need to be reevaluated and redesigned in light of the changing epidemiology and social context of STDs.

The duration of sexually transmitted infections and thus the period during which infected individuals are infectious to others can be reduced primarily by ensuring early diagnosis and treatment of infected persons through screening programs and by improving the clinical skills of health care providers. Appropriate use and interpretation of diagnostic tests and access to laboratory services are essential in ensuring accurate diagnosis and treatment. Barriers to early detection and treatment, such as inadequate access to health care and lack of health-care-seeking behavior, need to be addressed.

References

AAFP (American Academy of Family Physicians). Age charts for periodic health examination. Kansas City, MO: American Academy of Family Physicians, 1994 (reprint no. 510).

AAP (American Academy of Pediatrics), Committee on Adolescence. Sexually transmitted diseases. Pediatr 1994;94 (Pt. 1):568-72.

AAP, Committee on Adolescence. Condom availability for youth. Pediatr 1995;95:281-5.

ACOG (American College of Obstetricians and Gynecologists). Human immunodeficiency virus infection. Washington, D.C.: American College of Obstetricians and Gynecologists, 1992. [Technical Bulletin No. 169.]

Addiss DG, Vaughn ML, Hillis SD, Ludka D, Amsterdam L, Davis JP. History and features of the Wisconsin Chlamydia trachomatis control program. Fam Plann Perspect 1994;26:83-9.

Adler NE, Tschann, JM. Conscious and preconscious motivation of pregnancy among female adolescents. In: Lawson A, Rhode D, eds. The politics of pregnancy: adolescent sexuality and public policy. New Haven, CT: Yale University Press, 1993:144-58.

Advocates for Youth. Condom availability in schools: an integral component to comprehensive school health programs. Washington, D.C., 1995.

Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Englewood, NJ: Prentice-Hall, 1980.

Alary M, Joly JR, Poulin C. Gonorrhea and chlamydial infection: comparison of contact tracing performed by physicians or by a specialized service. Can J Public Health 1991:82;132-4.

Allen S, Tice J, Van de Perre P, Serufilira A, Hudes E, Nsengumuremyi F, et al. Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. British Med J 1992;304:1605-9.

AMA (American Medical Association). HIV blood test counseling. Physician guidelines. 2nd ed. Chicago: American Medical Association, 1993.

AMA. Policy compendium on reproductive health issues affecting adolescents. Gans Epner JE, ed. Chicago: American Medical Association, 1996.

ASHA (American Social Health Association). Teenagers know more than adults about STDs, but knowledge among both groups is low. STD News. A quarterly newsletter of the American Social Health Association. Winter 1996;3:1, 5.

Anderson JE, Brackhill R, Mosher WD. Condom use for disease prevention among unmarried U.S. women. Fam Plann Perspect 1996;28:25-8, 39.

Anderson RM. The transmission dynamics of sexually transmitted diseases: the behavioral component. In: Wasserheit JN, Aral SO, Holmes KK, Hitchcock PJ, eds. Research issues in human behavior and sexually transmitted diseases in the AIDS era. Washington, D.C.: American Society for Microbiology, 1991:38-60.



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