Unprotected anal sex up 20% among men who have sex with men

2222293557_condoms_xlargeFederal health officials are reporting a sharp increase in unprotected sex among gay American men over the last decade. The same trend has recently been documented among gay men in Canada, Britain, the Netherlands, France, and Australia.

According to the Centers for Disease Control and Prevention (CDC), the number of men who told federal health investigators that they had had unprotected anal sex in the last year rose nearly 20 percent from 2005 to 2011. In the 2011 survey, 33 percent of men who were HIV positive but unaware of their status reported having unprotected anal sex.  This was more than twice the rate reported in men who knew their HIV positive status.  The survey also found that a third of the men interviewed had not been tested in the past year.

As a result, the CDC is urging gay and bisexual men to get tested for HIV. Regular testing allows people who have HIV to know their status, get life-saving treatment and care, and prevent HIV transmission to others. Call 1-800-CDC-INFO or visit http://www.hivtest.org/ to find free, confidential HIV testing locations near you. Some locations have rapid testing, so you can get results on the spot.

To find out how to prevent HIV infection, go to the CDC Website: (http://www.cdc.gov/msmhealth/HIV.htm ).

You can also find more HIV and STD information on our Website: www.m4mHealthySex.org.

To subscribe to Health Alerts, send an email to rgy2@pitt.edu with the word “subscribe” in the subject line.

HPV common among young gay men

(Reuters Health) – Gay teenagers who have had at least four sexual partners are at increased risk of contracting human papillomavirus (HPV), a new study suggests. At least half of sexually active people get HPV at some point in their lives, according to the Centers for Disease Control and Prevention. Previous research has suggested most adult gay men have the sexually transmitted infection. HPV is usually cleared by the immune system but can cause genital warts and anal cancer, as well as cervical cancer among women. “In this study we found rates of anal infection increased rapidly with increasing numbers of partners with whom they have received anal sex,” senior author Marcus Y. Chen said. “The virus is presumably being transmitted from penis to anus.” Chen is an associate professor in the School of Population and Global Health at the University of Melbourne in Australia.

The CDC recommends boys and girls get vaccinated against HPV at age 11 or 12, before becoming sexually active. There are two versions of the HPV vaccine, one of which is available for boys. The vaccine is very effective if given before a person is exposed to HPV but provides “diminishing protection” after that, Dr. Ross D. Cranston told Reuters Health. “Thus if there is a high rate of HPV acquisition, as we also see in girls, there is a lost opportunity to provide protection if the HPV vaccine is not given early,” he said. Cranston, who was not involved in the new study, directs the Anal Dysplasia Clinic and Research Program at the University of Pittsburgh Medical Center in Pennsylvania.

Chen and his team tested 200 young gay men age 16 to 20 for HPV and genital warts and gave them a sexual history questionnaire. risk forms of the virus, and 11 percent tested positive for two or more forms. Men who’d ever had vaginal sex or anal sex were more likely to test positive for penile HPV, according to results published in the Journal of Infectious Diseases. Among men who had never received anal sex, 10 percent tested positive for anal HPV. That compared to nearly half of those who said they’d had at least four anal sex partners. The finding that some young men who reported never receiving anal sex tested positive for anal HPV suggests the virus can be transmitted in other ways, the authors write.

About 7,000 people in the U.S. will be diagnosed with anal cancer in 2013, according to the American Cancer Society. Rates are higher among gay men than heterosexual people, Chen noted. Of the many types of the HPV virus, HPV 16 is most commonly associated with anal cancers. “Our study found that gay male teens acquire the HPV virus including HPV 16 very soon after they first become sexually active,” Chen told Reuters Health. “This means that the HPV vaccine, which has been shown to be effective in preventing HPV infection in males, including anal infection in gay men, needs to be given very early on, preferably before gay teens start to have sex.”

