From the Advocate.com…
Last February, the Centers for Disease Control and Prevention released a report predicting that, if things don’t change, one out of every two gay or bi black men will become HIV-positive in their lifetime. This statistic has been repeated endlessly, usually in connection with reasons why HIV rates are higher among African-American men who have sex with men. To be fair, there are a wide range of factors that play a part in raising HIV risks, including poverty, drug use, childhood sexual assault, and depression.
“We cannot separate the high infection rates among black gay men from several ills that continue to plague our society,” Greg Millet wrote for The Advocate in 2015. “Discrimination, poverty, stigma, and lack of access to health care all affect health care utilization for black gay men. As a result, a substantial proportion of black gay men remain undiagnosed, and others who are diagnosed and without the financial means to access medications will remain virally unsuppressed.”
Many of these factors also impact heterosexual black men, so what’s at the root of the disproportionate HIV rates for their queer brothers? One prevalent argument is that — because of excessive homophobia in the black community — black gay and bisexual men have low self-esteem. That lower self-esteem leads them to be more promiscuous, engage in riskier sexual behaviors, and even use drugs; which explains why HIV rates among black men who have sex with men is so high. Makes sense? Problem is, it’s also wrong.
Read the full article on Advocate.com.
WASHINGTON, D.C. – NASTAD (National Alliance of State & Territorial AIDS Directors), a leading non-partisan non-profit association that represents public health officials who administer HIV and hepatitis programs in the U.S. and around the world, published a new statement affirming that durably virally suppressed people living with HIV on antiretroviral therapy (ART) do not sexually transmit the virus. The statement accelerates NASTAD’s longstanding work to end HIV and promote policies and public health practice grounded in science.
”The science is clear that people living with HIV with a sustained undetectable viral load do not transmit the virus to others. What’s also clear is that we have the tools to end the HIV epidemic and HIV-related stigma and make new infections a thing of the past. Today, we tackle a major part of this work by raising awareness about the latest science of HIV transmission risk,” remarked NASTAD Executive Director Murray Penner.
Read the full article.
PrEP Locator is a national directory of providers of HIV Pre-Exposure Prophylaxis (PrEP) in the US. PrEP Locator seeks to provide patients access to a national, integrated service including both public and private practice providers. An open source tool, PrEP Locator data and map-based widget are easily accessible via API.
The Locator seeks to serve as a common repository for information regarding providers and clinics that prescribe PrEP. The Locator is an open source tool for those who are managing existing directories to share their resources in a common format, so that patients can access a national, integrated PrEP provider location service that includes both public and private practice PrEP providers. Data will be made accessible with open source tools to facilitate patient access through existing organizational websites and mobile apps.
PrEP Locator is presented by Emory University, in partnership with M•A•C AIDS Fund. The project is led by Dr. Aaron Siegler, Research Assistant Professor of Epidemiology at Emory University’s Rollins School of Public Health. The project is guided by a coalition of partners with expertise in the field of HIV prevention: PleasePrEPMe.org, Greater Than AIDS represented by the Kaiser Family Foundation, National Alliance of State & Territorial AIDS Directors (NASTAD).
Professor of sociology Matt G. Mutchler’s research over the past 20 years into HIV prevention and treatment issues, especially within the African American community, has garnered him more than 15 external research awards and respect as an expert in the field. In addition to serving as a faculty member at California State University, Dominguez Hills, he is currently a visiting professor with the Center for AIDS Prevention and Study at University of California, San Francisco, and director of community-based research with AIDS Project Los Angeles.
Mutchler’s more recent work addresses sexual communication among African-American gay and bisexual males and their close friends, and other sexual health issues related to gay men. He also investigates HIV treatment adherence programs.
Mutchler brings his expertise in community-based research to the CSUDH’s Urban Community Research Center (UCRC), where he serves as director. The multi-disciplinary, sociology-based applied research center focuses on the needs, problems and solutions that arise in urban areas. The center also offers CSUDH students hand-on research experience as they collaborate with CSUDH faculty, and a number of governmental, community-based, and university/research institutions, such as AIDS Project Los Angeles (APLA), Charles R. Drew University, Spectrum, REACH LA, and the RAND Corporation.
Mutchler recently shared insights about his studies and findings, the challenges and rewards of conducting his research within the African American community, and his latest work.
Read the interview with Professor Mutchler on csudhnews.com.
National Black HIV/AIDS Awareness Day, observed every year on February 7, is a good time to remind the general public of the racial disparities in HIV infection that persist in the United States. Year after year, African-Americans continue to shoulder the heaviest burden of HIV.
Greg Millett (Credit: amfAR, The Foundation for AIDS Research)
“If you don’t have access to healthcare and you’re HIV-positive, you’re less likely to be on medication or virally suppressed, and therefore more likely to transmit HIV,” said amfAR vice president and director of public policy Greg Millett. “We also have to do a better job of reducing HIV stigma because it keeps people from being tested for HIV, and it keeps people who are HIV-positive from seeking care because they’re afraid they’ll be discriminated against. And that is what continues to fuel the epidemic.”
According to Millett, to effectively address the racial disparities in the HIV/AIDS epidemic in the U.S., we need to continue raising awareness about how HIV disproportionately affects the black community, urge our policymakers to prioritize HIV prevention and treatment resources to the hardest hit communities, such as black gay men, and improve care for HIV-positive black women and injecting drug users.
Discrimination, stigma, poverty, and lack of access to healthcare contribute to the disproportionate burden of HIV among black Americans. This is most notably the case in regions with large black populations like the American South where approximately half of the nation’s new HIV infections occur, with black Americans accounting for nearly 80 percent of them. In general, African-Americans are less likely than whites to have private health insurance.
Read the full article.
Matt Baume writes in the Huffington Post:
If the ACA is repealed, as Republicans are trying to do, not only would 32 million people lose health care, according to the Congressional Budget Office, but LGBTs would be disproportionately affected. And “disproportionately affected” is a phrase which here means “get sick and die.” For example, HIV treatment can cost thousands of dollars per month. Insurance companies that don’t want to pay for that treatment could just refuse to cover all gay people on the basis that gay men are more likely to be HIV positive. Or they could raise monthly premiums just for gays. Or they could create a lifetime cap, so you pay into their system and then as soon as you need expensive treatment, they drop you. All this was legal until the ACA banned it.
Earlier this month, Poz magazine’s Benjamin Ryan drew attention to a concerning new study out of Northern California’s health system: Using data gathered from July 2012 through June 2015, researchers found that, among a cohort consisting mostly of same-sex–attracted men on the HIV-prevention regimen PrEP, “quarterly rates of rectal gonorrhea and urethral chlamydia increased steadily and about doubled after one year.” In other words, guys on the fantastically effective pill-a-day Truvada program were avoiding HIV infection—there were no new transmissions for regimen-adherent patients over the study period, in fact—but they seemed to be getting other sexually transmitted diseases relatively often.
Read the full article.