, epidemiologists, social scientists, allied health professionals, school health professionals, STD clinicians, health educators, employers, purchasers of health care, and health program managers.
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From page 25... ...
The committee begins by describing a model for an effective national system and the need to incorporate STD prevention as a strategy for HIV and cancer prevention. Under the first strategy, the committee details how barriers to the adoption of healthy sexual behaviors, including the reluctance of many Americans to openly confront issues related to sexuality and STDs, can be overcome by increasing public and health professional awareness of STDs and by a bold role for the mass media.
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From page 26... ...
Female to male transmission of human immunodeficiency virus type 1: risk factors for seroconversion in men. Lancet 1989; 2:403-7.
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From page 27... ...
Epidemiologic synergy. Interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases.
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