The Best of Science and the Best of Program

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The Best of Science and the Best of Program

Q C" -rtI

1991 National

STDIHIV

Prevention Conference

May 20-24 - San Diego

"YIC'l,J

f'fF'~-"- u.s. DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

'i::

Centers for Disease ConlIol

'o(J

CDC

CENTERS FOR DISEAse CONTRex.

Proceedings

ACTION ALLIANCE

The Best of Science and the Best of Program

1991 Natinnal STDIHIV

Preventinn Conference

San Diego, California

Sponsored By

CENTERS FOR DISEASE CONTROL

William L. Roper, M.D., M.P.H. Assistant Surgeon General

Director, Centers for Disease Control Administrator, Agency for Toxic Substances and Disease Registry

Alan R. Hinman, M.D., M.P.H. Assistant Surgeon General

Director, National Center for Prevention Services Jack N. Spencer

Acting Director, Division of STD/HIV Prevention

CO-HOSTS California Department of Health Services

California STD Control Association County of San Diego Department of Health Services

u.s. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service Centers for Disease Control

Atlanta, Georgia

U.S. Department of Justice National Institute of Justice

137010

This document has been reproduced exactly as received from the

person or organization originating it. Points of view or opinions stated

in this document are those of the authors and do not necessarily represent the official po~ition or policies of the National Institute of Justice.

Permission to reproduce this 8 III) . . . 7 material has been granted by

Public Domain/U.S. Dept. of Health and Human Services

to the National Criminal Justice Reference Service (NCJRS).

Further reproduction outside of the NCJRS system requires permission of the ~ owner.

ii

Contents

Page

Plenary Session Presentations Challenge for the Conference .......................................................... 1

Alan R. Hinman, M.D., M.P.H. AIDS and Sexually Transmitted Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 5

Mervyn F. Silverman, M.D., M.P.H. Meeting the STD/HIV Challenge Through Collaboration: Coalition BUilding. . . . . . . . . . . . . . . . . . .. 7

Jane L. Delgado, Ph.D. The Impact of HIV on STD/Public Health Infrastructure .................................... 11

Gary R. Noble, M.D., M.P.H. Women and Adolescents and STD/HIV .................................................. 15

M. Joycelyn Elders, M.D. Epidemiology of Drug Abuse in the United States .......................................... 19

Don C Desjarlais, Ph.D.

CDC Strategic Plan for HIV Prevention ....... : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 WilliamL. Roper, M.D., M.P.H.

Sexual Behavior in the United States ..................................................... 27 William W. Darrow, Ph.D.

An End to HIV Exceptionalism? AIDS in the Next Decade. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Ronald Bayer, Ph.D.

Never Say Never .................................................................... 39 JohnE. Arradondo, M.D.

National STD/HIV Prevention Conference Summary ....................................... 43 Windell Bradford

How to Build on What We Have Learned ................................................. 47 Ronald 0. Valdiserri, M.D., M.P.H.

Annotated List of Special Topics Seminars ? Substance Abuse: What Everyone Should Know . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 ? Integration of Substance Abuse Services with STD/HIV Prevention Services ................... 51 ? Outreach to Substance Abusers ....................................................... 52 ? Early Intervention for Persons with HIV Infection ........................................ 52 ? Syphilis Epidemic and Its Impact on Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 ? "Modern Day" Approaches to Disease Intervention: The Best of Program ..................... 52 ? STD/HIV; Crosscutting Issues for Community-Based Organizations .......................... 53 ? Integration of STD/HIV Counseling, Testing, Referral, and Partner Notification

Services at the Clinic Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 ? Legal Issues Related to HIV/STD Prevention Activities .................................... 53 ? HIV Partner Notification Services ..................................................... 54 ? HIV Counseling and Testing Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

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Page

CDC Perspective ? Outreach to Adolescents, ............................................................ 55 ? Outreach to Men Who Have Sex With Men. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 ? Outreach to Women ................................................................ 55 ? HIV/STD Prevention Activities in the Criminal Justice System .............................. 55 ? Initiating and Sustaining Behavior Change .............................................. 55 ? STD Updates ..................................................................... 56 ? Showcase of Collaborative Efforts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 ? Overview of Behavioral Research in DSTD/HIVP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 ? Impact of CARE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 ? STD Surveillance Update. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 ? Building Effective Relationships Between National and Community Organizations .............. 57 ? America Responds to AIDS (ARTA) Media Campaign ..................................... 58 ? STD/HIV Clinical Research Report .................................................... 58 ? STD and Family Planning: Strange Bedfellows? .......................................... 58

Community-Based Organization Workshop Tracks

? CBO-l: Women and HIV ........................................................... 59 Workshop A: Issues of Sex and Reproduction Related to HIV Prevention for Women ........ 59 Workshop B: Accessing Services for Women Infected/Affected by HIV .................. 59 Workshop C: Educational and Behavioral Strategies Targeting Women ................... 59 Workshop D: Public Policy as it Relates to STD/HIV Prevention Programs for Women ...... 59

? CBO-2: Working with Culturally Diverse Populations ................................... 60 Workshop A: Racial and Ethnic Populations ...'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Workshop B: Gay Men and Lesbians .............................................. 60 Workshop C: Special Populations: Hearing Impaired, Visually Impaired, Developmentally Disabled, Mentally Ill ........................................................ 60

? CBO-3: Substance Abuse and HIV ................................................... 61 Workshop A: Substance Use and Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Workshop B: Addiction and Relapse .............................................. 61 Workshop C: Accessing Treatment Services .............. , ......................... 61 Workshop D: Effective Skills Building for HIV Prevention Programs Targeting Substance Using/Abusing Populations .................................................... 61

? CBO-4: Youth and mv ............................................................ 61

Workshop A: Sexuality and Youth At-Risk for HIV .................................. 61 Workshop B: Public Policy as it Affects Youth At-Risk for HIV ......................... 61 Workshop C: Runaway, Throwaway, and Homeless Youth, Youth Engaged in Exchanging

Sex for Drugs and/or Money, Incarcerated Youth, and Gangs ......................... 61 Workshop D: Outreach, Education, and Support Systems for Youth At-Risk: Examples of

Culturally Focused Programs that "Work" ........................................ 61

? CBO-S: Outreach and Educational Strategies .......................................... 62 Workshop A: Safety Issues and Outreach Workers ................................... 62 Workshop B: Creating Innovative Educational Strategies for HIV Prevention Programs . . . . . . 62

? CBO-6: Program Development and Management ...................................... 62 Workshop A: Program Planning and Evaluation Strategies ............................. 62 Workshop B: Standards for Staff and Volunteer Training and Development. . . . . . . . . . . . . . . . 62

? CBO Workshop About Condoms .................................................... 63

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