HIV now fects more heterosexual people than gay or bisexual men – we need a new strategy | Ian Green | The Guardian

Contents:

• WHY ARE GAY MEN MORE AT RISK FOR HIV?
• WHY IS HIV MORE COMMON IN GAY MEN
• HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY
• HIV/AIDS AND EDUTN: LSONS OM THE 1980S AND THE GAY MALE COMMUNY THE UNED STAT
• ACTIVISTS NMN VLENCE AGAST LGBTQ MUNY ST. VCENT, WHERE GAY SEX IS ILLEGAL
• GAY AND BISEXUAL MEN'S HEALTH ISSU
• HIV-RELATED STIGMA WH MUNI OF GAY MEN: A LERATURE REVIEW
• NST T="UNFED"!=TYPEOF HTMLIMAGEELEMENT&&"LOADG" HTMLIMAGEELEMENT.PROTOTYPE;IF(T){NST T=DOCUMENT.QUERYSELECTORALL("IMG[DATA-MA-IMAGE]");FOR(LET E OF T){(E.SETATTRIBUTE("SRC",),E.REMOVEATTRIBUTE("DATA-SRC")),(E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET"));NST T=E.PARENTNO.QUERYSELECTORALL("SOURCE[DATA-SRCSET]");FOR(LET E OF T)E.SETATTRIBUTE("SRCSET",),E.REMOVEATTRIBUTE("DATA-SRCSET");PLETE&&(,E.PARENTNO.PARENTNO.QUERYSELECTOR("[DATA-PLACEHOLR-IMAGE]"))}}HIV BASICSOVERVIEWABOUT HIV & AIDSWHAT ARE HIV AND AIDS?HOW IS HIV TRANSMTED?WHO IS AT RISK FOR HIV?SYMPTOMS OF HIVDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSHISTORYHIV AND AIDS TIMELEMAKG A DIFFERENCESUPPORTG SOMEONE LIVG WH HIVSTANDG UP TO STIGMAGETTG INVOLVEDHIV PREVENTNUSG HIV MEDITN TO RCE RISKHIV TREATMENT AS PREVENTNPRE-EXPOSURE PROPHYLAXIS (PREP)POST-EXPOSURE PROPHYLAXIS (PEP)RCG SEXUAL RISKPREVENTG SEXUAL TRANSMISSN OF HIVRCG RISK OM ALHOL & DG USEALHOL AND HIV RISKSUBSTANCE USE AND HIV RISKRCG RISK OF PERATAL TRANSMISSNPREVENTG PERATAL TRANSMISSN OF HIVPOTENTIAL FUTURE OPTNSHIV VACCLONG-ACTG HIV PREVENTN TOOLSMICROBICISHIV TTGLEARN ABOUT HIV TTGWHO SHOULD GET TTED?HIV TTG LOTNSHIV TTG OVERVIEWUNRSTANDG HIV TT RULTSJT DIAGNOSED: WHAT'S NEXT?LIVG WH HIVTALKG ABOUT YOUR HIV STATSTARTG HIV CAREFD A PROVIRLOTE AN HIV CARE PROVIRTYP OF PROVIRSTAKE CHARGE OF YOUR CAREGETTG READY FOR YOUR FIRST VISWHAT TO EXPECT AT YOUR FIRST HIV CARE VISSTAYG HIV CAREPROVIR VISS AND LAB TTSMAKG CARE WORK FOR YOUSEEG YOUR HEALTH CARE PROVIRHIV LAB TTS AND RULTSRETURNG TO CAREHIV TREATMENTHIV TREATMENT OVERVIEWVIRAL SUPPRSN AND UNTECTABLE VIRAL LOAD TAKG YOUR HIV MEDICE AS PRCRIBEDTIPS ON TAKG YOUR HIV MEDITN EVERY DAYPAYG FOR HIV CARE AND TREATMENTOTHER RELATED HEALTH ISSUOTHER HEALTH ISSU OF SPECIAL CONCERN FOR PEOPLE LIVG WH HIVALHOL AND DG USECORONAVIS (COVID-19) AND PEOPLE WH HIVHEPATIS B & CIMMUNIZATNS AND PEOPLE WH HIVFLU AND PEOPLE WH HIVMENTAL HEALTHMPOX AND PEOPLE WH HIVOPPORTUNISTIC INFECTNSSEXUALLY TRANSMTED INFECTNSSMOKGHIV AND WOMEN'S HEALTH ISSULIVG WELL WH HIVTAKG CARE OF YOURSELFAGG WH HIVEMERGENCI AND DISASTERS AND HIVEMPLOYMENT AND HEALTHEXERCISE AND PHYSIL ACTIVYFOOD