Fighting Homophobia to Fight HIV

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Sean Cahill presents at CHAMP's Community Forum in NYC.

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Homophobia and H.I.V. among gay and bisexual men in the U.S. CHAMP Forum Sean Cahill, Ph.D. Managing Director, Public Policy, Research and Community Health January 22, 2009 GAY MEN'S HEALTH CRISIS

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Running Head: COMMUNITY ANALYSIS 1 Community Analysis The most prevalent risk factors among racial and ethnic minorities are unprotected vaginal or anal sex, inadequate sex education, improving access to prevention and care services and drug use. Jackson, MS has a population of 173,212, with median household income of $32,250. Poverty is one of the major contributing factors to the risky behaviors and the rise of HIV infections within racial/ethnic minority youths. The residents with incomes below the poverty level in Jackson, MS by 2015 was 39.9%, and those with income below 50% of the poverty level was 19.2%, the breakdown is between ages 13 to 19 years of poor residents in Jackson, MS and the percentage is below half of poverty level of 20%. The most common race or ethnicity living below the poverty line in Jackson, MS is Black or African American, followed by White and Hispanic or Latino. The state of homelessness is on the rise and many of these shelters in Jackson, MS now have waiting lists with majority of its occupants are racial/ethnic minority. Even with the waiting lists, those that need to be sheltered will have to call ahead to confirm (City Data, 2015). Mississippi is one of the most rustic states in the United States and its population is perhaps the poorest. According to the 2010 Census, Mississippi has a population of 2,967,297 people, with a racial distribution of 59% white, 37% black, 3% Hispanic, and 2% other. Mississippi ranks second in the nation (after the District of Columbia) for the highest proportion of African Americans. Through U.S. Census Bureau 2011 American Community Surveys, Mississippi levels the first in the country for the number of people living in poverty (22.6% of the total population) and the lowest middle household revenue ($36,919) (United State Census Bureau, 2011). According to the 2011 National HIV Surveillance Report, Mississippi had the 4th highest rate of HIV infection in the United States. The state’s capital city, Jackson, had the third highest rate of HIV diagnoses within aged 13 to 19 years and the eighth highest AIDS diagnosis by metropolitan statistical area (MSA) in 2011. For the past twenty years, numbers of peoples living with HIV in Mississippi has risen yearly. By the end of December 31, 2013, there was approximately 10,473 Mississippians living with HIV (National HIV Surveillance Report, 2013). Secondary data Jackson, MS the state’s capital city and with the most new HIV disease cases are identified in the West Central Public Health District V, which includes the metropolitan Jackson Hinds area, where 47% of all persons with HIV disease in Mississippi reside presently (Mississippi State Department of Health, 2015). According to data for states and metropolitan areas, it’s shown that racial and ethnic minority youths aged between 13 to 19 years rank 4th in the diagnose of HIV at 44.7%. The education b ...

