Green, Adam Isaiah. (2013, April). Keeping Gay & Bisexual Men Safe. Presented at Beyond Behaviours: Uncovering the Social Production of HIV Epidemics Among Gay Men, Vancouver, Canada.

HIV prevention is as much a science as an art and a field of politics. Looking back over three decades of the HIV epidemic we find, roughly, a prevention circle that begins with a biomedical technical fix in the 1980s (the condom), moves toward behavioral psychology, skills build- ing and risk-factorology in the 1990s and early 2000s, then an incorporation of the structural antecedents of health in the first decade of 2000, and more recently a growing shift toward pre- and post-exposure prophylaxis and “treatment as prevention”—i.e., a return to the biomedical paradigm. In practical terms, all of these approaches have value in promoting the health of gay and bisexual men, but their promise is perhaps best realized in concert, not the least because so called “risky” sexual desires and practices are probably overdetermined and may never be fully amenable to social engineering.

source