Combination HIV Prevention Interventions: The Potential of Integrated Behavioral and Biomedical Approaches

Jennifer L. Brown, Jessica M. Sales, Ralph J. DiClemente

Research output: Contribution to journalReview articlepeer-review

Abstract

Combination HIV prevention interventions that integrate efficacious behavioral and biomedical strategies offer the potential to reduce new HIV infections. We overview the efficacy data for three biomedical HIV prevention approaches, namely microbicides, pre-exposure prophylaxis (PrEP), and HIV vaccination; review factors associated with differential acceptability and uptake of these methods; and suggest strategies to optimize the effectiveness and dissemination of combination HIV prevention approaches. A narrative review was conducted highlighting key efficacy data for microbicides, PrEP, and an HIV vaccination and summarizing acceptability data for each of the three biomedical HIV prevention approaches. Recommendations for the integration and dissemination of combined behavioral and biomedical HIV prevention approaches are provided. To date, microbicides and an HIV vaccination have demonstrated limited efficacy for the prevention of HIV. However, PrEP has demonstrated efficacy in reducing HIV incident infections. A diverse array of factors influences both hypothetical willingness and actual usage of each biomedical prevention method. Strategies to effectively integrate and evaluate combination HIV prevention interventions are urgently needed.

Original languageEnglish (US)
Pages (from-to)363-375
Number of pages13
JournalCurrent HIV/AIDS Reports
Volume11
Issue number4
DOIs
StatePublished - Dec 13 2014

Keywords

  • Behavioral HIV prevention
  • Biomedical HIV prevention
  • Combination HIV prevention
  • HIV vaccine
  • Microbicide
  • PrEP

ASJC Scopus subject areas

  • Virology
  • Infectious Diseases

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