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This is technical writing Assignment, no emotions go straight to the point. Section 1: Introduction The rise in the numbers of Human Immunodeficiency Virus (HIV) diagnoses is notable especially for racial and ethnic minority youth and adolescents aged 13 to 19 years (National Institute of Health, 2013). Approximately one half of all new HIV infections in the United States occur among person(s) younger than 25 years. Nearly 4 million new sexually transmitted infection (STI) cases each year occur among youth and adolescents (NIH, 2013). Reconciling data of 2015, 54.2% of high school students reported having sexual intercourse; of students reported sex during the previous months, 39% stated they didn’t use a condom during their last sexual encounter (United States Census Bureau, 2014). The number of sexually active among youth and adolescents, from 2001 to 2014, there’s been a significant increase in the percentage of youth and adolescents who were never taught about HIV/AIDS. Unified national HIV/AIDS surveillance system has enhanced the ability to monitor and characterize racial and ethnic minority youth populations affected by the HIV epidemic and provide information on the entire population of HIV infected persons who have been tested confidentially (NIH, 2014). Approximately 1.2 million people were living with HIV in the United States in 2014, 49% and 51% undiagnosed infections. Almost 50,000 people become newly infected each year, and in 2014, the estimated rate of diagnoses of HIV infection was 13.8 per 100,000 population (National Institute of Health, 2014). Social trust is associated with lowering the of course mortality rates and that associated HIV infection varied within racial and ethnic minority youth and adolescents. The risk factors that will be addressed in this paper are unprotected vaginal or anal sex, improving access to prevention and care services, inadequate sex education and drug use Unprotected vaginal and anal sex Participating in unprotected vaginal and anal sex, or sex without latex or polyurethane condoms is a major contributing factor of HIV rate in racial and ethnic minority youth and adolescents. In an infected youth or adolescents, the semen and blood contains high amount of HIV. During unprotected vaginal and anal sex HIV can easily pass from one person to another. Several studies link alcohol and drug use to higher rates of unprotected anal intercourse, higher numbers of sex partners, and inconsistent condom use (NIH, 2014). With these trends among racial and ethnic minority National HIV Behavioral Surveillance (2015) reported 21% minority youth and adolescent are infected with HIV while 79% youth and adolescent don’t know their status (National HIV Behavioral Surveillance, 2015). Improving access to prevention and care services Access to HIV prevention and treatment is an important step in helping achieve an HIV free generation, especially among racial and ethnic minority youth and adolescent. If someone ...

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Running Head: HIV/AIDS 1 HIV/AIDS 2 Project Proposal: Awareness on HIV/AIDS in South American States Dayana Lewandowski Florida International University Introduction to the Problem Introduction to the Problem Problem to be addressed. The first cases of AIDS in the United States were reported in New Yolk City and Los Angeles in 1981, but since then the epicenter of the country's HIV epidemic has shifted to the District of Columbia and the 16 states that make up the South, from urban centers. Today, the South is the most affected region and carries the greatest burden of HIV illnesses, deaths, and infection than any other region in the U.S, Rosenberg et al. (2015) reports. Problem subtopic. Southern states alone account for 44 percent of all individuals infected with HIV in the U.S; surprisingly the region has approximately one-third of the overall population in the U.S. Southern states experience internal disparities due to their geographical position. The majority of people living with HIV live in urban areas just like the rest of the nation, Abara et al. (2015). Possible Causes and Maintaining Forces Cause. Unique socioeconomic factors in the South are the primary cause of the heavy burden of HIV. Poverty, poorer health facilities, income inequality, have been more prevalent in the Southern states than the rest of the country. These conditions are not unique to HIV and, overall, the populations in the region have long experienced poorer health outcomes. Among the health challenges are higher rates of diabetes, cancer, obesity as well as infant mortality compared to other areas, Hall et al. (2015) highlight. Cause. Cultural factors and social barriers also contribute to worsening HIV infection in the South of the United States. Issues such as transphobia, homophobia, racism as well as a lack of openness in discussing sexuality in public are more common in the South, and they result in higher levels of stigma, limiting people's willingness to look for HIV testing, prevention, and care services. The challenges also restrict access to sexual health information which is critical to enable individuals to protect themselves from infection, according to Reif et al. (2015). Many people in South America are fearful or ignorant of HIV. Transgender women and men who have sex with men face high levels of discrimination and stigma putting them at risk of homicide and crimes. Since 2008, about 1,200 transgender individuals have been killed in South America. Furthermore, 44-70 percent of transgender women have expressed the need to relocate or were thrown out of their homes (Skarbinski et al., 2015). Why the problem persists. The South experiences higher HIV diagnosis rates in rural and suburban areas that other regions countrywide. In this case, there are various drawbacks to HIV prevention efforts in this area, Abara et al. (2015) comments. Why the problem persists. Compared to other regions, many Southerners living with HIV are not awar ...

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1. Homophobia and H.I.V. among gay and bisexual men in the U.S. CHAMP Forum Sean Cahill, Ph.D. Managing Director, Public Policy, Research and Community Health January 22, 2009 GAY MEN'S HEALTH CRISIS

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6. MSM only group for which new HIV diagnoses increasing

7. Race and age differences

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