SAFETY AND NUTRNHOG AND HEALTHTRAVELG OUTSI THE U.S.YOUR LEGAL RIGHTSCIVIL RIGHTSWORKPLACE RIGHTSLIMS ON CONFINTIALYFERAL RPONSENATNAL HIV/AIDS STRATEGYNATNAL HIV/AIDS STRATEGY (2022-2025)PRR NATNAL HIV/AIDS STRATEGI (2010-2021)IMPLEMENTG THE NATNAL HIV/AIDS STRATEGYENDG THE HIV EPIMICABOUT ENDG THE HIV EPIMIC THE U.S.OVERVIEWKEY STRATEGIPRRY JURISDICTNSHHS AGENCI INVOLVEDFUNDGTIMELELEARN MORE ABOUT EHEREADY, SET, PREPREADY, SET, PREPREADY, SET, PREP PHARMACIREADY, SET, PREP ROURCAHEADAHEAD: AMERI’S HIV EPIMIC ANALYSIS DASHBOARDFERAL ACTIVI & AGENCIHIV PREVENTN ACTIVIHIV TTG ACTIVIHIV CARE AND TREATMENT ACTIVIHIV REARCH ACTIVIACTIVI COMBATG HIV STIGMA AND DISCRIMATNPOLICI & ISSUTHE AFFORDABLE CARE ACT AND HIV/AIDSHIV CARE CONTUUMSYRGE SERVIC PROGRAMSFUNDGBUDGETFERAL FUNDG FOR HIV/AIDSMORY HIV/AIDS FUNDOVERVIEWBACKGROUNDFUND ACTIVITHE FUND ACTNPACHAABOUT PACHACHARTERMEMBERS & STAFFSUBMTEPRR PACHA MEETGS AND REMENDATNSCAMPAIGNSI AM A WORK OF ART CAMPAIGNAWARENS CAMPAIGNSPEPFAR & GLOBAL AIDSGLOBAL HIV/AIDS OVERVIEWPEPFARU.S. GOVERNMENT GLOBAL HIV/AIDS ACTIVIGLOBAL HIV/AIDS ORGANIZATNSEVENTSAWARENS DAYSNATNAL BLACK HIV/AIDS AWARENS DAY FEBARY 7HIV IS NOT A CRIME AWARENS DAY FEBARY 28NATNAL WOMEN AND GIRLS HIV/AIDS AWARENS DAY MARCH 10NATNAL NATIVE HIV/AIDS AWARENS DAY MARCH 20NATNAL YOUTH HIV & AIDS AWARENS DAY APRIL 10HIV VACCE AWARENS DAY MAY 18NATNAL ASIAN & PACIFIC ISLANR HIV/AIDS AWARENS DAY MAY 19HIV LONG-TERM SURVIVORS AWARENS DAY JUNE 5NATNAL HIV TTG DAY JUNE 27ZERO HIV STIGMA JULY 21SOUTHERN HIV/AIDS AWARENS DAY AUGT 20NATNAL FAH HIV/AIDS AWARENS DAY AUGT 27NATNAL HIV/AIDS AND AGG AWARENS DAY SEPTEMPBER 18NATNAL GAY MEN'S HIV/AIDS AWARENS DAY SEPTEMBER 27NATNAL LATX AIDS AWARENS DAY OCTOBER 15WORLD AIDS DAY DECEMBER 1EVENT PLANNG GUI CONFERENCU.S. CONFERENCE ON HIV/AIDS (USCHA) NATNAL RYAN WHE CONFERENCE ON HIV CARE & TREATMENT AIDS 2020 (23RD INTERNATNAL AIDS CONFERENCE VIRTUAL) LEARNG OPPORTUNILEARNG OPPORTUNILEARNG OPPORTUNIWANT TO STAY ABREAST OF CHANG PREVENTN, RE, TREATMENT OR REARCH OR OTHER PUBLIC HEALTH ARENAS THAT AFFECT OUR LLECTIVE RPONSE TO THE HIV EPIMIC? OR ARE YOU NEW TO THIS FIELD? CURAT LEARNG OPPORTUNI FOR YOU, AND THE PEOPLE YOU SERVE AND LLABORATE WH.STAY UP TO DATE WH THE WEBARS, TWTER CHATS, NFERENC AND MORE THIS SECTN.MORE LEARNG OPPORTUNIBLOGGET TTED. FD SERVIC + PREPSEARCHGOESPAñOL ESPAñOL ES GET TTED. FD SERVIC + PREPSEARCHOPEN LOTOR SEARCHHIV SERVICES LOCATORSEARCH⨯CLOSEHOMEHIV BASICSOVERVIEWDATA AND TRENDSU.S. STATISTICSSECTN MENUGET TTED. FIND SERVICES + PREP.DATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSSEARCHDATA & TRENDSU.S. STATISTICSIMPACT ON RACIAL AND ETHNIC MORIGLOBAL STATISTICSU.S. STATISTICS

