This report, released in April 2014 by the National LGBT Health Education Center, describes here seven best practices for HIV prevention that have emerged from recent epidemiologic, behavioral, clinical, and intervention research. These recommendations were distilled from presentations and discussions at a meeting of experts held at Fenway Health on September 27, 2013.
We begin with a discussion of the populations most burdened by HIV infection, as prevention interventions must reach these groups in order to have a significant public health impact. We then describe core interventions that can form the basis of prevention programs in clinical settings. Our discussion is based on scientific evidence whenever possible. Where such evidence is lacking, we rely on expert opinion and the experiences of successful HIV prevention programs. In many cases, a consensus about the optimal ways to implement evidence-based HIV prevention in clinical practice does not exist. We therefore suggestnovel strategies which may facilitate uptake of prevention tools, but which need further testing to prove efficacy in real-world settings.