Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014 [corrected December 2016]

Details

• Corporate Authors:
  Centers for Disease Control and Prevention (U.S.) ; United States. Health Resources and Services Administration ; National Institutes of Health (U.S.) ; American Academy of HIV Medicine ; Association of Nurses in AIDS Care ; International Association of Providers of AIDS Care ; National Minority AIDS Council ; Urban Coalition for HIV/AIDS Prevention Services ; National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (U.S.). Division of HIV/AIDS Prevention
• Description:
  The goals of HIV prevention, care, and treatment in the United States are to prevent new HIV infections, increase the proportion of persons with HIV who are aware of their infection, prevent HIV-related illness and death, and reduce HIV-related health disparities. The context of HIV prevention in the United States has changed because of recent advances in biomedical, behavioral, and structural prevention strategies, changes in health care delivery, and new national HIV prevention strategies. For example, early initiation of antiretroviral treatment (ART) has recently been shown to improve health, suppress HIV viral load, and reduce the risk of transmitting HIV to others. Offering HIV treatment shortly after diagnosis can also hasten use of other biomedical, behavioral and structural interventions that can reduce the risk of transmitting HIV. By offering this expanded set of interventions, health care providers, nonclinical HIV prevention specialists, and health departments and HIV planning groups can promote the health of persons with HIV, prevent HIV transmission to their sex and drug-injection partners and offspring, and contribute to community well-being.
  
  In response to the new context of HIV prevention and care, the Centers for Disease Control and Prevention (CDC), the Health Resources and Services Administration (HRSA), and the National Institutes of Health (NIH) collaborated with several nongovernmental organizations to update and expand their 2003 recommendations to prevent HIV transmission from persons with HIV, Recommendations for Incorporating HIV Prevention into the Medical Care of Persons Living with HIV (hereafter abbreviated as the 2003 Recommendations). These nongovernmental organizations included the American Academy of HIV Medicine (AAHIVM), the Association of Nurses in AIDS Care (ANAC), the International Association of Providers of AIDS Care (IAPAC), the National Association of People with AIDS (NAPWA), the National Minority AIDS Council (NMAC), and the Urban Coalition for HIV/AIDS Prevention Services (UCHAPS).
  
  This report updates and expands recommendations on the four topics covered by the 2003 Recommendations: Screening for behaviors that could transmit HIV and behavioral interventions to reduce the risk of transmission; STD screening, treatment, and other sexual health services that may reduce the risk of HIV transmission; Services for sex partners and drug-injection partners of persons with HIV (known as HIV partner services); and, Referral for other medical and social services that influence HIV transmission or use of HIV prevention and care services
  
  This report also includes recommendations on seven topics that were not described in detail in the 2003 Recommendations: Individual, social, structural, ethical, legal, policy, and programmatic factors that influence HIV transmission and use of HIV prevention and care services; Linkage to and retention in HIV medical care; Use of antiretroviral treatment (ART) for improving health and for preventing HIV transmission; Methods to achieve sustained high adherence to ART to reduce infectiousness; Reproductive health care for women and men to reduce the risk of sexual HIV transmission when attempting conception or unintended pregnancy (thereby reducing the risk of perinatal HIV transmission); Pregnancy-related services to reduce the risk of sexual or perinatal transmission during recognized pregnancy; and, Methods to monitor, evaluate, and improve the quality of HIV prevention and care services and programs for persons with HIV.
  
  The December 11, 2014, version of Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014, and its companion summaries have been amended in December 2016 to correct errata, outdated or broken hyperlinks, and missing references or footnotes.
  
  
• Subjects:
  Adolescent Adult Contact Tracing Counseling HIV HIV Infections Humans Patient Education As Topic Referral And Consultation Risk Assessment Risk Reduction Behavior Sexually Transmitted Diseases

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• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Report
• Place as Subject:
  United States
• Rights:
  Public Domain
• CIO:
  National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)
• Division:
  DHP - Division of HIV/AIDS Prevention
• Topic:
  Diseases & Conditions
• Location:
  North America
• Pages in Document:
  240 pdf pages
• Citation:
  Suggested citation: Centers for Disease Control and Prevention, Health Resources and Services Administration, National Institutes of Health, American Academy of HIV Medicine, Association of Nurses in AIDS Care, International Association of Providers of AIDS Care, the National Minority AIDS Council, and Urban Coalition for HIV/AIDS Prevention Services. Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014.
• Collection(s):
  Guidelines and Recommendations
• Main Document Checksum:
  urn:sha-512:7dbf7cceb2029fb07c8f3c07e9e78d76516fee39a9944281a765c5fcf62b210c133d89b221767d4312bb3df0c7bebea6f776b49f8871b7e49bcb4c2ff3e03327
• Download URL:
  https://stacks.cdc.gov/view/cdc/26062/cdc_26062_DS1.pdf
• File Type:
  [PDF - 4.03 MB ]