HIV and Gay and Bisexual Men | NIH

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HIV and the syndrome , AIDS, began spreadg the Uned Stat the early 1980s. By the late 1980s had bee a public health crisis. Inially the U.S. ernment did ltle to addrs the epimic, due part to misnceptns that the disease only affected gay men. Activists me together to mand a rponse om the ernment and the ternatnal muny. By the mid-1990s, HIV/AIDS numbers were on the cle Ameri. Today, lns of people around the world are livg wh HIV and tens of thoands of people die of AIDS-related illns every year.

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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. * aids gay people *

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. READ MORE: Panmics That Changed History: A TimeleThe AIDS Epimic Aris Though HIV arrived the Uned Stat around 1970, didn’t e to the public’s attentn until the early 1981, the Centers for Disease Control and Preventn (CDC) published a report about five prevly healthy homosexual men beg fected wh Pnmocystis pnmonia, which is ed by the normally harmls fung Pnmocystis jirovecii.

Bee the disease appeared to affect mostly homosexual men, officials ially lled gay-related immune ficiency, or the CDC disvered all major rout of the disease’s transmissn—as well as that female partners of AIDS-posive men uld be fected— 1983, the public nsired AIDS a gay disease.

The FDA would revise s l 2015 to allow gay men to give blood if they’ve been celibate for a year, though blood banks routely tt blood for the end of 1985, there were more than 20, 000 reported s of AIDS, wh at least one se every regn of the is Developed In 1987, the first antiretroviral meditn for HIV, azidothymide (AZT), beme available. HIV/AIDS the 1990s and 2000s In 1991, the red ribbon beme an ternatnal symbol of AIDS that year, basketball player Magic Johnson announced he had HIV, helpg to further brg awarens to the issue and dispel the stereotype of beg a gay disease.

HIV AND ALL GAY AND BISEXUAL MEN

Gay and bisexual men are more severely affected by HIV than any other group the Uned Stat (US). * aids gay people *

About 13 percent of them don’t know and need ntu to have a disproportnate impact on certa populatns, particularly racial and ethnic mori and gay, bisexual, and other men who have sex wh 2019, an timated 34, 800 new HIV fectns occurred the U. :In 2020, MSM acunted for 71% of new HIV diagnos the Uned 2020, Black/Ain Amerin MSM acunted for 26% (8, 064) of new HIV diagnos and 39% of diagnos among all 2020, Hispanic/Lato MSM ma up 21% (6, 359) of new HIV diagnos and 31% of diagnosis among all 2016 to 2019, HIV diagnos creased 7% among gay and bisexual men overall.

Origally intified as a “gay disease” bee gay men were one of the primary groups afflicted, HIV and the syndrome , Acquired Immune Deficiency Syndrome, were unknown 1981 but had bee hoehold terms and the number one threat to public health by the late 1980s. For several years after the Center for Disease Control first realized that the illns croppg up muni around the untry were all the work of the same vis, the Amerin ernment did ltle to addrs the epimic, a failure to act that many attribute to the fact that HIV/AIDS was primarily affectg gay men, traveno dg ers, immigrants and racial activists, medil profsnals, artists and a number of people wh AIDS who went public wh their diagnos spe the stigma surroundg the disease eventually spurred a massive rponse om the U. ” Although the headle would soon be proven false, his report that a number of gay men have been admted to New York Cy tensive re un wh severely promised immune systems is the first article to mentn what soon be known as 5, 1981 – The CDC publish an article scribg five s of a rare lung fectn young, otherwise healthy gay men Los Angel, two of whom have died and three of whom die a short time after.

WHY ARE GAY MEN MORE AT RISK FOR HIV?

The HIV epimic ntu to disproportnately impact gay and bisexual men, transgenr women, youth 13-24 and muni of lor. * aids gay people *

This article is often ced as the official begng of the AIDS 1981 – An LGBT newspaper San Francis, The Bay Area Reporter, wr about “Gay Men’s Pnmonia” and urg gay men experiencg shortns of breath to see a doctor.

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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. * aids gay people *

The New York Tim article “Rare Cancer Seen 41 Homosexuals” leads to the g of the term “gay ncer” to scribe Kaposi’s 11, 1981 – Wrer and film producer Larry Kramer hosts a fundraiser his New York Cy apartment, at which Dr. &nbsp;</em>May 11 – In an article tled “New Homosexual Disorr Worri Health Officials, ” the New York Tim first publish the phrase Gay-Related Immune Deficiency, or GRID, ntributg to the wispread misnceptn that AIDS only affects gay men.

