I read fairly often stating this or that is needed for the fight against HIV due to Race/Culture/Gender issues. I somewhat call BS on most of that. They often refer to things as telemedicine, at-home testing & mail order meds.
They say these help people in racial & gender minorities or those living in restrictive cultures. That may be so. But it isn't because a person is not White that these things a beneficial. These are socio-cultural matters. What's happening here is that telemedicine & processes that can be handled remotely feel safer & more accessible.
This isn't so much a matter of type as it is of shame, poverty & lack of access. These other methods work better because they can often circumvent those things. Stigma/shame are things that aren't going away, if telemedicine can help, that's great. However, there is still an access problem for a lot of people in remote areas.
A person's health is a private matter. If there is a way to better maintain anonymity than by all means use it. If there are more secure means of accessing doctors, healthcare & meds, then they should be promoted. Health professionals aren't going to change cultures. But they can do end-runs around them & maybe bypass some of these issues. HIV has never been just a medical issue.
Cya...
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