Many countries routinely vaccinate all girls against HPV. But as of 2013, Australia is the only one to implement universal and free vaccination of boys at school, Chen said. “This is great news for boys in Australia including those that are gay but in other countries the absence of such a program means gay males will miss out on anal cancer prevention,” he said. Some gay teens might be reluctant to admit their sexuality and ask for the vaccine, he said. Gay men are no more susceptible to HPV than heterosexual men, but more often have anal infections, Cranston said. He said doctors can increase awareness and the likelihood that boys will be vaccinated against HPV through conversations with their parents.

Source: http://www.chicagotribune.com/health/sns-rt-us-hpv-common-20131205,0,3548102.story#ixzz2mzRm0gTb

‘Gay generation gap’ over HIV

Perry N. Halkitis is professor of applied psychology, public health and population health; director of the Center for Health, Identity, Behavior and Prevention Studies; and associate dean of the Global Institute of Public Health at New York University. He is author of the book "The AIDS Generation: Stories of Survival and Resilience."

Perry N. Halkitis is professor of applied psychology, public health and population health; director of the Center for Health, Identity, Behavior and Prevention Studies; and associate dean of the Global Institute of Public Health at New York University. He is author of the book “The AIDS Generation: Stories of Survival and Resilience.”

(CNN) — Unprotected sexual behavior among men who have sex with men has risen steadily since 2005, according to a report from the Centers for Disease Control, released just before World AIDS Day.

The data, drawn from the National HIV Health Behavior Surveillance System, indicated a rise in unprotected anal intercourse by 20% in a one-year period and were seen by some as a call to arms.

Does this mean gay men are no longer worried about HIV? Many health commissioners and policy-makers on both the local and national levels, old-school activists, fellow academics and researchers and reporters used these data to augment their argument that HIV is no longer an issue of concern for gay men, whose primary route of transmission is unprotected anal sex.

It has been suggested that gay men, especially young gay men, no longer fear contracting the disease, that AIDS is perceived as an easily managed chronic condition and that infection holds little consequence for those newly diagnosed. And then the “blame game” begins, which does nothing to help deal with the issue.

The reality is that some of my peers and members of my own generation, the AIDS Generation — those of us who lived through the most dismal and darkest moments of AIDS epidemic in the 1980s and 1990s, prior to the implementation of effective therapies in 1996 — also expressed similar horror when I interviewed them for my book last year.

In fact, this very issue — that of finger-pointing and assignment of blame and shame to gay men — came through very clearly in the voices of the men during the course of our conversations and interviews.

Continue reading here.

Health and Human Services celebrates the imporved wellbeing of people living with HIV

The Department of Health and Human Services (HHS) honors World AIDS Day 2013 and celebrates the improved wellbeing of millions of people around the world living healthy and full HIV-positive lives. As the care and treatment of people living with HIV/AIDS has expanded so has the number of people living long HIV-positive lives. As of 2012, nearly 10 million people throughout the world were receiving antiretroviral therapy Exit Disclaimer, vastly improving their quality of life and reducing the number of early deaths due to the disease. And recent changes to the World Health Organization’s treatment guidelines are expected to substantially increase the number of people qualifying for treatment.

Widespread access to HIV medications and treatments, principally through PEPFAR and the Global Fund, has changed the course of HIV infection from an acute and deadly infection to a chronic disease requiring long-term care management. While this means a diagnosis is no longer a death sentence, it also means health systems now need to be prepared to address the long-term care needs of those living—sometimes for decades—with HIV.

Continue reading at AIDS.gov.

Unprotected sex among gay men on the rise

From the Boston Globe

Federal health officials are reporting a sharp increase in unprotected sex among gay American men over the last decade, a development that makes it harder to fight the AIDS epidemic. The same trend has recently been documented among gay men in Canada, Britain, the Netherlands, France, and Australia, heightening concerns among public health officials worldwide.

According to the Centers for Disease Control and Prevention, the number of men who told federal health investigators that they had had unprotected anal sex in the last year rose nearly 20 percent from 2005 to 2011. In the 2011 survey, unprotected sex was more than twice as common among men who said they did not know whether they were infected with HIV.

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