خط مشی دسترسیدرباره ما
ثبت نامثبت نام
راهنماراهنما
فارسی
ورودورود
صفحه اصلیصفحه اصلی
جستجوی مدارک
تمام متن
منابع دیجیتالی
رکورد قبلیرکورد بعدی
Record identifier : 568662
Personal Name - Primary Intelectual Responsibility : Loeb, Lisa Kathleen
Title and statement of responsibility : All epidemics are local: Improving primary prevention for HIV by adapting voluntary counseling and testing to the needs of the local risk population [Thesis]
Publication, Distribution,Etc. : University of California, Berkeley, 2008
Language of the Item : eng
Body granting the degree : University of California, Berkeley
Summary or Abstract : Despite more than twenty years of public health intervention programs, human immunodeficiency virus (HIV) is still transmitted in epidemic proportions in the United States. Current federally-supported HIV prevention programs stress behavioral risk reduction as part of voluntary counseling and testing, the pillar of U.S. HIV prevention policy, but the expanding HIV epidemic is evidence that this strategy is insufficient. In order to better serve the needs of the population at risk for acquiring HIV, the current HIV counseling and testing system in the U.S. may need to adapt--specifically, to the risk behaviors and prevention strategies engaged in by key subpopulations. In this dissertation, I explore three aspects of HIV prevention among the key subpopulation in one urban epidemic (San Francisco): (1) Improving the content of behavioral risk reduction counseling as provided during the VCT encounter, by targeting it to the local risk population. I present results from a clinical trial of a cognitive behavioral intervention, and argue that it should replace the current standard of care for this risk population. (2) Identifying emerging new risk behaviors that should be targeted in responsive VCT programs. I present an analysis of VCT data that indicate that recreational use of medications intended to treat erectile dysfunction pose a significant risk factor for HIV seroconversion among VCT clients, and argue that VCT programs should be responsive to such changes in their risk populations. (3) Recognizing new risk-reduction techniques that develop organically from within the risk population. Certain of these (serosorting, selective condom use, and strategic positioning) may be valuable from a harm-reduction point of view. I present data supporting the utilization of some such techniques among one risk population, and argue that local HIV prevention communities should assess their true prevalence as well as their effectiveness. These three examples of adaptations that could be made in this one locality demonstrate the potential value of recognizing the local nature of epidemics. In the end, HIV prevention programs that are knowledgeable of and adapt to the behaviors of their local risk populations--including risk and protective behaviors--will be more effective than generic programs..
Topical Name Used as Subject : Behavioral psychology, Public health, Epidemiology
Information of biblio record : TL
 
 
 
(در صورت عدم وضوح تصویر اینجا را کلیک نمایید)