HIV and Gay and Bisexual Men | NIH

Contents:

• HIV POZ GAY DATG S
• HIV POSIVE GAY DATG S
• HIV AMONG GAY AND BISEXUAL MEN THE U.S.
• HIV AND ALL GAY AND BISEXUAL MEN
• GAY, BISEXUAL MEN CREASGLY AGREE: HIV “UNTECTABLE EQUALS UNTRANSMTABLE”
• ENGAGG SEXUAL AND GENR MORY YOUTH HIV INTERVENTNS THROUGH GAY DATG APPS: RECMENT PROTOL
• HE’S READY: R&B SGER TEV CAMPBELL NFIRMS HE IS GAY NEW TERVIEW
• THE SIMPLE FORMULA FOR SUCCS HIV-POSIVE GAY DATG!
• GAY DATG APP GRDR CHANG S POLICY OF SHARG ERS’ HIV STAT WH OUTSI VENDORS
• HOW NORMAL HAS HIV REALLY BEE FOR SERODIFFERENT GAY UPL?

HIV POZ GAY DATG S

Image ptn, Dan Harry om Coatbridge was a nttant on BBC Three's "I kissed a Boy"A nttant who appeared on the UK's first gay datg show is takg part a new HIV vacce trial. "The trial, EHVA PO1, is beg n by specialists London at the St Stephen's Centre and Wtmster Hospal as well as wh partner s source, Dan HarryImage ptn, Dan Harry marched wh Terrence Higgs tst at London pri this year to raise awarens of their work to end HIVMr Harry said that due to the lack of tn school he was left anx about HIV and left him sred to e out as gay.

HIV POSIVE GAY DATG S

"There is a misnceptn around HIV, still predomately affects gay men the UK but actually the implitns this vacce uld have is on a more global sle, " he said.

"We n see the impact of preventn strategi like creasg HIV ttg, treatment as preventn, and pre-exposure prophylaxis particularly among gay and bisexual men, for whom new diagnos have been droppg signifintly sce 2014.

HIV AMONG GAY AND BISEXUAL MEN THE U.S.

Atralia has achieved a remarkable 57% rctn new HIV diagnos among gay and bisexual men sce 2013, showsg the succs of prehensive approach to HIV preventn wh this populatn. “We n see the impact of preventn strategi like creasg HIV ttg, treatment as preventn, and pre-exposure prophylaxis particularly among gay and bisexual men, for whom new diagnos have been droppg signifintly sce 2014.

Atralia has achieved a remarkable 57 per cent rctn new HIV diagnos among gay and bisexual men sce 2013, showsg the succs of prehensive approach to HIV preventn wh this populatn.

It's an achievement won through s of rearch, mpaigns, treatments, and the hard work of the most vulnerable muni: sex workers, dg ers and, of urse, the gay Harvey has this story. Factors that fluence health out—cludg HIV-related stigma, homophobia, racism, discrimatn, poverty, limed accs to high-qualy health re, and other longstandg barriers—have ntributed to the unequal reach of HIV preventn and treatment; higher levels of HIV some muni; and ntued equi.

HIV AND ALL GAY AND BISEXUAL MEN

Wh effective preventn and treatment tools at our disposal, the natn has a s--the-makg opportuny to end the domtic HIV epimic and elimate dispari HIV preventn and re among gay and bisexual men and other populatns disproportnately affected by HIV. Courty Gira FenrisWyckoff Heights Medil Center is thought to be the first health center New York Cy — and perhaps beyond — to rporate gay datg apps such as Grdr, Jack’d and Scff to s sexual health efforts.

The center says the novative approach is workg: Sce s lnch 2016, the program has attracted more than 300 clients to the of the clients are black and Hispanic gay men and trans women, groups that are disproportnately affected by HIV. 2017, and of those gay and bisexual men diagnosed wh HIV, 37 percent were black and 29 percent were Hispanic, acrdg to the Centers for Disease Control and program’s lnchThe program was started by Antón Castellanos-Usigli, who had jt fished his master’s gree public health at Columbia Universy when 2015 he was reced by Wyckoff Heights Medil Center.

“The center hired me precisely bee they wanted to crease the number of gay and bisexual Hispanic clients, ” Castellanos-Usigli, who had migrated om Mexi 2013, said. Shortly after beg hired, Castellanos-Usigli rells thkg to himself, “You are young, you're Hispanic yourself, where do you talk to other gay guys about sex? ‘We have to treat the whole person’Through Grdr and other gay datg apps, the center brgs clients to s Stat Ntral program, which aims to keep HIV-posive patients at an untransmtable viral load and protect HIV-negative patients agast fectn through ndoms, regular ttg and PrEP or preexposure s lnch, the center has standardized the practice and tracked s rults.

