Health issu for gay men and other men who have sex wh men - Mayo Clic

why is hiv associated with gay

What's behd the higher rat of fectn among gay men? Dr. David bunks myths and explas why some groups are and areas are more affected by HIV/AIDS than others.

Contents:

HIV AMONG GAY AND BISEXUAL MEN THE U.S.

The high percentage of gay and bisexual men who are livg wh HIV means that, as a group, they have a greater risk of beg exposed to HIV; browse lks here. * why is hiv associated with gay *

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. 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. 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.

†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.

WHY ARE GAY MEN MORE AT RISK FOR HIV?

* why is hiv associated with gay *

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. 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.

HIV AND ALL GAY AND BISEXUAL MEN

Differenc exist by race/ethnicy knowledge of HIV stat, preventn, treatment, and stigma among gay and bisexual men. * why is hiv associated with gay *

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. Black/Ain Amerin and Hispanic/Lato gay and bisexual men experience higher levels of HIV stigmapdf inexternal in, wh sr more than twice the natnal goal.

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. Adaptg Ryan Whe Programexternal in service mols to other settgs where prehensive re and other support servic are provid to gay and bisexual men wh HIV. Addrsg the root that drive equaly, cludg systemic racism, stigma, discrimatn, homophobia, poverty, homelsns, and unequal accs to re and preventn servic.

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

The HIV epimic ntu to disproportnately impact gay and bisexual men, transgenr women, youth 13-24 and muni of lor. * why is hiv associated with gay *

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. 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. 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.

Rockstroh, b, i and Marc ThompsonbAbstractWhile stigma associated wh HIV fectn is well regnised, there is limed rmatn on the impact of HIV-related stigma between men who have sex wh men and wh muni of gay men. This review of the lerature reports a growg divisn between HIV-posive and HIV-negative gay men, and a agmentatn of gay muni based along l of perceived or actual HIV stat.

HIV IS A STORY FIRST WRTEN ON THE BODI OF GAY AND BISEXUAL MEN

Gay and bisexual men are more severely affected by HIV than any other group the Uned Stat (US). * why is hiv associated with gay *

Keywords: Stigma, HIV/AIDS, gay men, men who have sex wh men, mental health, emotnal well-begIntroductnStigma has been fed as any characteristic, real or perceived, that nveys a negative social inty (Crocker, Major, & Steele, 1998; Goffman, 1963). However, stigmatisatn of HIV-posive dividuals also occurs specifilly wh muni of gay men (Cloete, Simbayi, Kalichman, Strebel, & Henda, 2008; Dowshen, Bns, & Garofalo, 2009).

Ined, a growg divisn has been documented (Botnick, 2000a), whereby HIV-negative gay men associate maly or exclively wh other HIV-negative gay men, and vice versa. Botnick has lked this wh observatns that HIV-posive gay men have an creased tenncy to whdraw om both their ual social scen and wir society (Botnick, 2000b). Such effects, upled wh the fact that HIV prevalence and transmissn rat many veloped natns are high, and creasg among gay men (UNAIDS, 2009), highlight the need for terventns to actively unter stigmatisatn aimed specifilly at HIV-posive gay men.

This article reviews the agmented and largely anecdotal lerature on HIV-related stigma among men who have sex wh men (MSM), and wh muni of gay men, orr to rm future rearch and the velopment of more effective terventns. The lerature search was then filtered by searchg wh keywords cludg “gay muny, ” “gay men, ” “men who have sex wh men (MSM), ” “serosortg” and “disclosure”.

GAY AND BISEXUAL MEN'S HEALTH ISSU

Unrstand health ncerns for gay men and other men who have sex wh men, and learn how to promote good health. * why is hiv associated with gay *

Stigma clud discrimatn and rejectn by HIV-negative gay men, stigma related to ageg, chang physil appearance, race/ethnicy and of HIV-related stigma wh gay muniDiscrimatn and rejectn by non-HIV fected gay menSome HIV-negative gay men feel that HIV-posive men threaten gay muni, eher terms of health or general perceptns of gay men (Flowers, Dunn, & Franks, 2000). For example, a survey of HIV-negative gay Lato men, over 50% believed HIV-posive gay men were personally rponsible for their HIV stat and were more promiscuo than themselv (Courtenay-Quirk, Wolski, Parsons, & Gomez, 2006; Díaz, 2006). Conversely, younger HIV-posive gay men have reported antipathy om olr gay men (both HIV-posive and HIV-negative) who feel that sce the younger generatn have accs to better HIV tn and servic than they did, younger gay men should be more rponsible avoidg fectn.

