Some gay and bisexual men see PrEP as a 'social problem' | aidsmap

prep gay term

Fd out why the gay and bi men have cid to go on PrEP.

Contents:

ABOUT THE CENTERSCE 1983 THE CENTER HAS BEEN SUPPORTG, FOSTERG AND CELEBRATG THE LGBT MUNY OF NEW YORK CY. FD MORE RMATN ON AND OUR WORK ABOUT THE CENTER. VIS ABOUT THE CENTEROUR MISSNCYBER CENTERCENTER HISTORYRACE EQUYMEDIA CENTERLEARSHIP & STAFFEMPLOYMENT OPPORTUNICORPORATE PARTNERSHIPSANNUAL REPORTS & FANCIAL INFORMATNCONTACT USHOURS & LOTNSEMAPSUPPORT THE CENTER

Unrstand health ncerns for gay men and other men who have sex wh men, and learn how to promote good health. * prep gay term *

Nearly 70% of people livg wh HIV are homosexual and bisexual men – and thankfully the e of PrEP for HIV preventn is creasg among this group.

While takg PrEP should not by any means ter you om g a ndom durg terurse, n actually be que empowerg for homosexual men who prefer to bottom durg terurse. PrEP n also help to remove some of the anxiety that is experienced durg sexual terurse, as gay and bisexual men are often fearful of transmissn – particularly if a ndom is not worn or if breaks. While many believe that HIV/AIDS surfaced 1981 wh cisgenr gay men who lived urban Amerin ci like New York Cy and San Francis, rearch has shown otherwise.

PREP FOR GAY MEN 101: EVERYTHG GAY MEN NEED TO KNOW ABOUT TAKG HIV PREVENTN MEDITN!

HIV has affected gay men disproportnately the U.S. for four s. Pre-exposure prophylaxis (PrEP) was veloped as a preventn strategy for dividuals at high risk of HIV fectn. Although highly effective, many gay and other men who have sex wh men ntue not to take PrEP. Rearchers have foced on sexual risk behavrs as the primary termant of who should be on PrEP and intified var objective systemic and societal barriers to PrEP accs. Public health measur have promoted PrEP based on the objective creria. Rearchers have recently begun to quire to subjective and relatnal motivators for PrEP age beyond self-perceived risk. Participants were reced through snowball samplg. Data were llected between Augt and November 2018 om PrEP ers (n = 7) and PrEP non-ers (n = 6). Data were analyzed a modified ground theory qualative analysis. The thirteen participants’ narrativ ntaed three superordate tegori: (1) what ’s like to be someone on PrEP, (2) an environment of changg sexual norms, and (3) the ntued importance of tn. The tegori prised ten them, each of which had var repeatg ias. The ten them were the followg: (1) PrEP’s social acceptabily, (2) PrEP and HIV stigma, (3) PrEP and sexual relatnships, (4) dissatisfactn wh ndoms, (5) negotiatg risk, (6) peace of md, (7) velopg a relatnship wh PrEP, (8) puttg yourself first, (9) PrEP awarens, and (10) PrEP logistics. The gay men our study took to nsiratn their social rol and relatnships, their personal beliefs, and emotnal histori as well as risk as proment motivators for PrEP e. They stated that PrEP e is associated wh their sense of belongg, tst, and secury about their sexualy. They also intified the most relevant aspects of the meditn (e.g., si effects, adherence, and awarens) to their liv. * prep gay term *

Ally: A person who supports and rpects sexual diversy, acts acrdgly to challenge homophobic and heterosexist remarks and behavrs, and is willg to explore and unrstand the forms of bias wh themselv.

SOME GAY AND BISEXUAL MEN SEE PREP AS A 'SOCIAL PROBLEM'

* prep gay term *

An umbrella term that refers to members of a subculture the gay and bisexual male muni and is often fed as more of an attu or sense of fort wh natural masculy and bodi. Bicur: An dividual who typilly intifi as gay or straight while showg some cursy for a relatnship or sexual activy wh a person of the genr they do not favor. Gay: At tim, “gay” is ed to refer to all people, regardls of sex, who have their primary sexual and or romantic attractns to people of the same sex.

THE RELEVANCE OF PRE-EXPOSURE PROPHYLAXIS GAY MEN’S LIV AND THEIR MOTIVATNS TO E : A QUALATIVE STUDY

Comg out as an HIV-negative, sexually active gay man on PReP. * prep gay term *

The term n also exclively refer to men who are emotnally, romantilly, sexually, affectnately, or relatnally attracted to other men, or who intify as members of the gay muny. Heteronormativy: The assumptn, dividuals or stutns, that everyone is heterosexual, or that heterosexualy is superr to homosexualy and bisexualy.

Also, the benefs that lbians, gay men and bisexuals receive as a rult of claimg a heterosexual inty and nyg a lbian, gay or bisexual inty. Bee most LGBTQ people are raised the same society as heterosexuals, they learn the same beliefs and stereotyp prevalent the domant society, leadg to a phenomenon known as ternalized homophobia, whereas LGBTQ-intified dividuals feel shame, guilt or hatred towards the part of themselv intified as LGBTQ. Internalized Homophobia: The fear and self-hate of one’s own homosexualy or bisexualy dividuals who have learned negative ias about homosexualy throughout childhood.

Ksey Sle: The ntuum mol vised by Aled Ksey 1948 that plotted sexualy om 0 to 6; 0 beg exclively heterosexual and 6 beg exclively homosexual.

WHY AREN’T GAY TEENS TAKG A DAILY PREP PILL TO PREVENT HIV?

Leather culture is most visible gay muni and most often associated wh gay men (“leathermen”), but is also reflected var ways the gay, lbian, bisexual, and heterosexual worlds. Metrosexual: A term popularized the 1990s referrg to a heterosexual male who assum characteristics tradnally associated wh gay male stereotyp. Pri: A healthy self-rpect, which, the ntext of the gay muny, promot empowerment, tn, safe livg, and the sense that is “okay to be LGBT+.