WHY ARE GAY MEN MORE AT RISK FOR HIV?

Sce the HIV epimic started the 1980s gay men have been at a greater risk and reprented more of the new HIV s that we’ve known this untry and actually ternatnally as well. It’s bee we live a high HIV prevalent society among gay men and then also bee some of the behavrs that we engage may put more at risk for HIV. For gay and bisexual youth who are jt begng to explore their sexualy, homophobia and other forms of anti-LGBTQ bias help expla why so many young people our muny are unaware of their HIV stat.

The natn also saw tremendo progrs the fight agast HIV unr former Print Barack Obama, whose Natnal HIV & AIDS Strategy explicly lled attentn to gay and bisexual men and transgenr women for the first time. Rearchers analyzed data om 44 stat and found that the natnal rate of early stage syphilis gay and bisexual men was an timated 309 s per 100, 000. Gay and bisexual men livg the South had the hight rat, wh North Carola, Mississippi and Louisiana reportg more s of the disease.

In North Carola, for example, there were 748 s per 100, 000 gay and bisexual men, while Alaska had the fewt s, only 73 for every 100, 000. Gay, bisexual, and other men who have sex wh men reprent approximately 2% of the Uned Stat populatn, yet are the populatn most severely affected by HIV. In 2012, an abstract for a The Brazilian Journal of Infect Diseas articled entled Clil maniftatns of primary syphilis homosexual men dited, “At the begng of a new lennium, syphilis cince has been creasg worldwi, occurrg primarily among men who have sex wh men.

WHY IS HIV MORE COMMON IN GAY MEN

In 2012, gonorrhea and syphilis spreadg among homosexual men engagg sexual activy wh one another creased prevalence the Uned Stat. In the 20th century, the gay muny saw such watershed moments as the targetg of gay people by the psychiatric enterprise and the McCarthy era wch-hunts, the birth of gay liberatn, lbian femism, and queer culture, homosexualys and medilisatn, the legalisatn of gay marriage, and the overturng of bans on gay people servg the ary.

For gay men and women born before 1930, whom I terviewed 1995 and who me of age an era of polil, medil, and scientific opprsn, the emergence of gay liberatn was the most signifint event shapg their experience of gay life. In 2017, the Center for Disease Rearch and Policy and the Universy of Mnota reported an article entled Shigella gay men growg more antibtic ristant:. HIV was tearg the gay muny apart and my diagnosis was almost a relief after a trapped a cycle of sex, shame, fear and regret.

That medil breakthrough 1996 meant an HIV diagnosis was no longer a termal one, but rat among gay men remaed disproportnately high and stigma rife.

HIV NOW FECTS MORE HETEROSEXUAL PEOPLE THAN GAY OR BISEXUAL MEN – WE NEED A NEW STRATEGY

Now, 49% of new diagnos England are among straight people (wh an almost even spl between men and women), pared wh 45% for gay and bisexual men. There was a 7% fall HIV ttg by gay men sexual health clics England 2020, but HIV ttg rat heterosexuals dropped by a third.

