Hi, I am Robert M Grant

Welcome Everyone!

This website is a collection of my writing about love, sex, and health issues that accompany our human connections. I spend most of my time writing about what I can prove and publish, and you can find these publications here .  This website also has some of my other writing, which enjoy no authority, no peer review, and no selection by editors.

I am a champion of a collaborative bottom-up movement of healing from the AIDS epidemic, leading to a stronger, more intimate, more embracing community, living in vulnerability, belonging, and possibility, safe from HIV, and celebrating human connection and love.

Peer Reviewed Publications

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My transition toward trans awareness.

I recall when a colleague told me in 2014 that some transgender women advocates were unhappy with iPrEx.  I was surprised and disappointed.  Since the study was conceived in 2004, I had struggled to include trans women for so many reasons and against so many objections. We wanted transgender women in the study because we knew that the HIV burden was high among trans women, who have a prevalence of infection that far exceeds the general population (by 49 fold) and also exceeds the HIV prevalence among gay men.  Yet, we were told by our sponsor (NIH) that we would not have enough trans women to make any separate conclusions and we should strive to study a well defined group of people.  Such is a common in clinical trials striving for “purity.” By the time the study started, I was happy that the protocol still allowed inclusion of trans women.  The study inclusion criteria had been defined to be “male at birth.”  I would now say “assigned male sex at birth.”  We could include people regardless of their current gender identity. Some transgender women still did not feel included.  I recall a meeting in Sao Paolo Brazil in 2007 where a woman sitting in the back asked why the study protocol was called “Chemoprophylaxis for HIV Prevention in Men” (The protocol title used by the sponsor).  After all, our inclusion criteria allowed women to join provided they were assigned male sex at birth.  In a response which later became emblematic of my naïveté, I responded that whatever the study title, we welcomed the participation of transgender women. Her anger exploded.  She retorted that such... read more