Queer: Term scribg people who have a non-normative genr inty, sexual orientatn or sexual anatomy—clus lbians, gay men, bisexual people, and transgenr people and alli. Same-Genr Lovg (SGL): A term ed by some Ain-Amerin dividuals to scribe their sexual orientatn, as a rult of the perceptn that “gay” and “lbian” are primarily whe terms. The disease was at that pot lled GIRD (Gay-Related Immunoficiency) and everyone assumed was a punishment flicted upon gay people for livg like generat.

ONE-THIRD OF GAY AND BISEXUAL MEN WHO TAKE PREP DISNTUE E WH THREE YEARS

Even healthre profsnals discrimated agast gay men fected wh the vis, and only a handful of them took those sufferg om and sought to, at the very least, make their last days fortable.

the Cy Universy of New York wanted to make sense of the moral bat surroundg PrEP among gay and bisexual men, pecially the extent to which PrEP has been nstcted as a 'social problem'. Many health re and mental health anizatns foced on the lbian, gay, bisexual and transgenr muny also offer substance e treatment or may be able to provi rmatn about lol rourc.

*BEAR-MAGAZINE.COM* PREP GAY TERM

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data-ttid="ContentHearContaer" class="ContentHearContaer-cGKRbE knDxNq"><div class="ContentHearHedAccredatnWrapper-GFiQf cDNVlV"><div data-ttid="ContentHearTleBlockWrapper" class="ContentHearTleBlockWrapper-cjmSKp eiGjZk"><div data-ttid="ContentHearRubric" class="ContentHearRubricBlock-LmpbT tPofh"><div data-ttid="ContentHearRubricDateBlock" class="ContentHearRubricDateBlock-kAQcZP fTFWxD"><div class="RubricWrapper-dKmCNX gPBNpL bric ContentHearRubricContaer-eTudtt iRsSlw"><a class="RubricLk-gRWSOU cwyjHY bric__lk" href="/health"><span class="RubricName-fVtemz cLxcNi">Health</span></a></div></div></div><h1 data-ttid="ContentHearHed" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ ContentHearHed-NCyCC iUEiRd jdcWfa isouMH">PrEP: The Story of a Sexual Revolutn</h1></div><div class="ContentHearAccredatn-lfctVB etVsnJ ntent-hear__accredatn" data-ttid="ContentHearAccredatn"><div class="ContentHearDek-bIqFFZ eijTxK">Over the past eight years, the once-daily pill has hered a sexual, social, and polil revolutn among those most at risk of HIV. This is the story of PrEP’s rise, who’s been left behd, and the ongog effort to make HIV/AIDS history.</div><div class="ContentHearByle-kmPyCa emiglw"><span class="SpanWrapper-umhxW jvZaPI rponsive-asset ContentHearContributorImage-cvjZXn epCAJC"><picture class="RponsiveImagePicture-cWuUZO dUOtEa ContentHearContributorImage-cvjZXn epCAJC rponsive-image"><source media="(max-width: 767px)" srcSet=" 80w" siz="66px"/><source media="(m-width: 768px)" srcSet=" 90w" siz="66px"/><img alt="" class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></picture></span><div class="ContentHearByleContent-dpPmNn DRFq"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl ContentHearByl-cZqgyJ bHLeKI"><p class="ByleWrapper-jWHrLH hdWCIC byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ 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data-event-click="{"element":"ExternalLk","outgogURL":"mailto:?subject=PrEP%3A%20The%20Story%20of%20a%20Sexual%20Revolutn&" href="mailto:?subject=PrEP%3A%20The%20Story%20of%20a%20Sexual%20Revolutn& rel="nofollow noopener" target="_blank"><div class="SocialInContaer-huXzUC pMzVC social-ins__in-ntaer"><svg class="SocialInNetworkInComponent-cZaKGz dlOAhZ in in-email" focable="false" viewBox="0 0 32 32" width="32" height="32" xmlns="><tle>Email</tle><path d="M6 23h20V9H6v14zm3.631-12H22.37l-6.368 5.661L9.631 11zM24 12.227V21H8v-8.773l8.002 7.109L24 12.227z" fill-le="evenodd"></path></svg></div></a></li></ul></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></asi></hear></div><div data-attribute-verso-pattern="article-body" class="ArticlePageContentBackGround-cNiFNN kJkLmH article-body__ntent"><div class="ArticlePageChunksContent-etcMtP bwyLBj"><div data-ttid="ArticlePageChunks" class="ArticlePageChunks-fLyCVG eOdfIs"><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa bectqB body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p> </p><p>When David Tosat first heard about PrEP, a daily pill that guards agast fectn wh HIV, he thought was too good to be te. A 55-year-old actor and wrer New York, Tosat me of age at the height of the AIDS crisis, when rmatn about the vis was snt and sex had bee synonymo wh fear and ath.</p><p>“Sex was terrifyg whout a ndom,” Tosat tells <em>them</em>. “I would panic at the slightt thg that happened.”</p><div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--article-mid-ntent" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--article-mid-ntent nsumer-marketg-un__slot---ntent"></div><div class="journey-un"></div></div></div><p>Eventually, the mid-1990s, the velopment of antiretroviral therapi would make fectn wh HIV to a chronic illns rather than a ath sentence. Yet Tosat’s fear persisted. Once, after havg protected sex wh an HIV-posive man the early ghts, he found a pimple that had bled slightly durg the enunter. Fearful he had ntracted the vis, Tosat anxly waed the six weeks tak for HIV to show up on a blood tt, endured the terror of gog to a clic, then bid his time for another two weeks for the rult, which was negative. The oral will sound faiar to many gay men who grew up the shadow of the 1980s, whether they experienced the crisis wh their own ey or absorbed s trma sendhand.</p><div class="Contaer-bkChBi byNLHx"></div><p>Now on PrEP (short for pre-exposure prophylaxis), Tosat prefers sex whout a ndom. It feels better, he says, particularly for the sertive partner.</p><div class="AdWrapper-dQtivb fZrssQ ad ad---ntent"><div class="ad__slot ad__slot---ntent" data-no-id="e4gxe"></div></div><p>“I’m sorry my iends who died didn’t live to see the day we didn’t have to wear ndoms,” he says. “It’s a ter timacy and we serve .”