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March 2002, Vol 92, No. 3 | American Journal of Public Health 331-332
© 2002 American Public Health Association

LETTER

THE SEROSTATUS APPROACH TO HIV PREVENTION AND CARE: CAUTIONS AND CAVEATS

Stephen Mills, MPH

Stephen Mills is with the Asia Regional Office of Family Health International, Bangkok, Thailand, and the Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, England.

Correspondence: Requests for reprints should be sent to Stephen Mills, MPH, Family Health International, 1339 Pracharat 1 Rd, 8th Floor, Bangsue, Bangkok 10800, Thailand (e-mail: smills@fhibkk.org ).

In writing about the Serostatus Approach to Fighting the HIV Epidemic (SAFE),1 Janssen and colleagues outline a noteworthy expansion to the US HIV prevention and care strategy for increasing the number of HIVinfected persons who know their serostatus and then providing enhanced quality care and prevention services. The authors have cited the important prevention and treatment benefits of this strategy. However, they make no mention of factors that may affect its implementation or actually make its use inadvisable.

There is substantial evidence documenting the consequences of knowing one's HIV serostatus, consequences that comprise not only the positive benefits outlined by . . . [Full Text]

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