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Yes, it is entirely defensible to demand, for male cohabiting couples, the same economic opportunities, civil liberties, and legal privileges accorded to male—female dyads electing similar domestic arrangements. November revised August 31, Substance use and high-risk sex among people with HIV: Author information Article notes Copyright and License information Disclaimer. Yes, vows of mutual devotion, fidelity, respect, support, and other attributes of attachment are as plausible between individuals of the same sex as between opposite-sex pairs. Even when researchers acknowledge that use of this drug may follow rather than facilitate HIV infection, they presume that drug treatment is a priority for curbing the further spread of HIV. Their association with HIV makes the development, evaluation, and dissemination of effective diagnostic and treatment strategies all the more urgent a public health priority.

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We can and should condemn the harmful consequences of FCRR influence, protest the inadequate development and deployment of publicly funded prevention programs, criticize self-serving confusions of cause and effect, and feel dismayed when prevention campaigns miss their mark.

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Bad Advice: How Not to Have Sex in an Epidemic

HIV counseling and testing: Would the net impact of such a kit offset the current mediocre utilization of public services that equate counseling with a stern warning about the wages of sin? Gay community mobilization to address AIDS remains an exemplar of a remarkably rapid, highly effective establishment of self-help programs by a beleaguered population that had scarcely begun to organize itself. Gay organizations have found it much easier to use circuit parties celebrating gay sexuality to raise funds for HIV care than to use those funds to reduce unsafe sex at circuit parties. Are we headed for a resurgence of the HIV epidemic among men who have sex with men?

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What, besides hot sex, constitutes a good life? Brody S, Potterat J. Daniel Ciccarone and colleagues 2 suggest that the prevention ethos prevalent in the gay community—assume your partner is HIV infected, absent evidence to the contrary, and act accordingly—may have had the unintended consequence of discouraging disclosure of HIV status and assumption of mutual responsibility for determining the need to use a condom. Even among programs considered sufficiently effective to warrant federal support, a disproportionately small number have received resources sufficient for effective translation and implementation. It seems unwarranted to celebrate the effectiveness of prevention programs for reducing risk among gay men.

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