</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-1 viewport-monor-anchor"></div><p>The Feral Dg Admistratn first approved PrEP 2012 unr the brand name Tvada, and 2014 the Centers for Disease Control released guil remendg s e among high-risk groups, cludg men who have sex wh men and transgenr people. In October, the FDA <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">approved a send dg</a> for e as an HIV prophylactic among gay and bisexual men: Dvy, which studi show is as effective as Tvada but may affect kidney functn and bone nsy ls.</p><p>From 2014 to 2017, PrEP e among gay and bisexual men <a href=">shot om 6 percent to 35 percent 20 major U.S. ci</a>, acrdg to a CDC study released last year. Over the same time perd, rat of HIV fectn among men who have sex wh men the urban enclav have cled precipoly: by 37 percent <a href=">New York Cy</a>, 47 percent <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">San Francis</a>, 13 percent <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">Los Angel</a>, and 17 percent <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">Chigo</a>.</p></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB kNleGZ sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="Contaer-bkChBi byNLHx"></div><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="7o2tho"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div><div class="RowWrapper-UmqTg HEhan full-bleed-ad row-mid-ntent-ad"><div class="StickyMidContentAdWrapper-fSBzwl drzyIa ad-stickymidntent"><div class="AdWrapper-dQtivb fZrssQ ad ad--mid-ntent should-hold-space"><div class="ad__slot ad__slot--mid-ntent" data-no-id="2x5cm"></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa bectqB body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>Along wh PrEP, which has been shown to be more than 99 percent effective wh daily e, treatments for those fected wh HIV have begun to loosen the stranglehold the epimic has long had on the muny. Known as <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">“treatment as preventn,” or TasP</a>, current dg regimens are able to brg the vis to untectable levels, which rearch has shown mak those fected unable to transm HIV. While the AIDS crisis is far om over, certa swaths of Ameri — chiefly large ci and among privileged, predomantly whe, gay and bisexual men — PrEP and TasP have given some a glimpse of what that day will look like.</p><p>“For 20 years, most sexual enunters were filled wh trepidatn,” says Damon Jabs, an HIV-preventn advote and therapist New York Cy. “Now, wh succsful bmedil terventns for HIV, people are able to nnect sexually whout the risk will rult a lifelong chronic adly disease. That has been a major shift emotn and spir.”</p><p>That shift the gay psyche, however, falls along the faiar flt l of race, class, and geography. <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">One eight</a> gay and bisexual men liv a “PrEP sert,” acrdg to a 2019 study, where the neart provir of the regimen is more than 30 mut away. They are disproportnately ncentrated ral areas and the South, but even those who live close to ci have trouble accsg re: A quarter of people livg “PrEP serts” ri the suburbs. Uptake has also been slower among ethnic mori and the poor. A CDC <a href=">analysis</a> of 23 ci reported that 43 percent of whe men took the dg pared wh 30 percent of Latx men and 26 percent of Black men. Dpe the existence of programs that make the regimen available at no st to those whout surance — cludg a new <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">natnwi program om the Department of Health and Human Servic</a> — those whout verage are <a href=">four tim ls likely to adopt the regimen</a> than those wh .</p><p>While major ci have seen dramatic dropoffs fectn rat, progrs has been far slower across the untry, wh fectn rat for men who have sex wh men tickg down a <a href=">mere 3 percent om 2014 to 2017</a>. More alarmg, has <a href=">skyrocketed for Latx men natnwi by 18 percent</a> durg the same time perd, and by a <a href=">shockg 38 percent for gay and bisexual Black men between the ag of 25 and 34</a>.</p></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB jxBcTH sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="0hi"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div><div data-attr-viewport-monor="" class="RecircMostPopularWrapper-bRuGTi jkTTgR recirc-most-popular-wrapper viewport-monor-anchor"><div class="RecircMostPopularConter-jiViNn ktrplG recirc-most-popular-sparrow-trackg hi-asi-ad" 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summary-em__ntent"><div class="RubricWrapper-dKmCNX gPBNpL bric SummaryItemRubric-dguGKN lapGFj summary-em__bric"><span class="RubricName-fVtemz cLxcNi">News</span></div><a class="SummaryItemHedLk-civM jRfyII summary-em-trackg__hed-lk summary-em__hed-lk summary-em__hed-lk--unrle-disable" data-ponent-type="recirc-river" data-recirc-id="em-hed-4" data-recirc-pattern="summary-em" href=" target="_self"><div data-ttid="ClampWrapper" class="ClampWrapper-kZxfkB hTTNGO clamp SummaryItemHedBase-hiFYpQ jbVqqA summary-em__hed"><div class="ClampContent-hilPkr jVhSBH"><div class="SummaryItemHedTag-TWblf gxaOcP" data-ttid="SummaryItemHed">Kentucky's Ban on Care for Trans Mors Can Stand, a Feral Appeals Court Ruled</div></div></div></a><div class="SummaryItemByleWrapper-boCfbi cuRXdL summary-em__byle-date-in"><div class="SummaryItemBaseByle-fFbXkY dHMSJg summary-em__byle"><div class="summary-em__byle__ntent"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl"><p class="ByleWrapper-jWHrLH ecFEgL byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name">Samantha Riel</span></span></p></div></div></div></div></div></div></li><li><div class="AdWrapper-dQtivb fZrssQ RecircMostPopularSummaryItem-jQxxiw