The Serostatus Approach to Fighting the HIV Epidemic: prevention strategies for infected individuals
RS Janssen, DR Holtgrave, RO Valdiserri, M Shepherd, HD Gayle and KM De Cock
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd (Mail Stop D-21), Atlanta, GA 30333, USA. rxj1@cdc.gov
In the United States, HIV prevention programs have historically tailored
activities for specific groups primarily on the basis of behavioral risk
factors and demographic characteristics. Through the Serostatus Approach to
Fighting the Epidemic (SAFE), the Centers for Disease Control and
Prevention is now expanding prevention programs, especially for individuals
with HIV, to reduce the risk of transmission as a supplement to current
programs that primarily focus on reducing the risk of acquisition of the
virus. For individuals with HIV, SAFE comprises action steps that focus on
diagnosing all HIV-infected persons, linking them to appropriate
high-quality care and prevention services, helping them adhere to treatment
regimens, and supporting them in adopting and sustaining HIV risk reduction
behavior. SAFE couple a traditional infectious disease control focus on the
infected person with behavioral interventions that have been standard for
HIV prevention programs.
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