"About 17% of adults 18-59 have had an STD and the lifetime infection rate is likely to be over 20% (Laumann, Michael, Gagnon, and Stuart, 1994). Moreover, with the advent of AIDS the medical problem of STDs has taken on increasing urgency (CDC, 2002; Div. of HIV/AIDS Prevention, 1995 and Yankauer, 1994). Deaths from AIDS rose at a rapid pace in the 1980s and early 1990s. By 1992 AIDS had become the number one cause of death among men 25-44. Then due to improvements in medical treatments, cases diagnosed as AIDS peaked in 1993 and deaths from AIDS in 1995. The death rate fell by more than two-thirds and has continued declining through 2002 (CDC, 1998; 2000; "AIDS Falls," NCHS, 2005; 1998; State and Local, 1998; State and Territorial Health Depts. et al, 2000; Surveillance Branch, 2001). Likewise, newly diagnosed HIV cases have also fallen (Espinoza et al, 2005). Most HIV infections have resulted from sexual behavior and heterosexual intercourse has become a major mode of transmission ("Heterosexuality," 1994; CDC, 1998; 2002; Espinoza et al., 2005)."
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