gmWMTZ ad ad--asi"><div class="ad__slot ad__slot--asi" data-no-id="jvld4m"></div></div></li></ul><div class="RecircMostPopularFooter-enPjgs laPXdt"></div></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div><div class="RowWrapper-UmqTg HEhan full-bleed-ad row-mid-ntent-ad"><div class="StickyMidContentAdWrapper-fSBzwl drzyIa ad-stickymidntent"><div class="AdWrapper-dQtivb fZrssQ ad ad--mid-ntent should-hold-space"><div class="ad__slot ad__slot--mid-ntent" data-no-id="k73bjo"></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa bectqB body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>Still, is impossible to ignore the profound ways that PrEP adoptn has changed gay cultural mor what were once the epicenters of the AIDS epimic. In <a href=">study</a> after <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">study</a>, gay and bisexual men report that has eed them om the fear and anxiety once enmic to sex. They feel they have greater ntrol over their sex liv. They feel proud of the small part they play curbg the epimic. They are ls likely to le out sex or relatnships wh HIV-posive people. As one study participant told Canadian rearchers, “Sex has been liberatg aga, thanks to PrEP.”</p><asi aria-hidn="te" class="PullQuoteEmbedWrapper-sc-EoVjf fQbAzo"><div class="PullQuoteDerativeBorr-sc-iUyOLj fAzNVP"></div><div class="PullQuoteEmbedContent-sc-kTcfhx eoUd"><p>“Gay people always rried the burn of havg to be the ndom police,” says Damon Jabs, an HIV-preventn advote New York Cy. “Now, we n munite that ‘I enjoy sex whout latex barriers’ whout fear of stigma. That is a betiful change terms of human nnectn.”</p></div></asi><p>Before the FDA approved PrEP 2012, members of the public health muny bated whether would lead gay and bisexual men to be more reckls about sex, a phenomenon amics ll “risk pensatn,” and send rat of other STIs soarg. Some HIV/AIDS advocy groups <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">opposed s approval</a>, as did <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">some activists</a>.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-2 viewport-monor-anchor"></div><p>But seven years , fears that gay and bisexual men would n amok have proven overblown. PrEP has ed allowed some gay and bisexual men to feel more fortable enjoyg sex whout ndoms. While <a href=">several</a> <a href=">recent</a> <a href=">studi</a> have found morate levels of risk pensatn among adherents, has not fundamentally altered sexual behavr or <a href=">led gay and bisexual men to have more sexual partners</a>.</p><p>“We have enough qualative and quantative rearch to dite that some people choose not to e ndoms nsistently or at all while they’re takg PrEP,” says Julia Marc, an fect disease epimlogist at Harvard Medil School. “Whether PrEP has ntributed to overall chang sexual behavr, however, is difficult to answer, pecially bee ndom e was already clg before PrEP me on the scene.”</p><p>Marc poted out that ndom e has been creasg steadily sce the early 2000s and that may simply be that those who are more likely to have unprotected sex are also more likely to take PrEP. No matter all the ntributg factors, stands to reason that if one elimat the risk of tchg or transmtg HIV, chang the sorts of sex gay men feel fortable havg.</p><p>“Gay people always rried the burn of havg to be the ndom police,” Jabs says. “Now, we n munite that ‘I enjoy sex whout latex barriers’ whout fear of stigma. That is a betiful change terms of human nnectn.”</p><p>As wh ndomls sex, rat of STIs like chlamydia, gonorrhea, and syphilis have risen among gay and bisexual men sce the advent of PrEP. The CDC recently <a href=">reported</a> that rat of STIs have reached historic highs, wh gay men disproportnately affected by the crease. This was particularly te when me to syphilis, wh gay men acuntg for 54 percent of new fectns 2018.</p></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB jxBcTH sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="k9h71c"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div><div data-attr-viewport-monor="" class="RecircMostPopularWrapper-bRuGTi jkTTgR recirc-most-popular-wrapper viewport-monor-anchor"><div class="RecircMostPopularConter-jiViNn ktrplG recirc-most-popular-sparrow-trackg hi-asi-ad" data-most-popular-id="mod-most-popular-502"><div class="RecircMostPopularHeadg-iVzhzt jKtkdT">Most 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data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name">Samantha Riel</span></span></p></div></div></div></div></div></div></li><li><div class="AdWrapper-dQtivb fZrssQ RecircMostPopularSummaryItem-jQxxiw gmWMTZ ad ad--asi"><div class="ad__slot ad__slot--asi" data-no-id="nrcqz"></div></div></li></ul><div class="RecircMostPopularFooter-enPjgs laPXdt"></div></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div><div class="RowWrapper-UmqTg HEhan full-bleed-ad row-mid-ntent-ad"><div class="StickyMidContentAdWrapper-fSBzwl drzyIa ad-stickymidntent"><div class="AdWrapper-dQtivb fZrssQ ad ad--mid-ntent should-hold-space"><div class="ad__slot ad__slot--mid-ntent" data-no-id="nzwvk"></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa bectqB body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>But as rearchers are <a href=">quick to note</a>, the rise may simply reflect creased screeng for bacterial STIs: Current CDC guil remend that PrEP ers unrgo prehensive ttg for STIs <a href=">at least every six months</a>. Rather than ntribute to creasg STIs, PrEP may be the vehicle for rcg them.</p><p>This is the ia behd statistil molg by Samuel Jenns, an assistant profsor the Department of Epimlogy at Emory Universy. Jenns <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">has shown</a> that adoptn of PrEP should fact rce the rate of STIs even wh morate levels of “risk pensatn” if ers stick to CDC clil practice guil.