The Health Hazards of Homosexuality: What the Medical and Psychological Research Reveals by MassResistance

Author:MassResistance [MassResistance]
Language: eng
Format: epub
Publisher: MassResistance.org
Published: 2017-02-19T05:00:00+00:00

“SPREAD and tingle.” Ad from PrEP4Love.com at TalkPrEP.org.

The Internet hookup site Grindr is pushing its use, and notes complaints by “gay” men that their doctors are refusing to prescribe it. [1153]

Among many MSM, there has been an attitude change, with less worry about the HIV status of a sex partner. An HIV/AIDS activist who runs the San Francisco AIDS Foundation clinic (dispensing PrEP) noted:

For Crouch, the director of nursing, as for other staffers at Strut [AIDS Foundation clinic], the most striking change is how the community is evolving because of PrEP – with so many HIV-negative men who are on the regimen and so many HIV-positive men in treatment that keeps their virus levels too low to pose a risk to others. “There was always an unspoken rule that there were two tribes: HIV-positive and HIV-negative, and only some people would cross those lines,” [the nursing director] said. “Now we are seeing HIV status becoming irrelevant.” [1154]

Behavior at “sex parties” has changed, according to a 2016 article: “At Sex Parties, PrEP Takes HIV Disclosure off the Table.” And participants are dispensing with condoms:

PrEP is changing the landscape of sex parties and other group sex events, helping to break down barriers between people who are positive and negative – and helping people who are HIV-negative stay that way. Before PrEP, and the widespread understanding of the effectiveness of treatment as prevention (TasP), group sex events oftentimes mandated condom use. Or, if barebacking was allowed, were only open to HIV-positive people, said Christian Grov, PhD, an associate professor at the CUNY School of Public Health who conducts research on the sexual health of gay and bisexual men. Now, it seems the rules may be changing.

In the U.S., public health efforts have emphasized the need for HIV status disclosure between potential sex partners. The idea being that people will change their behaviors to minimize their risk if they know their potential partners’ statuses, said Grov.

“But, HIV status disclosure is very difficult at group sex events,” said Grov. “Group sex events are typically characterized by low lighting. And you can hear grunts and moans but it’s otherwise usually pretty quiet – nobody’s carrying on a conversation.” [1155]

POZ reported in 2016 that “PrEP’s arrival in San Francisco coincided with accelerated increase in sexual risk taking [especially barebacking] in gay and bi men”:

The recent upswing in use of Truvada (tenofovir/emtricitabine) as pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in San Francisco coincided with an acceleration in the already increasing rates of sexual risk taking and sexually transmitted infections (STIs) among this population… Publishing their findings in AIDS and Behavior , researchers analyzed data on HIV-negative men who have sex with men (MSM) in San Francisco from the [CDC] National HIV Behavioral Surveillance (NHBS) study… The study found that, overall, condom use has fallen in recent years among MSM across the country…

The proportion of [San Francisco] men who reported consistent condom use declined by more than half between 2004 and 2014, with an

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