> Consultants against sexual diseases

Despite the progress made in the field of prevention and treatment, STI remain an important cause of morbidityà, and mortality,à. Primary care physicians can identify adolescents and adults most at risk, and there is evidence of the fact that this type of intervention is highly effective in reducing the risk.

The individual risk factors for the acquisition of STI based on risk behaviours: these behaviours are, in theory, are influenced by knowledge, habits, capacity, and the presence of a sé same patient, as well asé from the presence of environmental factors that promote, reinforce, or inhibit the change.

For this reason, the risk factors based on risk behaviours of the individual are generally considered to be immutable.

most of the available data indicates a modest reduction in STI at 12 months in adult subjects at high risk to undergo counselling sessions as well as multiple, and even in sexually active adolescents.

These interventions also increase the adherence to recommendations for therapeutic in women and the general use of contraceptives in adolescents of male sex, decreasing at the same time, the risk behaviours, non-sexual, and pregnancy rates in teenagers are sexually active. They, however, do not lead to any substantial damage, the behavioural or biological.

(Ann Intern Med. 2008; 149: 497-508)

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Page published on the 10th October 2008

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