Means for STI prevention--how are they applied and how effective are they?

The present communication concerns factors, the application of which may contribute to reduce the transfer rate of sexually transmitted infections (STIs), including geomedical aspects. The factors elaborated on are, e.g. maternal health care, sexual education early in life, health prevention programmes and sexual risk reduction counselling of commercial sex workers, screening activities as well as recommendation of preventive strategies based on analyses of monitored data from screening studies. Case- and carrier detection stimulated by society-, company- and client-initiatives, syndrome-based therapy of STIs, barrier- (condom) and hormonal anticonception counselling and the special features of HIV/AIDS prevention are also elaborated on. The spread of sexually transmitted infections (STIs) in a society and between various geographic areas within and between countries is dependent of a large number of factors. The relative importance of all such factors have been rather poorly analysed simultaneously in one area, particularly with regard to their interactive impact on the epidemiology of these infections. Such analyses must, however, be a prerequisite for any successful intervention programme attempting to reduce the spread of STIs in a society. The present communication will elaborate on a number of factors (tab. I), the application of which is believed to be important for reducing the transfer rate of STIs, not only between individuals living in one and the same community but also between geographically separated community.