Dr. Green added:
". . . the best evidence we have supports the pope's comments.To read Dr. Green's full interview click here.
. . . There is a consistent association shown by our best studies, including the U.S.-funded 'Demographic Health Surveys,' between greater availability and use of condoms and higher (not lower) HIV-infection rates. This may be due in part to a phenomenon known as risk compensation, meaning that when one uses a risk-reduction 'technology' such as condoms, one often loses the benefit (reduction in risk) by 'compensating' or taking greater chances than one would take without the risk-reduction technology."
Dr. Edward C. Green (Senior Research Scientist, Harvard School of Public Health and Center for Population and Development Studies, Harvard University)
Some of Dr. Green's other publications include observations such as:
"But until donors and other decision makers in AIDS programs look carefully and with an open mind at the evidence for the impact of behavior changes other than contraceptives, drugs, and medical devices, the vast majority of prevention funds will continue to go only to these risk reduction interventions" (Edward C. Green. Rethinking AIDS Prevention: Learning from Successes in Developing Countries 2003).In this book Green reveals that instead of the exaggerated aims at using medical solutions funded by major donors which have had little impact in Africa, the
"relatively simple, low-cost behavioral change programs - stressing increased monogamy and delayed sexual activity for young people - have made the greatest headway in fighting or preventing the disease's spread. Ugandans pioneered these simple, sustainable interventions and achieved significant results . . . Rather than pay for clinics, gadgets and medical procedures. In a New York Times interview, Green cited evidence that "partner reduction," promoted as mutual faithfulness, is the single most effective way of reducing the spread of AIDS."
(Edward C. Green. Rethinking AIDS Prevention: Learning from Successes in Developing Countries, 2003).
In a publication where Green emphasizes sexual behavior change, rather than frivolous condom distribution, he speculates about groups that overlook behavior change as a proven prevention method:
"To summarize, we propose the hypothesis that Americans working in global AIDS tend to possess an ideology regarding sexual behavior that is influenced by the sexual revolution of the 1960s, gay liberation, and secularism" (Fear Arousal, Sexual Behavior Change and AIDS Prevention p. 257).
Dr. Green is not alone in his assessment of condoms and African AIDS prevention. According to one of the world's leading medical journals, The Lancet, author James Shelton, of the US Agency for International Development, stated in an article that one of the ten misconceptions about the fight against AIDS is that condoms are the solution:
". . . condoms alone have limited impact in generalised epidemics"whereas controlling behavior produces measurable results:
"reductions in HIV incidence in Kenya and eastern Zimbabwe were accompanied by large drops in multiple partners . . . Truthfully, our priority must be on the key driver of generalised epidemics—concurrent partnerships." (Shelton, James D. 2007. Ten myths and one truth about generalised HIV epidemics. The Lancet. December 1, 2007. pp 1809-1811).
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