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

Rearch has shown that the followg are some of the most mon health ncerns faced by gay and bisexual men. * why is hiv associated with gay *

Acrdg to reports om foc groups of HIV-posive gay and bisexual men the UK, olr HIV-posive men are often nsired to be at the “lowt ng” of the “gay social hierarchy” (Dodds & Keogh, 2006). For example, a study of sexual partner selectn the USA (Raymond & McFarland, 2009), black gay men were perceived to be at higher risk of beg HIV-posive pared to other ethnici, which may lead men of other rac to avoid black men as sexual partners. Furthermore, the study suggted that the attus of non-black gay men, and social works and environments found gay venu n also separate black gay men om their addn to the perceived stigma om external sourc, “ternal stigma” or “self-stigma” is a nfoundg issue among HIV-posive gay men and n be the rult of ongog external stigma.

A US-based study found that MSM who “self-stigmatised” homosexualy were ls likely to unrtake HIV ttg, wh black MSM twice as likely as whe MSM to have ternalised homophobia (Glick & Goln, 2010).

Consequenc and impact of stigma on HIV-posive menMental and emotnal well-begAmong HIV-posive gay men, stigma has a nsirable impact on mental and emotnal well-beg, g signifintly creased levels of anxiety, lonels, prsive symptoms, suicidal iatn and engagement avoidant strategi such as social whdrawal (Courtenay-Quirk et al., 2006; Grov et al., 2010). From self-pleted surveys of major prsive disorr (MDD) sexually active gay men attendg general practic urban Atralia (Mao et al., 2009), appeared that the rate of MDD among the 195 HIV-posive gay men was signifintly higher than that among the 314 HIV-negative gay men (31.

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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⨯CLOSEHOMEBLOGCDC RELEAS VAL SIGNS ON HIV AND GAY AND BISEXUAL MENCDC RELEAS VAL SIGNS ON HIV AND GAY AND BISEXUAL MENCONTENT FROM: •PUBLISHED: NOVEMBER 30, 2021•1 M READTOPICSCDCCENTERS FOR DISEASE CONTROL & PREVENTNGAY & BISEXUAL MENGAY & BISEXUAL MENWORLD AIDS DAYSHARESHARE ON FACEBOOKSHARE ON TWTERSHARE ON LKEDINSHARE ON EMAILTODAY, CDC RELEASED A NEW VAL SIGNS REPORT ON HIV AND GAY AND BISEXUAL MEN. ACRDG TO THIS REPORT, SPE PROGRS RCG NEW HIV FECTNS AMONG GAY AND BISEXUAL MEN OVERALL, THE HIV EPIMIC NTUED AND WAS MORE SEVERE AMONG BLACK/AIN AMERIN AND HISPANIC/LATO GAY AND BISEXUAL MEN OM 2010 THROUGH 2019. THIS REPORT, LNCHED ON THE EVE OF WORLD AIDS DAY (DECEMBER 1), LOOKS AT THE HEALTH EQUI THAT EXIST HIV PREVENTN, DIAGNOSIS, AND TREATMENT AMONG GAY AND BISEXUAL MEN.READ THE REPORT TO LEARN ABOUT THE NEW FDGS AND WHAT N BE DONE TO RCE THE DISPARI.READ THE FULL MMWR.RELATED BLOGSAUG 30, 2023THE INGURAL SYNMIC SOLUTNS SUMM4 M READLISTEN(1)WATCH(1)DOWNLOAD(, )AUG 24, 2023CDC PUBLISH NEW DATA OM MEDIL MONORG PROJECT2 M READLISTEN(1)WATCH(1)DOWNLOAD(, )AUG 23, 2023WHE HOE ROUNDTABLE ON HOG AND SEXUAL HEALTH3 M READLISTEN(1)WATCH(1)DOWNLOAD(, )SIGN UP TO RECEIVE EMAIL UPDAT OF BLOG POSTS (AND MORE!)TOPICS & ADDITIONAL RESOURCESTOPICSCDCCENTERS FOR DISEASE CONTROL & PREVENTNGAY & BISEXUAL MENGAY & BISEXUAL MENWORLD AIDS DAYSEARCHFD HIV TTG S & CARE SERVICCONNECT WH US

Read rpons to myths that 'HIV is a gay disease' or a 'ath sentence,' and fd other important rmatn about gettg tted. * why is hiv associated with gay *

Furthermore, a study of HIV-posive MSM New York and San Francis, participants perceived a “rift” based on HIV stat wh their gay muny that was lked to prsn, anxiety and lonels (Wolski, Dey, Parsons, & Gomez, 2002) segregatn based on HIV statStudi of “serosortg” have emerged the lerature, whereby gay men and MSM associate predomately wh others of the same HIV stat (Barber, 1991; Johnson, 1995; Yi, Shidlo, & Koegel, 2004). Some thors report posive aspects of serosortg for both HIV-negative and HIV-posive gay men, while others have likened to an “AIDS apartheid”1 based on ternal or outwardly perceived stigma (Barber, 1991) studi have suggted that serosortg may rce transmissn among high-risk HIV-negative gay men (Eaton, Kalichman, O'Connell, & Karchner, 2009; Philip, Yu, Donnell, Vtghoff, & Buchbr, 2010; Wilson et al., 2010). It has been suggted that most HIV-negative and HIV-posive men may more accurately be scribed as practisg “serogusg” selectn based on perceived rather than actual HIV stat (Zablotska et al., 2009) whdrawal due to chang physil appearanceA seri of terviews Atralia wh HIV-posive gay men lked the prence of lipodystrophy wh feelgs of isolatn (Persson, 2005).