</p><p>“If we treat PrEP not jt as a pill that people take every day but as a sexual healthre program wh STI screeng, we will treat enough STIs a year to offset any rise ed by creased ndom e,” Jenns says. “But the levels of screeng are nowhere near remend levels and maybe that’s why we’re seeg upticks STI rat.”</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-3 viewport-monor-anchor"></div><p>Acrdg to one 2017 survey, <a href=">a quarter of primary-re provirs</a> had not even heard of PrEP, and many prcribe the dg <a href=">whout requirg patients to return every six months</a> for prehensive ttg. The fdgs suggt further outreach and tn for provirs is key not only to proper implementatn of PrEP, but fightg other STIs as well.</p><asi aria-hidn="te" class="PullQuoteEmbedWrapper-sc-EoVjf fQbAzo"><div class="PullQuoteDerativeBorr-sc-iUyOLj fAzNVP"></div><div class="PullQuoteEmbedContent-sc-kTcfhx eoUd"><p>“The fact is there have been zero transmissns studi om people wh HIV who are untectable. We suggt that phras like ‘virtually no risk’ or ‘sentially no risk’ are not eful, and fact n be harmful, bee they put doubt people’s mds,” says Murray Penner, executive director for North Ameri at the Preventn Accs Campaign.</p></div></asi><p>The public health tablishment has, wtgly or not, long leveraged fear  the urse of batg HIV and other STIs. This has manifted self the ways officials have munited — or rather, failed to munite — accurate rmatn about both PrEP and TasP. By 2016, <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">evince had begun to mount</a> that HIV-posive people uld not transm the vis if they mataed an untectable viral load. Couched the ut, opaque language of scientific quiry, the rmatn was not tricklg down to patients. That year, advocy group the Preventn Accs Campaign lnched Untectable = Untransmtable (U=U), a marketg mpaign aimed at tg the public about the fdgs.</p><p>“For HIV-posive people, U=U sheds that stigma about beg rriers of disease,” says Murray Penner, executive director for North Ameri at the Preventn Accs Campaign. “It normaliz HIV — if you're untectable, you n't pass on HIV, unlike beg ntag wh even a mon ld."</p><p>Public health officials have been siarly remiss munitg jt how well PrEP works. Wh trials showg efficy rat <a href=">as low as 44 percent and as high as 99 percent</a>, experts have exprsed varyg levels of nfince the dg. The variabily, however, stems om lack of adherence to the daily regimen rather than reflectg the efficy of dgs like Tvada and Dvy. Takg PrEP seven days a week mak the dg regimen more than 99 percent effective; is <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">96 percent effective if taken four days a week, and 76 percent effective if taken two days a week</a>.</p><p>“People are reluctant to say ‘no risk’ bee of stigma. There are scientists and rearchers who will say you n never pletely elimate the risk of somethg happeng,” Penner says. “But the fact is there have been zero transmissns studi om people wh HIV who are untectable. 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ecFEgL byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name">Samantha Riel</span></span></p></div></div></div></div></div></div></li><li><div class="AdWrapper-dQtivb fZrssQ RecircMostPopularSummaryItem-jQxxiw gmWMTZ ad ad--asi"><div class="ad__slot ad__slot--asi" data-no-id="73pez8"></div></div></li></ul><div class="RecircMostPopularFooter-enPjgs laPXdt"></div></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div><div class="RowWrapper-UmqTg HEhan full-bleed-ad row-mid-ntent-ad"><div class="StickyMidContentAdWrapper-fSBzwl drzyIa ad-stickymidntent"><div class="AdWrapper-dQtivb fZrssQ ad ad--mid-ntent should-hold-space"><div class="ad__slot ad__slot--mid-ntent" data-no-id="bspbtx9"></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ArticlePageChunksGrid-hfxa bjczjj grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="BodyWrapper-kufPGa bectqB body body__ntaer article__body" data-journey-hook="client-ntent" data-ttid="BodyWrapper"><div class="body__ner-ntaer"><p>The qualifiers may appease scientists who fear speakg absolut, but they create nfn about the real-world efficy of PrEP. The CDC self will only go as far as sayg that s ers have “effectively no risk” of ntractg the vis.</p><asi aria-hidn="te" class="PullQuoteEmbedWrapper-sc-EoVjf fQbAzo"><div class="PullQuoteDerativeBorr-sc-iUyOLj fAzNVP"></div><div class="PullQuoteEmbedContent-sc-kTcfhx eoUd"><p>“Whether you’re gay, trans, or cis, you should have a pleasurable sex life that don’t equate your sexualy wh ath and disease,” says Demetre Daskalakis, puty missner for the Divisn of Disease Control of the New York Cy Department of Health and Mental Hygiene. “The evince and data show that fear-based mpaigns don’t work.”</p></div></asi><p>Some advocy groups have been guilty of actively feedg fear and stigma. For the last several years, the AIDS Healthre Foundatn — which opposed the approval of PrEP to beg wh — has n natnwi advertisg mpaigns enuragg ndom e and warng about creasg STD rat, which the anizatn <a data-offer-url=" class="external-lk" data-event-click="{"element":"ExternalLk","outgogURL":"" href=" rel="nofollow noopener" target="_blank">says</a> highlights the “shortgs of bmedil terventns like PrEP.” AHF’s mpaigns have clud ads warng of a “syphilis tsunami,” a “syphilis explosn,” and dg-ristant stras of gonorrhea.</p><p>But as PrEP and TasP help alleviate anxiety the gay muny around sex, many public health experts have begun to rensir the ways they munite wh the public about sexual health and STIs.