, Volume 83, Issue 1, pp 18-30
Date: 24 Jan 2006

Integrating HIV Prevention Activities into the HIV Medical Care Setting: A Report from the NYC HIV Centers Consortium

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Abstract

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.

Vlahov is with the Center for Urban Epidemiologic Studies, New York Academy of Medicine, USA;
Crystal is with the AIDS Research Group, Rutgers the State University of New Jersey, USA;
Absalon is with the Center for Infectious Disease Epidemiologic Research, Mailman School of Public Health, Columbia University, USA;
Klein and Agins are with the New York State Department of Health, AIDS Institute, USA;
Remien is with the HIV Center for Clinical and Behavioral Studies, Columbia University and the NY State Psychiatric Institute, USA.
An erratum to this article can be found at http://dx.doi.org/10.1007/s11524-006-9117-7