Tag: HIV prevention

Gay men, substance use and harm reduction: it’s time to act

Harm reduction and gay men’s HIV prevention could be considered two historic elements in our HIV response that have long stood separate from one another. Traditionally, HIV prevention with gay men focused on sexual risk, while harm reduction focused on risks associated with injection drug use. Both approaches have evolved over the decades and some might argue that safer sex is a form of harm reduction, but in the context of drug use, there has been little focus given to harm reduction in the context of gay men’s sexual health.

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Comment la PrEP et la charge virale indétectable redéfinissent-elles les relations sociales des hommes gais et bisexuels?

Indétectable = Intransmissible, PrEP, Traitement comme prévention… Si ces approches font aujourd’hui consensus parmi les experts communautaires et scientifiques du VIH, leur appropriation par un plus large public reste encore incertaine. Dans la communauté gaie, ce nouveau contexte de la prévention suscite encore des résistances ou des questionnements : il suffit d’engager la conversation sur le sujet, en ligne ou dans un bar, pour s’en apercevoir!

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Ending the epidemic for whom?

Ending the HIV epidemic in Canada in five years seems like an ambitious goal, but it is now in fact a target being advocated by a group of public health and HIV advocates in a new document published by the Canadian Foundation for AIDS Research (CANFAR). I am one of the authors of that document, which acknowledges the necessity of addressing racism and structural violence. But, except for support from a couple co-authors, I am dispirited by the co-authors’ failure to be clear about the difference those systemic and structural issues make, to inspire determination in addressing them, and to...

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Ensemble, faire de Montréal une ville sans sida

En énonçant les objectifs 90-90-90 en 2014, l’Organisation mondiale de la Santé et l’ONUSIDA proposaient une impulsion nouvelle : notre génération pourrait voir la fin de l’épidémie du sida. Nombreuses sont les voies possibles pour arriver à ce résultat, et les initiatives de riposte accélérée des Villes, les Fast Track Cities, en sont une. C’est à Paris le 1er décembre 2014 qu’est né ce modèle des Villes sans sida[1], issu d’un constat : les 200 villes les plus touchées abritent à elles seules plus du quart des 35 millions de personnes vivant avec le VIH. En s’impliquant dans la riposte au VIH,...

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No more excuses: people have the right to know about U=U

 “The time for excuses is over. It’s very, very clear that the risk is zero. If you are on suppressive antiretroviral treatment you are sexually non-infectious” — Dr. Alison Rodger of University College London, lead author of PARTNER 2, presenting at the 22nd International AIDS Conference in Amsterdam, July 25, 2018. It’s difficult to overstate the power of this message for people with HIV, such as myself, because it changes what it means to live with HIV. It opens up social, sexual and reproductive choices we and our sexual partners never thought would be possible. It encourages those of us...

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