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-4 viewport-monor-anchor"></div><p>Harvard’s Marc has been among the proment voic llg for this change. Wh succsful bmedil terventns agast HIV, terms like “unsafe sex,” “risky sex,” and “unprotected sex” to note ndomls sex have bee outdated and imprecise; they do more to feed stigma than munite rmatn about STIs, she <a href=">not a recent paper.</a></p><p>Marc urg rearchers and clicians e more ntral language discsg sexual behavr, g precise terms like “ndomls receptive anal sex” or “multiple anal sex partners” whout qualifyg such behavr wh negative language.</p><p>“Clicians and rearchers end up wh a rctive, disease-foced perspective where we fet that there are other thgs that matter to people about sex, cludg timacy and pleasure. Sex is not ‘risk behavr’; sex is sex,” Marc says. “The World Health Organizatn f sexual health not only by the absence of disease, but also by a holistic state of physil, mental, and social well-beg related to sexualy.”</p><p>“We all know that there’s more to sex than not gettg gonorrhea,” Marc adds.</p><p>In New York Cy, Demetre Daskalakis, puty missner for the Divisn of Disease Control of the New York Cy Department of Health and Mental Hygiene, has advoted for a more holistic approach to batg HIV.</p><p>“New York Cy has foced on liverg the msage that people should have happy sexual sex liv,” Daskalakis tells <em>them</em>. “We are shiftg the dialogue away om guilt and stigma and to areas of sexual health. PrEP has been an important piece of that.”</p><p>Unr his tenure, New York has <a href=">rebrand s STI ttg centers</a> as “sexual health clics” that serve HIV-posive and -negative New Yorkers alike and opened s first “Quickie Lab” to provi rapid ttg for chlamydia and gonorrhea. New York has also replaced ads showg graphic photos of STIs wh cheerful plards that enurage ttg and PrEP adoptn.</p><p>“We n’t keep HIV preventn hostage to other STIs,” Daskalakis says.</p><div data-attr-viewport-monor="le-recirc" class="le-recirc-wrapper le-recirc-observer-target-5 viewport-monor-anchor"></div><p>To sle s approach, the Cy has partnered wh medil clics and ont-le provirs to create PlaySure, which enurag sex-posive approach to sexual health and HIV preventn. The Department has also ma outreach to muni of lor a rnerstone of s efforts to bat the vis, employg culturally and lguistilly sensive msagg s public-rmatn mpaigns.</p><p>The chang have ma New York a mol for HIV preventn. Not only have rat of HIV fectn plummeted among gay and bisexual New Yorkers; rat of PrEP uptake do not differ signifintly among whe, Black, and Latx members of the muny.</p><p>“Whether you’re gay, trans, or cis, you should have a pleasurable sex life that don’t equate your sexualy wh ath and disease,” Daskalakis says. “The evince and data show that fear-based mpaigns don’t work.”</p><p><em><strong>Get the bt of what's queer.</strong></em> <a href=" target="_blank">Sign up for our weekly newsletter here.</a></p></div></div></div><div class="GridItem-buujkM fVLMby grid--em grid-layout__asi"><div class="StickyBoxWrapper-jfYB jxBcTH sticky-box"><div class="StickyBoxPrimary-dzWDWL cdhYoN sticky-box__primary"><div class="AdWrapper-dQtivb fZrssQ ad ad--rail"><div class="ad__slot ad__slot--rail" data-no-id="p3xn8d"></div></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--display-rail" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--display-rail"></div><div class="journey-un"></div></div></div><div class="StickyBoxPlaceholr-grPmrg dxAvXx"></div></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 PaywallInleBarrierWhWrapperGrid-fyrGfS kLQIUk grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="body body__le-barrier article__body"><div class="ntaer ntaer--body"><div class="ntaer--body-ner"><asi class="PaywallInleBarrierWrapper-iBnuqk lfXXa-D" data-ttid="PaywallInleBarrierWrapper"><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--paywall-le-barrier" role="prentatn" aria-live="pole" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--paywall-le-barrier"></div><div class="journey-un"></div></div></asi></div></div></div></div></div></div><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 ContentWrapperGrid-fvkmBv brYtrA grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div class="body body__ntaer"><div class="ntaer ntaer--body"><div class="ntaer--body-ner"></div></div></div></div></div></div></article><div class="ContentFooterWrapper-jVNdRG dTJkpP ArticlePageContentFooterGrid-ccsXYy eMZRHU article-body__footer"><div class="RowWrapper-UmqTg HEhan"><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"></div></div></div><div class="RowWrapper-UmqTg HEhan"><div class="GridWrapper-cAzTTK kHBDeH grid grid-margs grid-ems-2 grid-layout--adrail narrow wi-adrail"><div class="GridItem-buujkM stRKV grid--em grid-layout__ntent"><div data-ttid="TagCloudWrapper" class="TagCloudWrapper-gGgndx jkqdij ContentFooterTagCloud-krQmRG ZLGh"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudSectnHear-cOforY iUEiRd chxZaG kQQRmu">Tags</span><a href="/tags/prep" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd hSmufO fWJQiy hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd gSGCJB bUkXwu">PrEP</span></a><a href="/tags/sex" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd hSmufO fWJQiy hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd gSGCJB bUkXwu">sex</span></a><a href="/tags/hiv" class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BaseLk-eNWuiM TagCloudLk-kvjZFu iUEiRd hSmufO fWJQiy hIhJOI"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ TagCloudName-eAUnLd iUEiRd gSGCJB bUkXwu">HIV</span></a></div></div></div></div><div data-ttid="ContentFooterBottom" class="ContentFooterBottom-jwWZfC kcbyiW"><div class="ntent-bottom-anchor"></div><div class="ConsumerMarketgUnThemedWrapper-iUTMTf jssHut nsumer-marketg-un nsumer-marketg-un--article-footer" role="prentatn" aria-hidn="te"><div class="nsumer-marketg-un__slot nsumer-marketg-un__slot--article-footer"></div><div