Disclosure of HIV statIn a qualative study the USA (Courtenay-Quirk et al., 2006), participants scribed how social isolatn wh gay muni often occurred when people chose not to disclose their HIV stat to anyone outsi their immediate support work. Rejectn relatnshipsIn a study of HIV-posive gay men the UK (Bourne, Dodds, Keogh, Weatherburn, & Hammond, 2009), the greatt ncern, shared by nearly all of the men the study regardls of lol HIV prevalence, was the possibily of rejectn by sexual partners followg disclosure of stat. In this example of self-stigmatisatn imposed om external perceptns, also known as meta-stereotypg (Kle & Azzi, 2001), the rponnts felt strongly that beg associated wh HIV-posive sexual spac, eher onle or offle, would pound stigma directed towards one qualative study of relatnships between HIV-posive and HIV-negative men Toronto, Canada, many HIV-posive gay men reported rejectn and lack of empathy om HIV-negative iends and/or partners (Maxwell, 1998).

In addn, a survey the UK reported anecdotal evince om gay men who faced rejectn and vlence by potential partners upon disclosure of their HIV stat, while others were surprised that HIV-negative gay men were not more supportive (Weatherburn et al., 2009) behavurHIV-posive gay men may participate high-risk behavurs, such as dg e and unprotected anal terurse (UAI), as a means of pg wh livg wh HIV (Kelly, Bimbi, Izienicki, & Parsons 2009). Men wh HIV participatg high-risk behavurs, cludg UAI, tend to report creased stigma, gay-related strs, self-blame-related pg and substance abe (Kelly et al., 2009; Radcliffe et al., 2010) a review of the soclogy of “barebackg” (UAI), numero theori are proposed for why gay men engage unprotected sex, cludg the fact that many HIV-posive men feel socially alienated om HIV-negative men (Shernoff, 2005).

LBIAN, GAY, BISEXUAL, AND TRANSGENR HEALTH

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. No one knew what had h , and people were dyg huge numbers all around . The muny lost iends, lleagu, and timate partners. 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 treatment. * why is hiv associated with gay *

In a seri of terviews on disclosure practic, risk takg and attus about HIV fectn nducted among 150 gay men the USA who had participated UAI, rponnts ced a muny-wi shift towards non-disclosure and UAI sce the advent of effective anti-retroviral therapy (ART) (Sheon & Crosby, 2004). Conclns and discsnGay men may nont multiple layers of stigmatisatn and discrimatn based on their sexualy, behavur and their HIV stat om other HIV-negative and HIV-posive gay men. When pound by self-stigma, HIV stigma has been noted a growg number of reports as a signifint divisive fluence between and among gay men at both a muny and dividual level.

Acrdg to UNAIDS, crimalisatn of HIV transmissn may rerce HIV-related stigma, spread misrmatn about HIV, hr HIV ttg and unsellg support and, importantly, create a false sense of secury by enuragg HIV-negative men to dulge risky behavurs, believg themselv legally protected om transmissn (UNAIDS, 2008) rearch is required to fully asss the extent, nsequenc and potential untermeasur relatn to HIV-related stigma wh gay muni. The nsequenc of such missg data negatively affects dividuals livg wh HIV, and may also threaten to further divi muni of gay men and prent a signifint barrier to efforts aimed at addrsg the overall HIV stigma-rctn programm have been intified and shown to be effective small-sle, short-term trials, none have been nducted specifilly among gay men, and many gaps rema, pecially relatn to the size, duratn and impact of the iativ (Brown, Mactyre, & Tjillo, 2003). Such iativ should foster a renewed dialogue about livg wh HIV as a gay man, create opportuni to share unrstandg and experience among HIV-posive and HIV-negative men, and aim to rne gay muni by rcg stigma and offerg tegrated medil and social support.

Whatever else may be, AIDS is a story, or multiple stori, and read to a surprisg extent om a text that do not exist: the body of the male homosexual. In 1980, Ken Horne, a gay sex worker San Francis, California, beme the first person to be diagnosed wh acquired immune ficiency syndrome (AIDS) the Uned Stat.

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