Trends in sexual behavior and the HIV pandemic [editorial]

摘要: The global number of people infected with the human immunodeficiency virus (HIV) increased from 100000 in 1981 to 12.9 million 1992 according estimation Harvard Global AIDS Policy Coalition. projections 2000 envision 38 - 110 adults and more than 10 children HIV. In absence an effective vaccine mobilization international coordination is called for combat this pandemic. 71% infections were attributed heterosexual contact as January 15% homosexual behavior a small proportion IV drug use. Women are increasingly threatened especially adolescent girls. efforts change sexual have been targeted at high risk groups lulling general population into complacency. Well-organized gay men reduced unprotected sex practices although certain amount relapse has recently occurred. Adolescent boys start 16.1 years age girls 16.9 50 state survey by Centers Disease Control conducted 1990; 26.7% 11.8% 4 or partners only 40.6% these using condom. 1988 60% males aged 15-19 sexually active over 1/2 reported US household surveys indicate that 97% Americans 18 experienced: among women 15-44 condom use contraception was 12% 1982 14.6% 1988. Minor reductions risky also contributed rising herpes simplex infections. Female-controlled methods include female awaiting time-consuming Food Drug Administration virucidal creams whose development urgent task equaling HIV vaccine. epidemic could be contained program devoid sexism racism homophobia focuses on modification targets whole population.