The hidden epidemic : confronting sexually transmitted diseases / Thomas R. Eng and William T. Butler, editors ; Committee on Prevention and Control of Sexually Transmitted Diseases, Institute of Medicine, Division of Health Promotion and Disease Prevention.

Institute of Medicine (U.S.). Committee on Prevention and Control of Sexually Transmitted Diseases [Browse]
Washington, D.C. : National Academy Press, 1997.
xii, 432 pages : illustrations ; 24 cm


Bibliographic references
Includes bibliographical references and index.
  • 1. Introduction and Background
  • 2. The Neglected Health and Economic Impact of STDs. Broad Scope and Impact of STDs. Health Consequences of STDs. Impact of STDs on HIV Transmission. Economic Consequences of STDs
  • 3. Factors that Contribute to the Hidden Epidemic. Biological Factors. Social Factors. Secrecy as a Contributing Factor
  • 4. Prevention of STDs. Issues in Prevention. Reducing Exposure and Transmission. Reducing Duration of Infection
  • 5. Current STD-Related Services. Clinical Services. National Surveillance and Information Systems. Training and Education of Health Professionals. Funding of Services
  • 6. Establishing an Effective National System to Prevent STDs. Laying the Foundation for a National System. Strategy 1: Promote Health Sexual Behaviors. Strategy 2: Develop Leadership. Strategy 3: Focus on Adolescents and Underserved Populations. Strategy 4: Ensure Access to Services. Collaborating to Improve Services.
  • App. A. Sexually Transmitted Pathogens and Associated Diseases, Syndromes, and Complications
  • App. B. Characteristics of Major STDs in the United States
  • App. C. Transmission Dynamics of Coexisting Chlamydial and HIV Infections in the United States
  • App. D. Estimates of the Economic Burden of STDs: Review of the Literature with Updates
  • App. E. Summary of Empirical Studies of HIV Prevention Mass Media Campaigns
  • App. F. Recommended Interventions During the Periodic Health Examination for the Prevention of STDs, U.S. Preventive Services Task Force, 1996
  • App. G. Summary of Workshop on the Role of Managed Care Organizations in STD Prevention
  • App. H. STD-Related Services Among Managed Care Organizations Serving High-Risk Populations
  • App. I. Examples of Community-Based Programs for Providing Clinical Services for STDs
  • App. J. Committee and Staff Biographies.
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