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Studies of
HIV prevention interventions have resulted in several important lessons. Although
high-risk groups may be targeted for certain interventions, it is not enough to focus only
on these individuals. The general population must also be involved if prevention is to
succeed. In working with individuals and communities, it is important to emphasize
specific risk behaviors and vulnerability, rather than specific groups, such as sex
workers or men having sex with men. The behaviors place the individual at risk, and
labeling can be stigmatizing. Knowledge and awareness of HIV/AIDS and the scope of the
problem are important, but not enough to prevent infection. Individuals need to recognize
their own level of risk and learn skills associated with sexual negotiation. Condom
promotion is an essential part of any prevention program, but long-term changes in social
norms will be necessary to make condom use and other behavioral changes more acceptable. |