GAY, BISEXUAL MEN CREASGLY AGREE: HIV “UNTECTABLE EQUALS UNTRANSMTABLE”

CAMBA, Brooklyn, has seen siar succs g gay datg apps to reach dividuals at high-risk of HIV fectn: From 2017 to 2018, 65 percent of s clients lked to PrEP or PEP servic were reached through apps apps like Grdr. Some would rather have ncer than live wh the stigma of the fectn, where a diagnosis is filled wh not only ternalized gay shame but a sense of flt: "It uld have been prevented if only we had jt loved a ltle ls...

ENGAGG SEXUAL AND GENR MORY YOUTH HIV INTERVENTNS THROUGH GAY DATG APPS: RECMENT PROTOL

Whether they know their stat or not, there are hundreds of thoands of gay men livg wh HIV, hookg up and fallg HIV-negative men I know live and love a seemgly blissful nial, pretendg HIV isn't already enmhed their datg and sex liv.

To get there, we need to do more to enurage HIV-posive and HIV-negative gay men to openly discs their stat and risk onle and to create a dialogue that supports both HIV-posive and HIV-negative people who are workg through the difficult challenge of beg relatnships wh each other. In the gay world, we n be sensive to straight people cricizg or judgg , but there is an amazg amount of hypocrisy and elism our own backyard, much of a rult of fear and 't Be a Douche BagWe need to let our HIV-posive iends know we are available to discs stat and safe sex openly.

HE’S READY: R&B SGER TEV CAMPBELL NFIRMS HE IS GAY NEW TERVIEW

Adm Your FearsUntil HIV-negative guys start admtg we're aaid of beg HIV-posive, until we adm our vtment beg HIV-negative, and until we adm the judgments that often get attached to HIV-posive stat, we're never gog to get rid of the shamg power of HIV and the negative impact has on , on HIV-posive men, and on future generatns of gay men. If you are HIV-negative, I urge you to to face your fears, acknowledge your prejudic, and stop the cycle of discrimatn wh the gay, this ongog age of HIV, requir clary, rponsibily, and matury our acquatanc and iendships, our romanc, and, most importantly, the heat of the. Social and stctural issu—such as HIV stigma, homophobia, discrimatn, poverty, and limed accs to high-qualy health re—fluence health out and ntue to drive equi.

THE SIMPLE FORMULA FOR SUCCS HIV-POSIVE GAY DATG!

†Unr 50%Only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men who uld have benefted om medice to prevent HIV (PrEP) ed 50%Only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men who uld have benefted om medice to prevent HIV (PrEP) ed 2017. 2 3Only about 2 3 Black/Ain Amerin (62%) or Hispanic/Lato (67%) gay and bisexual men wh HIV were virally supprsed 2019, ‡ pared wh about 3 4 (74%) Whe gay and bisexual men.

From 2010 to 2019, new HIV fectns cled among Whe gay and bisexual men but remaed higher and relatively stable among Black/Ain Amerin and Hispanic/Lato gay and bisexual men. Social and stctural barriers such as systemic racism, stigma, discrimatn, homophobia, poverty, and homelsns n make difficult to accs HIV ttg, re, and preventn servic.

GAY DATG APP GRDR CHANG S POLICY OF SHARG ERS’ HIV STAT WH OUTSI VENDORS

There have been signifint advanc HIV preventn and treatment but missed ttg opportuni healthre settgs are preventg some gay and bisexual men om knowg their HIV stat and beneftg om the advanc. Gay and bisexual men who learn they have HIV n start and stay on HIV treatment, get the vis down to an untectable level (bee virally supprsed), live long and healthy liv, and prevent sexual transmissn to others. This goal n only be achieved by dramatilly rcg new HIV fectns among the most affected groups, cludg Black/Ain Amerin and Hispanic/Lato gay and bisexual men, and expandg and stag vtments HIV servic.

Among gay and bisexual men who uld benef om PrEP, only 27% of Black/Ain Amerin, 31% of Hispanic/Lato, and 42% of Whe gay and bisexual men reported g PrEP 2017. High levels of HIV stigma—negative attus and beliefs about people wh HIV—make gay and bisexual men ls likely to get tted, e preventn servic like PrEP, receive re, and be virally supprsed. Innovative and culturally rponsive strategi that addrs gay and bisexual men’s needs n rce barriers that keep men om knowg their HIV stat and receivg HIV preventn and treatment servic.

HOW NORMAL HAS HIV REALLY BEE FOR SERODIFFERENT GAY UPL?

Addrsg HIV service equi by race, sexual orientatn, and socenomic stat and tailorg strategi to meet the needs of lol muni and reach the most affected groups, pecially Black/Ain Amerin and Hispanic/Lato gay and bisexual men, n help end the HIV epimic.