This mak the news of a higher number of HIV diagnos heterosexuals than gay men even more turnaround fortun cis wh three big chang for HIV the UK the past . For example, I have 100% nfince that I n’t pass on HIV to my hband, and he do targeted work focg on at-risk groups – cludg gay men, as well as those of black Ain herage and some the trans muny – is workg.

This par wh jt 29% among gay and bisexual need to tt more people more often and more plac – regardls of genr, sexualy, ethnicy or anythg else. To ntextualise the size of the challenge, jt 4% of those on NHS England’s PrEP trial didn’t intify as a gay or bisexual also need to ensure that all healthre profsnals have a solid basele knowledge of HIV, which I know om personal experience is all too often not the se. For example, if someone is prentg wh symptoms of a promised immune system (such as thsh or ld sor), we need GPs to remend an HIV tt for a whe heterosexual grandmother jt as they might for a gay is a unique health challenge and remas one of the most stigmatised health ndns.

HIV/AIDS AND EDUTN: LSONS OM THE 1980S AND THE GAY MALE COMMUNY THE UNED STAT

Knowledge is power: If we learned anythg the gay male muny durg the early days of the HIV/AIDS epimic the Uned Stat, was that.

Inially mislabeled "gay-related immune ficiency" (GRID), valuable time was lost rpondg to the crisis bee most felt safe the belief that they were not at risk. Sce early victims were predomantly gay men, the stigma attached to homosexualy the medil, erng, law enforcement and eccliastil stutns beme a barrier to unrstandg, preventn, and out of doctoral study the mid-1980s, I was part of the first generatn of mental health provirs to rpond to the epimic the San Francis Bay Area Northern California.

Her Highns Sheikha Mozah exhorted the atten om around the world to not stop at talk but, stead, m themselv to actn agast both the sndalo lack of accs to dimentary tn for over one hundred ln school-age children worldwi, as well as the tolerable equi of genr, class, and enomic stature which impair the attament of basic years ago, the gay muny was effective tg var social and profsnal muni bee, beg highly ted, privileged, and entled, was unaaid to speak the tth and go head-to-head wh powerful sectors that were perceived as obstctg accs to rmatn, rearch, treatment, and fundg.

ACTIVISTS NMN VLENCE AGAST LGBTQ MUNY ST. VCENT, WHERE GAY SEX IS ILLEGAL

I was one of many who engaged medil and law enforcement profsnals our muni to te them about social bias and mistaken notns about homosexualy, so that they would be ls aaid to serve the muny. One, the Lbian, Gay, Bisexual, Transgenr, Queer (LGBTQ) Prints Higher Edutn is newly formed and "advanc effective learship the realm of post-sendary tn, supports profsnal velopment of LGBTQ lears that sector, and provis tn and advocy regardg LGBTQ issu wh the global amy and for the public at large.

GAY AND BISEXUAL MEN'S HEALTH ISSU

Vcent and the Grenad, where gay sex is still homelsns to ongog physil and verbal abe, the gay muny the small natn of some 100, 000 people says is unr nstant threat.

HIV-RELATED STIGMA WH MUNI OF GAY MEN: A LERATURE REVIEW

Vcent, anal sex is punishable by up to 10 years prison, while “gross cency” wh another person of the same sex is punishable by up to five years, acrdg to lonial-era laws that are mon the socially nservative Caribbean rarely voked, the rights group and a lol activist said the laws help legimize hostily and abe agast gay people. ”Human Rights Watch terviewed more than 20 members of the island’s LGBTQ muny who shared their stori but were not intified to protect them, notg that lol police are often openly discrimatory toward gay people who seek help. Several reported that their fai are homophobic and physilly and verbally abed them, g them to bee homels and promptg some to nsir also stggle to fd jobs amid a high unemployment rate and said they face discrimatn, cludg a 19-year-old gay man who said he has rorted to beggg: “Sometim I am so hungry.

”González wh Human Rights Watch noted that 2019, the ernment held a workshop for public employe on the importance of rpectg gay rights, a rare move for a nservative Caribbean natn. It was noted early on that young gay men were most likely to receive an HIV diagnosis; a sendary populatn of needle-g dg abers was quickly intified as an at-risk patient group.

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Given the soclogil parameters of known HIV patients 1982, early scientists labeled the group of mystery illns as a gay-related immune ficiency, gay ncer or muny-acquired immune dysfunctn.