Prevention With Persons With HIV
The Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America recommended in 2003 that providers of HIV clinical care promote several interventions to improve the health of, and prevent ongoing HIV transmission from, adults and adolescents infected with HIV in the United States.1 Collectively, these interventions are known as “prevention with persons with HIV.”
To update, expand, and consolidate recommendations for HIV prevention with persons with HIV, CDC’s Division of HIV/AIDS Prevention and Division of Sexually Transmitted Disease Prevention are collaborating with these several governmental and non-governmental organizations:
- Health Resources and Services Administration (HRSA),
- National Institutes of Health (NIH),
- HIV Medicine Association (HIVMA) of the Infectious Diseases Society of America,
- American Academy of HIV Medicine (AAHIVM),
- National Association of People with AIDS (NAPWA),
- National Minority AIDS Council (NMAC),
- Association of Nurses in AIDS Care (ANAC), and
- Urban Coalition for HIV/AIDS Prevention Services (UCHAPS).
The forthcoming, updated recommendations will consolidate
- existing recommendations from current, published U.S. government recommendations; and
- new recommendations.
Why are the recommendations being updated?
- More than 1.1 million persons in the United States are now living with HIV, and about 18% of them are unaware of their status.2
- Many interventions for persons with HIV that are known to reduce transmission behaviors and prevent ongoing transmission are underutilized, and many new interventions have not been widely offered.
- High-impact behavioral and biomedical prevention interventions for persons with HIV are cost-effective methods for preventing HIV, and many are more cost-effective than interventions focused on persons without HIV.3,4
A comprehensive set of HIV prevention recommendations for persons with HIV can
- guide high-impact prevention activities at the individual and population levels,
- provide a plan of action for HIV care and prevention providers and for HIV policy makers,
- galvanize resources and support to scale up high-impact prevention, and
- reaffirm that prevention with persons with HIV is a cornerstone of HIV prevention in the United States.
What are the goals of this website?
This website has two goals:
- provide basic information about the scope of, and audiences for, the forthcoming recommendations; and
- encourage HIV prevention and care providers in clinical and community-based settings to implement existing U.S. government recommendations on prevention with persons with HIV. Many of these existing recommendations are underused.
Who should use this website?
This website is for HIV professionals who want to learn about existing federal government recommendations on prevention with persons with HIV:
- HIV medical providers in health care settings;
- HIV prevention providers in community-based organizations;
- HIV and AIDS program staff in health departments;
- specialists in HIV and AIDS policies for public and private sector health systems and community-based programs, including HIV planning groups; and
- specialists in HIV service coverage, funding, and reimbursement.
How will the forthcoming recommendations differ from the 2003 recommendations?
Unlike the 2003 recommendations,1 which were directed only to providers of HIV clinical care, the updated recommendations will address the broader audiences noted above.
The forthcoming recommendations will consolidate a more comprehensive set of behavioral and biomedical interventions that reduce transmission behaviors or the infectiousness of persons with HIV, including these:
- the context of social, ethical, legal, policy, and programmatic factors that influence HIV transmission and use of prevention services;
- linkage to and retention in HIV medical care;
- risk screening and risk-reduction interventions;
- partner services;
- antiretroviral treatment for prevention of HIV transmission;
- antiretroviral medication adherence;
- STD services;
- reproductive health care for women and men;
- prevention of HIV transmission related to pregnancy and;
- other medical and social services that influence HIV transmission (such as substance use and mental illness).
The forthcoming recommendations will summarize recent scientific evidence, programmatic experience, and expert opinion that support existing and new recommendations.
When will the updated recommendations be available?
CDC expects to publish the updated recommendations in 2013.
Will this website change when the updated recommendations are published?
Yes, the website will be modified to include
- a PDF of the complete, updated recommendations document;
- a list of key recommendations; and
- an expanded list of resource materials to support implementation of recommendations.