Oddly enough, the wisest words in that article come the city's health commissioner: party drugs that make people feel sexually invincible and treatment-drug ads that make HIV seem no worse than asthma or high blood pressure.
It's awful to say it, but the only thing that will change behavior in the 20-something and 30-something generations is what changed it ours: losing friends and lovers, going to hospitals, going to a different memorial service each week, watching friends die horrible, grueling, way-too-early deaths.
And the band plays on...
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The city’s health commissioner, Thomas R. Frieden, said in an interview that the increasing rates among younger men was being driven by stubbornly high rates of substance abuse, involving drugs like crystal methamphetamine and cocaine, which not only reduce inhibitions but can also lead to “hypersexuality”: extended periods of sexual activity, potentially with multiple partners.
Dr. Frieden also said that another likely explanation was “treatment optimism,” and the many messages gay men receive through AIDS drug advertisements that people like Mr. Arriola can live long and normal lives.
“People who grew up watching their friends die of AIDS are a lot more careful than those who didn’t,” said Dr. Frieden, who said he cared for large numbers of AIDS patients in his earlier medical practice.