I'm sorry. You are not allowed to talk
about this. Ignore and carry on. "Gay and bisexual men represent an
estimated 2% of the U.S. population but more than half of all people living
with HIV and 66% of new HIV infections. They are the only population group in
the United States for which HIV infections are rising."
Behind the Increase in HIV Infections Among Gay and Bisexual Men
Behind the Increase in HIV Infections Among Gay and Bisexual Men
Gay and bisexual men represent an
estimated 2% of
the U.S. population but more than half of all people living with HIV and 66% of new HIV infections. They are the only population group in the United States
for which HIV infections are rising. Projections have shown that if current
trends continue, half of all gay and bisexual men will be
HIV-positive by age 50.
So it’s a major concern that,
according to a Kaiser Family Foundation survey published
Thursday, only a third of gay and bisexual men know that infections are
increasing among this group. Only a quarter know that if someone who is
HIV-positive is taking HIV antiretroviral treatment, his risk of passing on the
virus is significantly reduced. The Centers for Disease Control and Prevention
recommends testing every three to six months for sexually active gay and
bisexual men; many state health departments do as well. But almost a third of
gay and bisexual men have never been tested for HIV, and another third were
tested more than a year ago. More than half don’t know about pre-exposure
prophylaxis (PrEP)–a pill that HIV-negative men can take to
prevent infection that is about 90% effective when taken every day.
Discrimination and stigma are still
barriers to spreading the word about testing and new treatments among gay and
bisexual men, and there is no one-size-fits-all approach for such a broad,
diverse community that encompasses 40-year-old white men in San Francisco and
teenage African American high-school students just coming out in, say, Texas.
There has also been discussion
about how widely PrEP should be used by HIV-negative gay and bisexual men.
The message about PrEP is almost
certainly best spread in the context of a comprehensive approach to prevention
and treatment. One attempt to do this right is Speak Out, part of the national Greater Than AIDS campaign–that the Kaiser Family Foundation has helped to
lead–that focuses on groups at greatest risk of HIV infection. Whatever the
approach, there is no question that the problem of HIV among gay and bisexual
men remains urgent–and under the radar.
Drew Altman is president and chief
executive officer of the Kaiser Family Foundation. He is on Twitter:@drewaltman.
http://blogs.wsj.com/washwire/2014/09/25/behind-the-increase-in-hiv-infections-among-gay-and-bisexual-men/
http://blogs.wsj.com/washwire/2014/09/25/behind-the-increase-in-hiv-infections-among-gay-and-bisexual-men/
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