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December 7, 2009

Adolescent Human Immunodeficiency Virus Prevention: What We Have Accomplished and What Still Needs to Be Done

Arch Pediatr Adolesc Med. 2009;163(12):1162-1163. doi:10.1001/archpediatrics.2009.226

The article by DiClemente et al1 in the current edition of Archives is exciting for several reasons:

These are important findings worthy of further comment.

However, before I expand on these findings, I want to comment on a finding from this study that is not new or exciting and underscore how significant it is that this finding is not “news.” It is very important that it is no longer a novel finding that a human immunodeficiency virus (HIV) behavioral risk-prevention intervention can reduce risk behaviors for up to 12 months. Two decades ago—even 1 decade ago—such a finding about an intervention would have been regarded as very newsworthy. That purposeful and sustained reduction of HIV risk behavior is no longer a question demonstrates how far the field of prevention research has progressed during the last 2 decades. Multiple trials and numerous meta-analyses have clearly established that behavioral prevention programs can reduce sexual risk behaviors and that such reductions can persist for 1 year or longer.2,3

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