Posted on 10/19/2026 8:12:49 AM PDT by fwdude
In "PrEP Deserts: Why HIV Prevention Still Misses Those at Risk," our experts turn to the forces behind PrEP underuse, from how people perceive their own risk to how far they must travel for care.
Dr. Cocohoba introduces the concept of PrEP deserts and asks what drives underuse in Dr. Urbina's community. He calls it the million-dollar question. Gay men were the earliest adopters of PrEP, shaped by the history of the epidemic, but uptake has not spread to other groups. Dr. Urbina describes a disconnect between a person's actual risk and the risk they perceive. He argues that acquisition often reflects zip code and sexual network density rather than number of partners. For a young Black gay man in Harlem, a single encounter carries higher risk. He adds that early messaging tied PrEP to sexual pleasure and protection, which may not resonate with women. Even women with a recent STI frequently decline PrEP when it is offered.
(Excerpt) Read more at patientcareonline.com ...
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I am so patently sick of this BS.
Don’t want AIDS or HIV? Don’t engage in homosexual or unprotected, anonymous sex.
Period. The risk rate drops by the high Nineties. Why is that so damned hard for some people to get through their thick skulls?
This is tantamount to forcing us to fund the purchase of revolvers with higher capacity cylinders for people who like to play Russian roulette.
What is ‘sexual network density’?
No Medicaid for those who choose an unhealthy lifestyle of tobacco, alcohol, drugs, STD, HIV. It may seem cruel. But let them suffer and die. That may be what it takes to wake them up. And if not, no loss.
‘Sexual Network Density’
Best guess is that it’s a fancy term for the number of gay dudes in the area.
smoking is up because AI is going to find a cure for cancer.
When will they take Nancy advice? Just say no.
When will they take Nancy Reagan’s advice? Just say no.
if you don’t put roosters where the sun dont shine, it is not even an issue
Undetectable = Untransmissible.
Tell me more lies. And only a fraction care about prevention. There are more homosexuals going to “bug chasing” parties than there are trying to stay infection free. PrEP is just more waste of our tax money.
Please understand, I have compassion for those who have become infected, especially for those who were limiting partners, trying to be safe, lied to, etc. But if you had TB you’d be irresponsible to go around spreading it. This is no different.
There are AI developers who LITERALLY say they have taken up smoking to signal their confidence AI will cure cancer.
That’s just stupid - but there are out there.
I’m not sure, but I sense knowing will fuel my opinion that an extinction level meteor is justified.
And here I was thinking they are building the Anti-christ; all the while they are building their savior. They sure have faith in their god.
change in behavior not mentioned.
I just came here to say I do not give a flying fawk about faggots and what they catch.
I'm pretty sure you don't want to know.
I don't. It's to the point that a particular infected person has the burden of proof to make the case of how they WERE NOT culpable in contracting the infection before I'll have compassion. I know this includes some wives of secretly homosexual husbands and a few transfusion patients, but these numbers have been declining for decades. And these wives are not militant about treatment and "prevention." They don't make excuses.
The militant homo left has DEMANDED:
- that we pay for their high-risk fun with no cost sharing on their part.
- that we have no business prying into whether they are infected with the disease that we are being forced to fund treatments for.
- that we can't fire, or refuse to hire or promote, someone based on their "HIV status."
- that HIV-infected individuals have the unquestioned right to enlist and serve in the armed forces on parity with any other healthy uninfected service member.
- that they should be able to live their sordid, pathogen-laden, homo-orgy lives and still donate blood to the public supply.
- that they have the right to withhold information about their HIV infection from all sexual partners without facing criminal charges.
- that "HIV stigma" is the greatest crime, not their rank carelessness about spreading their infection to others.
They can all catch a super-bug and die for all I care.
Close.
It is a network in the strict mathematical sense,
and a method of analysis that isn't just about sex but could be any relationship.
The network is a point-line graph.
Each point is a person. Each line connects two people who are related.
Network density is a measure of interconnectedness.
Getting back to "sexual network density" -- A precise measure of promiscuity, not just population size.
That is a good way to put it.
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