Why we stopped doing primary prevention for gay men in 1985

Article Abstract:

The introduction of a accurate test to determine HIV infected status in 1985 ended any reasonable attempts at primary prevention in the gay community because the AIDS education groups adopted a social rather than practical position. In an attempt to minimize the stigmatism attached to being HIV positive, all education specifically targeted at HIV negative gay men was eliminated because of its potential for increasing the pressure on HIV positive gay men. As it was, the gay community split into HIV positives and negatives because it was safer, physically and emotionally, to have relationships with those of similar HIV status. The AIDS prevention efforts failed to provide a health-oriented response to the crisis because of the wish not to hurt those already infected.

Health aspects, Social aspects, AIDS patients, Gay men

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Potential barriers to the adoption of an HIV vaccine by at-risk individuals

Article Abstract:

The focus on developing an HIV vaccine has failed to account for or combat the likely distrust of the vaccine by the public as shown by a comparison to public perception of the hepatitis-B vaccine. Specific barriers include failure to recognize risk, concern about vaccine-contracted infection, distrust of government and conspiracy theories about AIDS and concern about discrimination because of testing positive for HIV antibodies. Some possible methods to encourage support of the vaccine include AIDS education about risk factors, support of opinion leaders from at-risk communities, confidentiality, affordability of the vaccine and promotion in non-minority communities.

Public opinion, AIDS vaccines

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Determining allocations for HIV-prevention interventions: assessing a change in federal funding policy

Article Abstract:

Fiscal data from Centers for Disease Control and Prevention (CDC) Grants Management Information System and reports from CDC-funded state and local health departments were analyzed to compare the allocation levels for specific interventions for FY 1993 with FY 1996. The aggregate federal HIV-prevention allocation for 1996 was $216,165,022, whereas, for 1993, the total was $157,188,492. Significant increases were also found in the number of federal resources intended to promote health education and risk-reduction programs for FY 1996 compared to FY 1993.

Research, Finance, Statistics, Social policy, National government, Public health, Medical policy, Health policy, Federal government, United States. Centers for Disease Control and Prevention

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