Genuis S J, Genuis S K
Department of Obsterics and Gynaecology, University of Alberta, Canada.
Postgrad Med J. 2005 May;81(955):299-301. doi: 10.1136/pgmj.2004.026039.
Escalating rates of sexually transmitted disease (STD) in many areas of the world necessitate a re-evaluation of current public health STD preventive programmes. Pervasive long term sequelae for many STD afflicted people and the emerging threat, caused by the HIV/AIDS pandemic, to some national infrastructures, suggests that ongoing initiatives focusing primarily on risk reduction through barrier protection have not met their desired objective. Recent strategies to promote non-coital sexual involvement as a means of achieving STD reduction fail to address the transmission of infection that may occur through alternative non-intercourse sexual activities. The demonstrated success of the innovative, comprehensive ABC strategy shows that while risk reduction and treatment of existing infection remain important, the promotion of optimal health may be achieved more effectively through broad based comprehensive and adaptable programmes that include an emphasis on risk avoidance through delayed sexual debut and partner reduction.
世界许多地区性传播疾病（STD）发病率不断攀升，这就需要重新评估当前的公共卫生性传播疾病预防计划。许多性传播疾病患者面临普遍的长期后遗症，以及艾滋病毒/艾滋病大流行对一些国家基础设施构成的新威胁，这表明当前主要侧重于通过屏障保护来降低风险的举措并未实现预期目标。最近将促进非性交性行为作为减少性传播疾病手段的策略，未能解决可能通过替代性非性交性行为发生的感染传播问题。创新的综合性ABC策略已证明取得成功，这表明虽然降低风险和治疗现有感染仍然很重要，但通过广泛、全面且适应性强的计划，包括强调通过推迟首次性行为和减少性伴侣来避免风险，可能更有效地促进最佳健康状态。
