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In Reply: Perhaps because I found fault as well as (mostly) praise for her book, Dr Epstein suggests I had an undeclared conflict of interest due to an unflattering portrayal in her book. Epstein in fact introduces me as a "voice in the wilderness" who "had been arguing for years that abstinence, faithfulness, and reductions in casual sex had been more important than condoms in Uganda."^1(p187) This is a portrayal I find accurate, not unflattering, and not unlike Epstein's own position. However, on p 188 Epstein claims I defended "abstinence-only-until-marriage programs." This is misleading; I have written and stated repeatedly that abstinence is only one part of a comprehensive prevention program.

Although sex inequality and economic inequality can certainly exacerbate the spread of HIV, data suggest that the relationship between these factors is complicated and does not always go in the direction that one would expect.² Epstein seems to recognize . . . [Full Text of this Article]

Edward C. Green, PhD
egreen@hsph.harvard.edu
Harvard School of Public Health
Boston, Massachusetts

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