Misnceptns around the study (and a misreadg of Patient O”) give rise to the myth of Patient Zero, a promiscuo or even malic gay man who sgle-handly and knowgly touched off the AIDS panmic the Uned 23 – The Department of Health and Human Servic announc the disvery of a retrovis they ll HTLV-III, the e of AIDS. Food and Dg Admistratn licens the first blood tt for HIV, and blood banks beg screeng the untry’s blood 22 – The Normal Heart, an tobgraphil play about the early days of the crisis by Larry Kramer, opens 25 – Rock Hudson, a legendary actor om the Goln Age of Hollywood whose homosexualy was an open secret the dtry, announc he has AIDS.

The book receiv ltle mastream attentn at publitn, but go down history as a watershed moment gay MORE: How AIDS Activists Used ‘Die-Ins’ to Demand Attentn to the Growg Epimic1987Ann E Zelle/Getty ImagThe AIDS Memorial Quilt featured the nam of 1, 920 people who died of AIDS-related illns when was first displayed 1987—the number eventually grew to over 10, 000.

DISCRIMATN AND HOMOPHOBIA FUEL THE HIV EPIMIC GAY AND BISEXUAL MEN

* aids gay people *

First diagnosed six months before the 1988 gam, Louganis had kept his diagnosis and treatment a secret, even after g out as gay MORE: How Greg Louganis' Olympic Divg Accint Forced a Conversatn About AIDS1996The number of AIDS s diagnosed annually the U. Men who have sex wh men were, and still are, disproportnately impacted by HIV bee transms much more easily through anal sex than through vagal first official ernment report on AIDS me on June 5, 1981, the Morbidy and Mortaly Weekly Report, a ernment bullet on perplexg disease s: “In the perd October 1980-May 1981, 5 young men, all active homosexuals, were treated for bpsy-nfirmed Pnmocystis rii pnmonia at 3 different hospals Los Angel, California. ”In a 1983 appearance on NBC's "Today" show, activist and Gay Mens Health Crisis -founr Larry Kramer asked host Jane Pley, "Jane, n you image what mt be like if you had lost 20 of your iends the last 18 months?

She lled the group "Save Our Children" and said reprented the rights of the majory of fileOn March 22, 1980, a year before that first MMWR report, evangelil Christian lears livered a petn to Print Jimmy Carter mandg a halt to the advance of gay rights. “God’s judgment is gog to fall on Ameri as on other societi that allowed homosexualy to bee a protected way of life, ” Bob Jon III predicted, acrdg to the anti-gay reactn gaed steam across Ameri wh the electn of Moral Majory ally Ronald Reagan, activists found their mands for attentn for a growg medil crisis were ignored.

AIDS: STILL A GAY DISEASE AMERI

Perpetuatn of the HIV epimic gay and bisexual men is not directed solely by person-level behavrs but is fluenced by a range of ntextual factors, rooted cultural, historil and polil stctur this untry. * aids gay people *

One such group was the Gay Men’s Health Crisis, found New York Cy 1982, which is today the olst HIV/AIDS service anizatn the Men's Health Crisis Smh / NY Daily News via Getty Imag fileBut 1987, activists were still trated by ernment actn as bodi ntued to pile up, and they found the AIDS Coaln To Unleash Power, or ACT UP, New York, their actns and their activist art are legendary for speedg the ernment’s rponse to the AIDS crisis, allowg quicker ttg and treatment of lifavg experimental dgs, and drawg public attentn to the adly impact of homophobic public health polici. In 2017, CDC award nearly $11 ln per year for five years to 30 CBOs to provi HIV ttg to young gay and bisexual men of lor and transgenr youth of lor, wh the goal of intifyg undiagnosed HIV fectns and lkg those who have HIV to re and preventn servic. Even if we ignore the fact that ernments only publicly acknowledged AIDS years after the first known patients (homosexual men) started dyg, the and other films of the time are evince of the impact a homophobic mastream culture had on the ways AIDS was alt wh public.

Dpe the fact that homosexual men had been one of the mographics most affected by the ndn, the mpaigns still refed to addrs homosexuals directly and munite clearly to them ways which homosexual sex uld be ma safer. Marked by a fear, on the part of the Thatcher and Reagan ernments, that speakg directly to homosexuals uld be seen as endorsg “viant” homosexual behavur, the often moralistic – and publicly-fund – health mpaigns released durg the peak of the Wtern AIDS crisis ignored the specific reali of those most affected by the epimic.

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Further, if AIDS beme such a fg spectre hntg gay men durg the 1980s and the early 1990s, we need to thk about the ways which gay masculi and sexual practic are today beg shaped and reprented the age of antiretroviral therapi. More recently, wh the game-changg breakthroughs the bmedil arena, attentn has shifted to the bmedil preventn strategi, which clu preexposure prophylaxis (PrEP) for gay, bisexual, and other MSM (Grant et al., 2010) and vagal microbicis for women (Abdool et al., 2010). In rponse to the alarmg health dispari among gay and bisexual men, there has been a ll to broan the preventn lens to exame the fluence of multiple social and ntextual factors fluencg health behavrs (Halkis & Cahill, 2011).

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