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Multiple Choice

Planning strategies to prevent HIV among a population of college students: which strategy represents primary prevention?

Primary prevention focuses on stopping the disease from occurring in people who are not yet infected. Providing pre-exposure prophylaxis to uninfected students at risk directly reduces the chance of acquiring HIV if exposure happens, by maintaining drug levels that inhibit viral establishment. This is a pharmacologic prevention strategy aimed at preventing infection before it starts, especially in a population like college students who may have higher-risk sexual behaviors. Other options focus on actions after exposure or after infection (such as recognizing acute infection and ensuring early treatment), or on provider education and counseling around testing, which do not directly prevent new HIV infections in the population.

Primary prevention focuses on stopping the disease from occurring in people who are not yet infected. Providing pre-exposure prophylaxis to uninfected students at risk directly reduces the chance of acquiring HIV if exposure happens, by maintaining drug levels that inhibit viral establishment. This is a pharmacologic prevention strategy aimed at preventing infection before it starts, especially in a population like college students who may have higher-risk sexual behaviors.

Other options focus on actions after exposure or after infection (such as recognizing acute infection and ensuring early treatment), or on provider education and counseling around testing, which do not directly prevent new HIV infections in the population.