PubMed · 5926256
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1966-12-24. Down and out.. https://pubmed.ncbi.nlm.nih.gov/5926256/
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Strategies for community intervention, their evaluation and social patterning are discussed in the article. Theories and methods are called for to enable better assessment of social inequalities in health outcome variables and processes in public health endeavours. With this is a starting point some methodological and ethical issues relating to preventive programmes and their evaluation are identified.
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In May 1997, the Advisory Committee for HIV and STD Prevention (ACHSP) reviewed data on the relation between curable sexually transmitted diseases (STDs) and the risk for sexual transmission of human immunodeficiency virus (HIV). ACHSP considered that the evidence was strong that early detection and treatment of other STDs is an effective strategy for preventing sexually transmitted HIV infection but was concerned that this strategy has not been clearly articulated or implemented as a core strategy for HIV prevention in the United States. In the context of persistently high prevalence of STDs in many parts of the United States and with emerging evidence that the U.S. epidemic of HIV infection and acquired immunodeficiency syndrome (AIDS) increasingly is affecting population groups with the highest rates of curable STDs, ACHSP recommends the following actions: Early detection and treatment of curable STDs should become a major, explicit component of comprehensive HIV prevention programs at national, state, and local levels. In areas where STDS that facilitate HIV transmission are prevalent, screening and treatment programs should be expanded. HIV and STD prevention programs in the United States, together with private and public sector partners, should take joint responsibility for implementing this strategy.