This slide presentation, from a November 2006 CDC-sponsored health professional convening on expanding options for HIV testing and care, reviews evidence that, even from an economic perspective, a multi-component, multi-level, evidence-based comprehensive national HIV prevention plan for the United States is most effective. Holtgrave reasons that such a plan must address not only individual risk behaviors but also structural issues such as homelessness, poverty, social capital, and income equality. His review of the evidence demonstrates that targeted HIV counseling and testing has substantially more public health benefits than opt-out testing, at the same cost. Dr. David Holtgrave is Professor and Chair, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health.
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