seen as a "real or moral solution" to the HIV/AIDS pandemic. Further, in December 2010, the Congregation of the Doctrine of the Faith explained that Benedict's statement did not constitute a legitimization of either contraception or prostitution, which remains gravely immoral. Homosexuality During his time as Prefect of the Congregation for the Doctrine of the Faith (CDF), Cardinal Ratzinger made several efforts to tackle the issue of homosexuality within the Catholic Church and the wider world. In 1986 the CDF sent a letter to all bishops entitled: On the Pastoral Care of Homosexual Persons. The letter condemned a liberal interpretation of the earlier CDF document Declaration on Certain Questions Concerning Sexual Ethics, which had led to a "benign" attitude "to the homosexual condition itself". On the Pastoral Care of Homosexual Persons clarified that the Church's position on homosexuality was that "although the particular inclination of the homosexual person is not a sin, it is a more or less strong tendency ordered toward an intrinsic moral evil; and thus the inclination itself must be seen as an objective disorder." However, the document also condemned homophobic attacks and violence, stating that "It is deplorable that homosexual persons have been and are the object of violent malice in speech or in action. Such treatment deserves condemnation from the Church's pastors wherever it occurs." In 1992, Ratzinger again approved CDF documents declaring that homosexual "inclination itself must be seen as an objective disorder" and extended this principle to civil law. "Sexual orientation", the document said, was not equivalent to race or ethnicity, and it declared that it was "not unjust discrimination to take sexual orientation into account." On 22 December 2008, Benedict gave an end-of-year message to the Roman Curia in which he talked about gender and the important distinction between men and women. He said that the Church viewed the distinction as central to human nature, and "asks that this order of creation be respected". In his words, the Church must "protect man from self-destruction". He said "something like a human ecology" was needed, and added: "Rain forests deserve indeed to be protected, but no less so does man." He attacked "gender theories", which he described as "man's attempt at self-emancipation from creation and the Creator." LGBT groups, such as the Italian Arcigay and German LSVD, announced that they found Benedict's comments homophobic. Aurelio Mancuso, head of Arcigay, said "A divine programme for