HIV Treatment as Prevention
Implications for Health Promotion
Bibliographic Data
| ID | 22945675 |
|---|---|
| Authors | Sean Slavin (UNSW Sydney, corresponding author) |
| Year | 2016 |
| Volume | 33 |
| Issue | 2 |
| Pages | daw080 |
| Publication date | 2016-10-10 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Promotion International (JOURNAL) |
| Journal identifiers | ISSN: 0957-4824 • E-ISSN: 1460-2245 |
| Publisher | Oxford University Press (OUP) (PUBLISHER) |
| DOI | 10.1093/heapro/daw080 |
| PMID | 28334739 |
| OpenAlex | W2531092696 |
| Language | EN |
| References cited | 40 |
Evidence has been accumulating in recent years that individuals with HIV who are effectively treated with antiretroviral drugs are highly unlikely to transmit the virus to their sexual partners. This approach has great potential to contribute to ongoing prevention efforts and has been termed 'treatment as prevention'. International political momentum has been building in recent years to attempt to significantly reduce new HIV infections globally and end the epidemic by 2030. In pursuit of such aims a number of local health authorities and communities have adopted intensified 'test and treat' strategies to quickly diagnose infections and reduce the risk of onward transmission through an immediate offer of treatment. These have most commonly been driven through enhancements to clinical services and health promoters have been engaged in limited ways. People with HIV often have high rates of health literacy and are now expressing interest in knowing more about how treatment as prevention might work to reduce their individual risk of sexual transmission. For some this represents an added risk reduction measure and for others it may replace condoms. There is currently an opportunity for health promotors to engage with this approach both to exploit its prevention benefits and to counter the stigma that attaches to HIV infectiousness. It is hoped that any reduction in stigma and fear of transmission will help improve the quality of social and sexual relationships among affected groups.
Antiretroviral therapy · Environmental health · Family medicine · Health promotion · Human immunodeficiency virus (HIV) · Political science · Psychiatry · Public health · Public relations · Stigma (botany) · Transmission (telecommunications) · Treatment as prevention · Viral load · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues
The Spectrum of Engagement in HIV Care and its Relevance to Test-and-Treat Strategies for Prevention of HIV Infection
Decreases in Community Viral Load Are Accompanied by Reductions in New HIV Infections in San Francisco
Structural approaches to HIV prevention
Condom effectiveness in reducing heterosexual HIV transmission
Adherence to Haart
Sexual harm reduction practices of HIV-seropositive gay and bisexual men
Sustaining safe sex
Association of highly active antiretroviral therapy coverage, population viral load, and yearly new HIV diagnoses in British Columbia, Canada
Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
Reflections on the Swiss Consensus Statement in the context of qualitative interviews with heterosexuals living with HIV
Use of Viral Load to Negotiate Condom Use Among Gay Men in Sydney, Australia
Beyond the Distinction Between Biomedical and Social Dimensions of HIV Prevention Through the Lens of a Social Public Health
Speculative pragmatism and intimate arrangements
Sustaining safe practice
The Undetectable Crisis
Non/infectious corporealities
HIV-Negativity in Serodiscordant Relationships
| Highly cited | No |
|---|