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AIDS PREVENTION PRO - "Second line prevention"

1 “Second line” topics.

• Confidence and HIV
• Impotence and HIV
  • Sporadic lack of erection induce by condom.
  • Erection without hardness ("condom is too little ")
• Shyness and HIV
• Love and HIV
  • Fear to loss the partner
  • Blindness induce by love
• Alcohol and HIV
  • Alcohol and shyness
  • Alcohol and skill
  • Alcohol and evaluation of a risk
• Sexual immaturity and HIV
• Gender issues and HIV
  • Hierarchy of genders
  • Empower woman's
• Marriage and HIV
• faithfulness and HIV
• Religion and HIV
• Modesty and HIV
• Ethic gaps and HIV
• Confidence in treatments/medical research and HIV
• Etc.

2 "Second line" strategies

Each time a important topic is detected, a study is needed, a strategy must be elaborated which will make understand which kind of material is needed and the best ways to disseminate such material.

• About confidence

Nobody will discuss the beauty of confidence, the beauty of love and the beauty of faithfulness. The question is in another field. Just admit that we have to deal with what the world is and not only with what the world should be. Millions of faithful people HAVE died, ARE DYING AND WILL DIE of AIDS because they HAVE misunderstood OR STILL MISUNDERSTAND NOW that even “the best” partner can fail one day, one hour, one minute. We are not equal considering the sexual temptations and sexual opportunities. Some have very strong desires, some others not. Some have to face very strong temptations, some others not. Some have unspeakable frustrations, some others are never shy and do not have unspeakable desires, some accept easily to confess the most severe mistakes they did..For some people, their job, the culture, the sport or their religious convictions can be passions that make them forget the impetuosity of sexual desires but for others, there is nothing strong enough to forget the sexual temptations and attractions.

 

• About "love"

  Love can induce dangerous attitude because unbalanced relation between "logical requirements" and "affective requirements". He/she will maybe accept a risk because he/she fears that his/her partner leaves him/her if he insists too much on safety. He/she can also accept a risk just because he/she fears that the partner could interprete a safety requirement as a lack of confidence (wrongly associate with love).

   

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• About ethic gaps

  We observe an inadequate bipolar moral tendency:

  1. "HIV infection is a punishment as it reflects the notion of immorality…" This is especially promoted by uneducated traditional people in the agrarian and industrial societies and by certain religious groups. This perception usually induces severe stigmatization against the HIV / AIDS patients.
  2. "There is no question of morality connected with HIV infection…" This is strongly promoted by some activist groups in reaction to stigmatization.

  Things are in fact much more complex and sensitive than either of these extremes suggest.
  There is definitely a moral message that nobody should elude: It is criminal to refuse to use a condom when practicing any form of unsafe sex. This notion is not only related to "technical issues" but mainly to fundamental "ethical" principles. This is a CONDITIONAL NECESSITY to achieve efficient AIDS prevention.

  Too many persons (not only inconsiderate persons) still do not incorporate the notion of infection of their partner by HIV into the ethical principles leading their life. They just think that using or not using a condom is a personal choice. It is very common to hear: "I am not using a condom because I do not fear AIDS." Sometimes it is even worse: "…now that I am HIV positive, I do not have to protect myself anymore…".

  Only a negative HIV blood test done at least 3 months after the last unsafe sexual practice allows anyone to refuse to use condom (the risk is only for the person himself in that occurrence).

   

• About shyness
  • Too shy to buy condom
  • Too shy to speak about with partner
• About alcohol and other drugs
• Sexual immaturity and HIV
  • "First time"

    First relation for women (but also for men). could be dangerous because stress make often the girl unable to require the use of condom.First relation means also "little wound" which increase dramaticaly the risk of contamination.

   

• Ages issues
• Sexual immaturity in adults
• About impotency.
  • There are 2 kinds of impotences which can give problems to wear condoms.
1. "no erection" (problem often connected with anxieties, guiltiness, or other psychological failure). The fear of sporadic lost of erection induced by the wearing condom process induces a "humiliation". Such circumstance can make him refusing the condom during all the rest of his life. He will use excuses like "no feeling", "You do not trust me?", "I am negative!", "I am allergic" etc. etc. Statistics proof (I unfortunately loss the ref.) that many men tryed to use condom only one time in their life!
2. "too weak erection" The lack of hardness which make the condom apparently "too little" (impossible to unroll correctly a condom on soft penis ...but no problem to wear the same condom on a fist!).Main causes of such kind of impotence are:
   • Age
   • Confusion between "real sexual desire" and "obsession"
   • Excess of sexual activities

    

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Note

Typically western countries need more second line messages than first line messages. This is due not to the excellence of former prevention policies but to the relative good qualities of information network which makes possible since many generations to receive and valorize scientific information.
In other countries, it depend of local considerations. In Thailand for instance, first line prevention is less need than second line prevention because the excellent action in past (Mr Meechai). But Thais urgently needs second line prevention because instruction network (school, media's) doesn't emphasize correctly scientific knowledge.