HIV Infection Among Young Black Gay and Bisexual Men

“Gay, bisexual, and other men who have sex with men (MSM) continue to bear the greatest burden of HIV infection in the United States.1 In fact, HIV is on the rise among all MSM, regardless of race or age, with the incidence of new infections increasing 12% annually between 2008 and 2010.2 Among MSM, however, youth and race converge to define a public health disaster of staggering proportions, with the greatest number of new HIV infections occurring among young black gay and bisexual men ages 13 to 24.2 In 2010, young black MSM accounted for 45% of new HIV infections among all black MSM and 55% of new HIV infections among young MSM overall.

The disproportionate impact of HIV on African Americans has been evident from the early days of the AIDS epidemic, with 261,000 deaths reported among blacks through 2010—a staggering 41% of total AIDS deaths—despite the fact that blacks account for only 12% of the U.S. population.3-5 Currently, the rate of new HIV infections among blacks in the U.S. is 8 times that of whites, with MSM accounting for most new infections among African Americans.”

Wait for it. . . It’s not just their risky behavior. . . Not just the higher rate of STDs among black men. . . Not just ignorance about the disease . . . Ready?  Stigma (aka other people’s fault) and lack of insurance.

http://www.medpagetoday.com/resource-center/HIV/Highest-risk/a/44567

http://www.medpagetoday.com/clinical-context/HIVAIDS/27887

http://www.hptn.org/web%20documents/HPTN061/Results/Pubs/KoblinCorrelatesHIVPLoS1.pdf

http://www.niaid.nih.gov/news/newsreleases/2012/Pages/HPTN061.aspx

Medical shortcuts and acronyms are fascinating.  Black Men Who Have Sex with Men Only (BMSMO) and  Black Men Who Have Sex with Men and Women (BMSMW). Explains how some women become infected with HIV. They seem to be victims of some bad choices.

“BMSMW, in comparison to BMSMO, were significantly older, less educated, had lower incomes, were more likely to be unemployed, less stably housed, and more likely to have been incarcerated prior to enrollment. BMSMW were also more likely to use some drugs and had higher internalized homophobia scores, lower social support and higher frequencies of depression symptoms.”  Journal of Urban Health, 2013. DOI:10.1007/s11524‐013‐9811‐1

Black men not telling their ladies the truth

By race, age and risk group, young, black gay and bisexual men (ages 13-29) are the only population in the United States in which new HIV infections increased between 2006 and 2009.

Take a look at this chart of subpopulations.  Notice anything strange?

Although only 2%  of the population, black gay and bisexual men have 61% of the new infections; but black heterosexual women  have more infections (5400) than white heterosexual women (1700)—and although I’m sure there is plenty of cross-racial sex, the majority is within same race relationships. Black men are not telling black women the truth.  If they can’t be honest about their sexuality, why should they expect everyone else to change their views?

The HIV infection rate among African Americans was almost eight times as high as that of whites in 2009, and among African American women it was 15 times higher than among white women.

Also, transgender individuals are heavily affected by HIV. A 2008 review of studies of HIV among male-to-female women found that, on average, 28 percent (from 11% to 78%)  tested positive for HIV. So do these women push up the stats of heterosexual women with HIV?

http://www.cdc.gov/hiv/policies/hip.html

HIV Infections and ART

Gay, bisexual, and other men who have sex with men (MSM) represent approximately 2% of the US population, yet are the population most severely affected by HIV.

• In 2009, (men who have sex with men) MSM accounted for 61% of new HIV infections in the US and 79% of infections among all newly infected men. Compared with other groups, MSM accounted for the largest numbers of new HIV infections in 2009.
• Among all MSM, white MSM accounted for 11,400 (39%) new HIV infections in 2009. The largest number of new infections (3,400) occurred in those aged 40–49.
• Among all MSM, black/African American MSM accounted for 10,800 (37%) new HIV infections in 2009. Whereas new HIV infections were relatively stable among MSM overall from 2006–2009, they increased 34% among young MSM—an increase largely due to a 48% increase among young black/African American MSM aged 13–29.
• Among all MSM, Hispanic/Latino MSM accounted for 6,000 (20%) new HIV infections in 2009. The largest percentage of new infections (45%) occurred in those aged 13–29.

I’ve looked through the guidelines given to doctors to combat HIV/AIDs in gay men.  They include counseling for condoms, screening and treatment for other sexually transmitted diseases, hepatitis vaccine, and PrEP, short for Pre-Exposure Prophylaxis, the combination medication tenofovir disoproxil fumarate plus emtricitabine (TDF/FTC).   PrEP was approved in July, 2012 and treatment costs about $14,000 a year, requires constant monitoring, and absolute adherence to the drug regimen. Giving it to uninfected people who don’t have HIV might prevent those already infected from receiving it. 

In the guidelines I saw nothing about chastity or celibacy, the only two methods which are 100% effective in combating HIV and have no toxic side effects.

High risk sexual behavior

What does the Bible consider high risk sexual behavior?
(10 commandments, OT; Hebrews, NT)
1) Any sexual relations outside the marriage bed (man and woman).

What does the government consider high risk sexual behavior?
(CDC)
1) Men who have sex with men
2) Women who have sex with men who also have sex with men
3) 5 or more sexual partners in the last 12 months
4) Oral or anal sex with multiple sex partners in the last 12 months
5) Any sex where money, drugs or something of value is exchanged
6) Sex with a person who injects drugs
7) Sex with a person who has HIV
8) Sex with a person who has been treated for other STDs in last 12 months

Solution seems pretty simple, doesn't it?

AIDS memorial--Why?

"A design that calls for a grove of trees reflected infinitely by 12-foot-long mirrors was selected today for New York’s first large-scale AIDS memorial."

The AIDS Memorial Park organization, Architectural Record, and Architizer have announced the winner of a competition to design a memorial for victims of AIDS and an education center in Manhattan’s West Village. Studio a+i of Brooklyn, N.Y. won the blind competition with a plan to surround an existing triangular park with mirrored walls and a grove of white birch trees. Architectural Digest, Jan. 30, 2012

Why do we memorialize this particular disease's victims, a disease which is mostly self-inflicted through promiscuous, indiscriminate sex and multiple partners? We don't memorialize death by smoking, drinking or over-eating, or driving too fast, or not exercising. Where is the memorial to those who have died from malaria because environmentalists pulled DDT from the market? Where is the memorial for 50 million dead American babies?

Men who have sex with men--MSM account for nearly half of the approximately 1.2 million people living with HIV in the United States (49%, or an estimated 580,000 total persons).

MSM account for more than half of all new HIV infections in the United States each year (61%, or an estimated 29,300 infections).

While CDC estimates that only 4 percent of men in the United States are MSM, the rate of new HIV diagnoses among MSM in the United States is more than 44 times that of other men (range: 522 – 989 per 100,000 MSM vs. 12 per 100,000 other men). CDC Fact Sheet