- Joined
- May 6, 2012
- Messages
- 2,340
- Reaction score
- 2,987
First off, it's a bit simplistic to say that the EBM approach would be to tell a gay male not to have sex with men. Making sure he and his sexual partners are tested and using condoms can reduce the risk of HIV transmission.I knew someone would say this. That's why I included that little word "just." Regardless of whether certain people have been advised to used condoms, merely being a man who has sex with other men puts you at a higher risk of HIV. Therefore, the "evidence-based medicine" thing to do, if one were interested in equalization of incidence of disease, as splik seemed to imply we should be, is to recommend not being a man who has sex with other men. Splik was saying that being OK with a higher incidence of depression and anxiety in homosexuals is unacceptable; that one must advocate the completely public acceptance of homosexuality because supposedly these higher incidences are caused by "homophobia."
Secondly, there's a difference in the who actors are in each scenario. With the gay male sex, it's the patient himself that takes the act that puts him at risk of HIV. You can, and should, educate him as to the risks and precautions he can take, but in the end it's up to him what risks he's willing to take. With the homophobia, it's other people doing things that leads to higher incidence of anxiety and depression amongst gays. I think we should worry when society is doing something that leads to worse mental health outcomes for no benefit.