how they deliver services, and accept new responsibilities. In this process, strong leadership, innovative thinking, partnerships, and adequate resources will be required. The additional investment required to effectively prevent STDs may be considerable, but it is negligible when compared with the likely return on the investment. The process of preventing STDs must be a collaborative one. No one agency, organization, or sector can effectively do it alone; all members of the community must do their part. A successful national initiative to confront and prevent STDs requires widespread public awareness and participation and bold national leadership from the highest levels.


AGI (Alan Guttmacher Institute). Lawmakers grapple with parents' role in teen access to reproductive health care. Issues in Brief. New York and Washington, D.C.: AGI, 1995.

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

Aral SO, Holmes KK, Padian N, Cates W. Overview: individual and population level approaches to the epidemiology and prevention of sexually transmitted diseases and human immunodeficiency virus infection. J Infect Dis 1996;174(Suppl 2):S127-33.

ASTHO (Association of State and Territorial Health Officials). Access and managed care: oxymoron or reality? Washington, D.C.: ASTHO, Managed Care Monograph Series, November, 1995a.

ASTHO. Communicable disease control in a managed care environment. Washington, D.C.: ASTHO, Managed Care Monograph Series, November, 1995b.

ASTHO. Ensuring and improving the quality of care in a managed care environment. Washington, D.C.: ASTHO, Managed Care Monograph Series, November, 1995c.

Cates W Jr. Contraception, unintended pregnancies, and sexually transmitted diseases: why isn't a simple solution possible? Am J Epidemiol 1996;143:311-8.

CDC (Centers for Disease Control and Prevention). Trends in sexual risk behavior among high school students-United States, 1990, 1991, and 1993. MMWR 1995;44:124-5, 131-2.

CDC, DSTD/HIVP (Division of STD/HIV Prevention). Plan for a national partnership to prevent STD-related infertility. Draft internal document, January 10, 1995.

County of Los Angeles Department of Health Services. Draft agreement between the County of Los Angeles and plan. March 29, 1995.

Grosskurth H, Mosha F, Todd J, Mwijarubi E, Klokke A, Senkoro K, et al. Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomized controlled trial [see comments]. Lancet 1995;346:530-6.

Halpern CT, Udry JR, Suchindran C. Effects of repeated questionnaire administration in longitudinal studies of adolescent males' sexual behavior. Arch Sex Behav 1994;23:41-57.

IOM (Institute of Medicine). The future of public health. Washington, D.C.: National Academy Press, 1988.

IOM. Healthy communities: new partnerships for the future of public health. Stoto MA, Dievler A, Abel C, eds. Washington, D.C.: National Academy Press, 1996a.

IOM. Primary care: America's health in a new era. Donaldson MS, Yordy KD, Lohr KN, Vanselow NA, eds. Washington, D.C.: National Academy Press, 1996b.

IOM. Improving health in the community: a role for performance monitoring. Durch JS, Bailey LA, Stoto MA, eds. Washington, D.C.: National Academy Press, 1977.

NACCHO (National Association of County and City Health Officials). Blueprint for a healthy community: a guide for local health departments. Washington, D.C.: NACCHO, July 1994.

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