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Primary HIV infection--a public health opportunity

Bibliographic Data

ID11028883
AuthorsW Cates (Family Health International 360), Margaret A Chesney (0000-0001-6038-3486, University of California, San Francisco), Myron S Cohen (0000-0001-5917-9664, Office of Infectious Diseases)
Year1997
Volume87
Issue12
Pages1928-1930
Publication date1997-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.87.12.1928
PMID9431278
OpenAlexW2164130077
LanguageEN
Citations received7
References cited22

Primary human immunodeficiency virus (HIV) infection should be considered a key target for HIV prevention activities. Mathematical models suggest that the primary HIV infection interval makes a disproportionate contribution to the HIV epidemic, perhaps accounting for as many as half of the existing infections at any point in time. If this is true, primary infection presents a special window of opportunity within which to exert a maximum impact on the spread of HIV. A combination of biological, behavioral, and social factors may account for the influence of primary infection on the HIV epidemic. HIV prevention measures can be focused on each of these factors. Biologically, detecting individuals early in the course of infection and offering treatment can reduce viral load and possibly an individual's infectiousness. Behaviorally, counseling newly infected persons about the importance of adopting safer practices may instill prevention behaviors at a critical time. Socially, using a network approach to notify persons exposed to those with primary infections can dampen the amplification effect of rapid HIV spread through high-risk environments. By focusing prevention efforts on the primary HIV infection interval, public health officials could increase their leverage in slowing the HIV epidemic

Disease · Environmental health · Human immunodeficiency virus (HIV) · Leverage (statistics) · Primary prevention · Public health · Window of opportunity · Adolescent Sexual and Reproductive Health · HIV Research and Treatment · HIV/AIDS Research and Interventions · Immunology · Internal Medicine · Medicine · Nursing · Virology

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    Open Access•Peter Aggleton, Rafael Mazin•Revista Panamericana de Salud…•2000

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    Open Access•Adrian Flint, Vernon Hewitt•Commonwealth and Comparative…•2015

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Unique citing works7
Citations per year0,27
Citation span2000 - 2015 (16)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6

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