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In the past, HIV prevention models have assumed that individuals will make informed decisions based on the information provided them to reduce their risk of infection.
However, it is now recognized that socio-economic factors—known as the determinants of health—influence the vulnerability of individuals and populations to HIV infection.
Instead the literature most often explores the association between a particular social determinant and behaviour that places a person at risk of HIV infection." (1) Some international research links specific determinants of health to HIV vulnerability or resilience among gay and other MSM.
We have developed insightful analyses and practices, often through challenging injustices we experience by resisting them in creative and constructive ways.
We have been and will continue to be actors in the pursuit of our health and wellness, including that of HIV prevention, at the individual, interpersonal, cultural and structural levels.
(4;5) (For more about this topic, see Section 4.1.10 Personal Health Practices and Coping Skills.) The history of gay, lesbian, bisexual and transgender activism in Canada has had a profound impact both on the social environment in which gay and other MSM live today, and on the Canadian response to HIV/AIDS.
The Stonewall riots in New York City in 1969 and the decriminalization of homosexuality in Canada the same year sparked a decade of community organizing and advocacy among gay, lesbian, bisexual and transgender people.