class="journey-un"></div></div><div data-attr-viewport-monor="" class="recirc-list-wrapper viewport-monor-anchor"><div class="RowWrapper-UmqTg HEhan ContentFooterRelated-kEBiFe kVUuwq"><div class="GridWrapper-cAzTTK eRggVV grid grid-margs grid-ems-0 SummaryCollectnGridComponent-ktyEog bdTTVU summary-llectn-grid RecircListDefltOverlaySummaryCollectnGrid-AHJhY bEaXiL recirc-list__ems summary-llectn-grid--four-lumns summary-llectn-grid--TextBelowLeft"><div class="GridItem-buujkM kHPPIF grid--em"><div class="SummaryCollectnGridContent-eVUpRm gOErDJ"><div class="SectnTleRoot-dBGvdq iEHvtl SummaryCollectnGridSectnTle-fCmYwG izjbVn" data-ttid="SectnTle"><hear class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ SectnTleHed-dKqZet dxqEAa dvxNrX jttyjJ">Read More</hear></div><div class="SummaryCollectnGridItems-DZShR jbbmwr hi-read-more-ad" data-ttid="SummaryCollectnGridItems"><div class="SummaryItemWrapper-iwvBff gjCHLu summary-em summary-em--has-le summary-em--article summary-em--no-in summary-em--text-align-left summary-em--layout-placement-text-below summary-em--layout-posn-image-left summary-em--layout-proportns-50-50 summary-em--si-by-si-align-center summary-em--si-by-si-image-right-mobile-false summary-em--standard SummaryCollectnGridSummaryItem-WColm hCwuiO" role="button" tabx="0"><div class="SummaryItemAssetContaer-gwhFFH VOyg summary-em__asset-ntaer"><a class="SummaryItemImageLk-dshqxb cPpCwE summary-em__image-lk summary-em-trackg__image-lk" href="/story/hiv-activists-on-endg-the-epimic" aria-hidn="te" tabx="-1" data-ponent-type="recirc-river" data-recirc-id="em-image-1" data-recirc-pattern="summary-em" target="_self"><span class="SpanWrapper-umhxW kGxnNB rponsive-asset SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image"><div data-tt="aspect-rat-ntaer" class="AspectRatContaer-bJHpJz cEoRSE"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image rponsive-image"><noscript><source media="(max-width: 767px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><img alt="HIV/AIDS Activists Expla the Next Steps to End the Epimic" class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></noscript></picture></div></div></span></a></div><div class="SummaryItemContent-eiDYMl XMZX summary-em__ntent"><div class="RubricWrapper-dKmCNX gPBNpL bric SummaryItemRubric-dguGKN lapGFj summary-em__bric"><span class="RubricName-fVtemz cLxcNi">News</span></div><a class="SummaryItemHedLk-civM dVrbhU summary-em-trackg__hed-lk summary-em__hed-lk summary-em__hed-lk--unrle-disable" data-ponent-type="recirc-river" data-recirc-id="em-hed-1" data-recirc-pattern="summary-em" href="/story/hiv-activists-on-endg-the-epimic" target="_self"><div data-ttid="ClampWrapper" class="ClampWrapper-kZxfkB hTTNGO clamp SummaryItemHedBase-hiFYpQ kBFaWv summary-em__hed"><div class="ClampContent-hilPkr jVhSBH"><div class="SummaryItemHedTag-TWblf gxaOcP" data-ttid="SummaryItemHed">HIV/AIDS Activists Expla the Next Steps to End the Epimic</div></div></div></a><div class="SummaryItemByleWrapper-boCfbi cuRXdL summary-em__byle-date-in"><div class="SummaryItemBaseByle-fFbXkY dHMSJg summary-em__byle"><div class="summary-em__byle__ntent"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl"><p class="ByleWrapper-jWHrLH ecFEgL byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd bCbgyH gnILss byle__preamble">By </span>Steven Blum</span></span></p></div></div></div></div></div></div><div class="SummaryItemWrapper-iwvBff gjCHLu summary-em summary-em--has-le summary-em--article summary-em--no-in summary-em--text-align-left summary-em--layout-placement-text-below summary-em--layout-posn-image-left summary-em--layout-proportns-50-50 summary-em--si-by-si-align-center summary-em--si-by-si-image-right-mobile-false summary-em--standard SummaryCollectnGridSummaryItem-WColm hCwuiO" role="button" tabx="0"><div class="SummaryItemAssetContaer-gwhFFH VOyg summary-em__asset-ntaer"><a class="SummaryItemImageLk-dshqxb cPpCwE summary-em__image-lk summary-em-trackg__image-lk" href="/story/prep-whout-prcriptn" aria-hidn="te" tabx="-1" data-ponent-type="recirc-river" data-recirc-id="em-image-2" data-recirc-pattern="summary-em" target="_self"><span class="SpanWrapper-umhxW kGxnNB rponsive-asset SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image"><div data-tt="aspect-rat-ntaer" class="AspectRatContaer-bJHpJz cEoRSE"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image rponsive-image"><noscript><source media="(max-width: 767px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><img alt="PrEP Whout a Prcriptn Could Save Liv, But It’s Still Not Enough" class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></noscript></picture></div></div></span></a></div><div class="SummaryItemContent-eiDYMl XMZX summary-em__ntent"><div class="RubricWrapper-dKmCNX gPBNpL bric SummaryItemRubric-dguGKN lapGFj summary-em__bric"><span class="RubricName-fVtemz cLxcNi">Culture</span></div><a class="SummaryItemHedLk-civM dVrbhU summary-em-trackg__hed-lk summary-em__hed-lk summary-em__hed-lk--unrle-disable" data-ponent-type="recirc-river" data-recirc-id="em-hed-2" data-recirc-pattern="summary-em" href="/story/prep-whout-prcriptn" target="_self"><div data-ttid="ClampWrapper" class="ClampWrapper-kZxfkB hTTNGO clamp SummaryItemHedBase-hiFYpQ kBFaWv summary-em__hed"><div class="ClampContent-hilPkr jVhSBH"><div class="SummaryItemHedTag-TWblf gxaOcP" data-ttid="SummaryItemHed">PrEP Whout a Prcriptn Could Save Liv, But It’s Still Not Enough</div></div></div></a><div class="SummaryItemByleWrapper-boCfbi cuRXdL summary-em__byle-date-in"><div class="SummaryItemBaseByle-fFbXkY dHMSJg summary-em__byle"><div class="summary-em__byle__ntent"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl"><p class="ByleWrapper-jWHrLH ecFEgL byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd bCbgyH gnILss byle__preamble">By </span>Steven Blum</span></span></p></div></div></div></div></div></div><div class="SummaryItemWrapper-iwvBff gjCHLu summary-em summary-em--has-le summary-em--article summary-em--no-in summary-em--text-align-left summary-em--layout-placement-text-below summary-em--layout-posn-image-left summary-em--layout-proportns-50-50 summary-em--si-by-si-align-center summary-em--si-by-si-image-right-mobile-false summary-em--standard SummaryCollectnGridSummaryItem-WColm hCwuiO" role="button" tabx="0"><div class="SummaryItemAssetContaer-gwhFFH VOyg summary-em__asset-ntaer"><a class="SummaryItemImageLk-dshqxb cPpCwE summary-em__image-lk summary-em-trackg__image-lk" href="/story/themstory-kiyoshi-kuromiya" aria-hidn="te" tabx="-1" data-ponent-type="recirc-river" data-recirc-id="em-image-3" data-recirc-pattern="summary-em" target="_self"><span class="SpanWrapper-umhxW kGxnNB rponsive-asset SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image"><div data-tt="aspect-rat-ntaer" class="AspectRatContaer-bJHpJz cEoRSE"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image rponsive-image"><noscript><source media="(max-width: 767px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><img alt="themstory: Kiyoshi Kuromiya, the AIDS Activist Who Marched wh Dr. Mart Luther Kg, Jr." class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></noscript></picture></div></div></span></a></div><div class="SummaryItemContent-eiDYMl XMZX summary-em__ntent"><div class="RubricWrapper-dKmCNX gPBNpL bric SummaryItemRubric-dguGKN lapGFj summary-em__bric"><span class="RubricName-fVtemz cLxcNi">Columns</span></div><a class="SummaryItemHedLk-civM dVrbhU summary-em-trackg__hed-lk summary-em__hed-lk summary-em__hed-lk--unrle-disable" data-ponent-type="recirc-river" data-recirc-id="em-hed-3" data-recirc-pattern="summary-em" href="/story/themstory-kiyoshi-kuromiya" target="_self"><div data-ttid="ClampWrapper" class="ClampWrapper-kZxfkB hTTNGO clamp SummaryItemHedBase-hiFYpQ kBFaWv summary-em__hed"><div class="ClampContent-hilPkr jVhSBH"><div class="SummaryItemHedTag-TWblf gxaOcP" data-ttid="SummaryItemHed">themstory: Kiyoshi Kuromiya, the AIDS Activist Who Marched wh Dr. Mart Luther Kg, Jr.</div></div></div></a><div class="SummaryItemByleWrapper-boCfbi cuRXdL summary-em__byle-date-in"><div class="SummaryItemBaseByle-fFbXkY dHMSJg summary-em__byle"><div class="summary-em__byle__ntent"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl"><p class="ByleWrapper-jWHrLH ecFEgL byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd bCbgyH gnILss byle__preamble">By </span>Hugh Ryan</span></span></p></div></div></div></div></div></div><div class="AdWrapper-dQtivb fZrssQ SummaryCollectnGridSummaryItem-WColm hCwuiO ad ad--read-more"><div class="ad__slot ad__slot--read-more" data-no-id="uv0nkt"></div></div><div class="SummaryItemWrapper-iwvBff gjCHLu summary-em summary-em--has-le summary-em--article summary-em--no-in summary-em--text-align-left summary-em--layout-placement-text-below summary-em--layout-posn-image-left summary-em--layout-proportns-50-50 summary-em--si-by-si-align-center summary-em--si-by-si-image-right-mobile-false summary-em--standard SummaryCollectnGridSummaryItem-WColm hCwuiO" role="button" tabx="0"><div class="SummaryItemAssetContaer-gwhFFH VOyg summary-em__asset-ntaer"><a class="SummaryItemImageLk-dshqxb cPpCwE summary-em__image-lk summary-em-trackg__image-lk" href="/story/dimri-moise-as-much-as-i-n" aria-hidn="te" tabx="-1" data-ponent-type="recirc-river" data-recirc-id="em-image-4" data-recirc-pattern="summary-em" target="_self"><span class="SpanWrapper-umhxW kGxnNB rponsive-asset SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image"><div data-tt="aspect-rat-ntaer" class="AspectRatContaer-bJHpJz cEoRSE"><div class="aspect-rat--overlay-ntaer"><picture class="RponsiveImagePicture-cWuUZO dUOtEa SummaryItemRponsiveAsset-hjGIGg bDvSkO summary-em__image rponsive-image"><noscript><source media="(max-width: 767px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><source media="(m-width: 768px)" srcSet=" 120w, 240w, 320w, 640w" siz="100vw"/><img alt="How This HIV+ Actor Is Usg His Diagnosis to Tell Overlooked Stori" class="RponsiveImageContaer-eybHBd fptoWY rponsive-image__image" src="></noscript></picture></div></div></span></a></div><div class="SummaryItemContent-eiDYMl XMZX summary-em__ntent"><div class="RubricWrapper-dKmCNX gPBNpL bric SummaryItemRubric-dguGKN lapGFj summary-em__bric"><span class="RubricName-fVtemz cLxcNi">Culture</span></div><a class="SummaryItemHedLk-civM dVrbhU summary-em-trackg__hed-lk summary-em__hed-lk summary-em__hed-lk--unrle-disable" data-ponent-type="recirc-river" data-recirc-id="em-hed-4" data-recirc-pattern="summary-em" href="/story/dimri-moise-as-much-as-i-n" target="_self"><div data-ttid="ClampWrapper" class="ClampWrapper-kZxfkB hTTNGO clamp SummaryItemHedBase-hiFYpQ kBFaWv summary-em__hed"><div class="ClampContent-hilPkr jVhSBH"><div class="SummaryItemHedTag-TWblf gxaOcP" data-ttid="SummaryItemHed">How This HIV+ Actor Is Usg His Diagnosis to Tell Overlooked Stori</div></div></div></a><div class="SummaryItemByleWrapper-boCfbi cuRXdL summary-em__byle-date-in"><div class="SummaryItemBaseByle-fFbXkY dHMSJg summary-em__byle"><div class="summary-em__byle__ntent"><div data-ttid="BylWrapper" class="BylWrapper-KIudk irTIfE byl"><p class="ByleWrapper-jWHrLH ecFEgL byle byl__byle" data-ttid="ByleWrapper" emProp="thor" emType="><span emProp="name" class="ByleNamWrapper-jbHncj fuDQVo"><span data-ttid="ByleName" class="ByleName-kwmrLn cYaBaU byle__name"><span class="BaseWrap-sc-gjQpdd BaseText-ewhhUZ BylePreamble-iJolpQ iUEiRd bCbgyH gnILss byle__preamble">By </span>Naveen Kumar</span></span></p></div></div></div></div></div></div></div><div class="SummaryCollectnGridToActnWrapper-gnReGN 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