[Strategies for the prevention of human immunodeficiency virus infection]

The prevention of AIDS can no longer rely solely on the wide availability of facts regarding the modes of contamination and the means of protection. Although almost everyone is now properly informed, and many are fully aware of the issues involved, still the epidemics keeps on developing. Therefore, time has come to recognize that new approaches have to be found. For example, we must take into account the psychic, social and cultural elements that define human sexuality. Putting the stress on changing someone's behaviours can induce a negative reaction if the injunction applied are deemed oppressive. Physicians must first of all be able to determine the type of prevention best suited to the particular situation of the patient that implies the setting up of a relationship based on mutual trust and listening. Counselling methods are an integral part of the health education strategies that can be applied by physicians.