Behavioral Interventions for Prevention and Control of Sexually Transmitted Diseases

Before AIDS, the role of behavioral interventions in preventing transmission of sexually transmitted diseases was acknowledged in text books and journals but rarely promoted effectively in public health practice. Informed by a comprehensive knowledge of behavioral theory, intervention methods, and affected populations, the authors of this important book examine the central role of behavioral interventions in combating STDs. The book addresses the complexities and social contexts of human behaviors which spread STDs, the cultural barriers to STD education (ranging from conservative mores to "stay out of my bedroom" libertarianism), and the sociopolitical nuances surrounding treatment. Over forty contributors offer a practical appraisal of what is being done now and what can be improved, such as:

-An overview of current behavioral and biomedical interventions for STD prevention and control

-A discussion of what works for individuals, groups, and communities

-Up to date thinking about such traditional prevention approaches as partner notification and health care seeking

-STD prevention strategies with high-risk populations, including drug users, gay men, teenagers, incarcerated persons, and persons with repeat infections

-The state of prevention technology: condoms, vaccines, the Internet

-Ethical, economic, and policy issues in STD prevention

-Applying intervention models to real-world situations

-Guidelines for program evaluation and improvement

As STDs and AIDS remain top priorities for public health and private sector practitioners, researchers, and educators, Behavioral Interventions for Prevention and Control of Sexually Transmitted Diseases gives a long-neglected field the attention it deserves. This authoritative resource is sure to influence public health practice and policy in an ever-evolving social climate.

"This book represents a landmark in the field of STD prevention and management bringing together a comprehensive overview of the most critical aspects of behavioral interventions for STDs. Students or practitioners of public health and clinicians involved in STD/HIV management should have this book."

King K. Holmes, M.D., Ph.D., William H. Foege, Chair, Department of Global Health and Director, Center for HIV/AIDS, University of Washington, Seattle

"This impressive volume offers easily accessible information about the multitude of options for behavioral interventions for STDs, including not only what we have learned in recent years but also what we should do. This combination of both understanding and action will undoubtedly provide much needed assistance to today's public health practitioner."

Willard Cates, Jr., M.D., M.P.H., President, Research, Family Health International, Durham, NC

Autorentext

Sevgi O. Aral is the Associate Director of Science at the Division of STD Prevention which is part of the National Centers for HIV, STD and TB Prevention at the Centers for Disease Control and Prevention. She is also a Clinical Professor at the University of Washington School of Medicine in the Division of Infectious Diseases. She is on the editorial board of: Sexually Transmitted Diseases, AIDS Education and Prevention, and Sexually Transmitted Infections. She has over 150 publications on social and behavioral aspects of STD. Her work has focused on risk and preventive behaviors, gender differences, societal characteristics that influence STD and HIV rates, contextual issues and effects of distinct types of sexual mixing on STD spread. Her research has been in both domestic and international settings and her writings have included cross-cultural comparative analyses.

John Munroe Douglas, Jr, MD is the Director of the Division of STD Prevention with the CDC. He is a prolific and significant contributor to the fields of STD and HIV prevention, particularly viral STDs and research on genital herpes and HPV. His publications include over 100 journal articles, mostly in peer-reviewed journals, several book chapters, and more than 150 abstracts. His memberships in professional organizations include the Infectious Diseases Society of American, the American STD Association (for which he served as Secretary-Treasurer and Vice-President), the American Social Health Association (ASHA, for which he served as Chair for the HPV Scientific Advisory Committee), and the American College of Physicians.

Inhalt

Preface.- Foreword.- Part I: Overview Chapters-Behavioral Interventions.- History of Behavioral Interventions in STD Control.- Behavioral Interventions for Sexually Transmitted Diseases: Theoretical.- Models and Intervention Methods.- Biomedical Interventions.- Part II: Intervention Approaches.- Dyadic, Small Group and Community-Level Behavioral Interventions for STD/HIV Prevention.- Structural Interventions.- STD Prevention Communication: Using Social Marketing Techniques with an Eye on Behavioral Change.- Partner Notification and Management Interventions.- Interventions in Sexual Health Care Seeking and Provision at Multiple Levels of the U.S. Health Care System.- Use of the Internet in STD/HIV Prevention.- Male Condoms.- STI Vaccines: Status of Development, Potential Impact, and Important Factors for Implementation.- Part III: Interventions by Population.- Behavioral Interventions for Prevention and Control of STDs Among Adolescents.- Biological and Behavioral Risk Factors Associated with STDs/HIV in Women-Implications for Behavioral Interventions.- STD Prevention for Men Who Have Sex with Men in the United States.- STD Repeaters: Implications for the Individual and STD Transmission in a Population.- Looking Inside and Affecting the Outside: Corrections-based Interventions for STD Prevention.- Sexually Transmitted Diseases Among Illicit Drug Users in the United States: The Need for Interventions.- Part IV: Understanding Methods.- Quantitative Measurement.- Qualitative Measurement.- From Data to Action: Integrating Program Evaluation and Program Improvement.- Cost Effectiveness Analysis.- From Best Practices to Better Practice: Adopting Model Behavioral Interventions in the Real World of STD/HIV Prevention.- Part V: Ethical and Policy Issues.- The Ethics of Public Health Practice for the Prevention and Control of Sexually Transmitted Diseases.- Policy and Behavioral Interventions for STDs.