I had the privilege to spend the weekend with 14 young gay/bi men from across the state of Montana for a weekend of fun, education, fun, community building, fun, discussion and did I say, fun?
Whenever I go away for the weekend I have a lot to catch up on- thus the reason for no posts for the last two days. But I wanted to say that being around these guys, watching their enthusiasm for life, their interest in making life better for young gay men in the state and the strength and energy they brought to (and hopefully took home from) this weekend, energized me and gave me renewed energy to do what I do.
It might sound sappy, but I don’t care. This retreat was the best I’ve ever been involved in- and the (I want to call them kids, but I don’t want to sound condescending) participants made me realize that the future is in pretty good hands.
That’s excellent, because I’m not getting any younger.
Special thanks to FDH and Associates (David Herrera, Chantz Thilmony) and the Montana Gay Men’s Task Force for their dedication to the wellness, safety and education of gay/bi men in Montana. And to Bernie Kneefe for being the Den Mother.
If you’re a young gay/bi man who wants to be involved in this next year- go here. They’ll hook you up.
- Montana Gay-Friendly Health and Mental Health Providers (dgsma.wordpress.com)
To register, click here.
NEW HIV INCIDENCE ESTIMATES CONFIRM URGENCY TO ADDRESS CRISIS AMONG GAY MEN OF ALL RACES AND ETHNICITIES
Washington, DC – New HIV surveillance data released today by the Centers for Disease Control and Prevention (CDC) indicates that while the overall number of new HIV infections has remained fairly stable from 2006–2009, there continues to be cause for great concern about increasing numbers of new infections among gay men.
While the new HIV incidence estimates, published in the Public Library of Science Medicine, show that prevention activities in the United States have successfully held the number of new infections steady, the National Alliance of State and Territorial AIDS Directors (NASTAD)i and National Coalition of STD Directors (NCSD)ii, remain alarmed about the continued disproportionate impact of HIV and sexually transmitted disease (STD) infections among gay and bisexual men of all races and ethnicities in this country. New estimates indicate that the top most impacted populations include white gay men, Black gay men and Latino gay men, followed closely by Black women.
“An unacceptable increase of HIV incidence among gay men, particularly young Black gay men ages 13-29, requires an honest and critical examination of our prior efforts and a sharpening of our prevention-focused activities among gay men,” remarked Julie Scofield, NASTAD’s Executive Director. “We need to strengthen our communities by breaking down the silos across program and sector and by investing in targeted and innovative programming that promotes the health equity of gay and bisexual men of all races and ethnicities,” she added.
“Increasing HIV rates, coupled with increasing incidence of syphilis and a frequent neglect of rectal STD infections, underscore that we are not doing enough to prevent all STD infections and reduce their role in HIV acquisition,” said William Smith, NCSD’s Executive Director. “NASTAD and NCSD will continue to work with state and local health departments and other partners to develop and implement effective tools and initiatives to address all STDs among all gay and bisexual men,” he continued.In this peer-reviewed article, the CDC estimates 48,100 new infections occurred in the U.S. in 2009, with gay and bisexual men remaining the population most severely impacted by HIV and the only population in which new HIV infections have been increasing steadily since the 1990s. New infections among gay men of all races and ethnicities continue to increase as a proportion of all new infections, with those among young Black gay men ages 13-29 increasing by 48 percent since 2006. This new HIV surveillance data closely follows data released by CDC last month that showed a growing resistance of gonorrhea to antimicrobials, particularly in men who have sex with men (MSM). Gonorrhea is an STD that can facilitate HIV transmission.
In June 2010, NASTAD and NCSD released a Statement of Urgency expressing concern regarding the HIV and STD crises among gay men and other MSM of all races and ethnicities in the United States. Pursuant to the recommendations made in the National HIV/AIDS Strategy (the Strategy), the joint statement calls for greater investment (financial and human) and leadership to address the epidemic among gay men. Given CDC’s decision to cut $20 million from core HIV prevention funding, our federal partners must continue to work with state and local health departments to ensure that all existing resources are leveraged to improve HIV prevention and care and treatment.
NASTAD and NCSD, with support from MAC AIDS Fund, will soon launch a series of targeted activities within HIV and STD programs that will examine and address stigma in public health practice. These efforts will aim to increase comprehensive and appropriate access to prevention, care and supportive services for young Black and Latino gay men, particularly those at-risk for STD transmission. Additionally, these efforts will target social and sexual networks to promote positive sexual health messages and reduce stigma. NASTAD and NCSD will work with their respective members to establish and promote evidence-based practices and tools to educate state and local health departments, service providers and other key community stakeholders about the sexual health of gay men.
i- Founded in 1992, NASTAD is a nonprofit national association of state and territorial health department HIV/AIDS program directors who have programmatic responsibility for administering HIV/AIDS and viral hepatitis health care, prevention, education, and supportive services programs funded by state and federal governments. For more information, visit www.NASTAD.org.
ii- The National Coalition of STD Directors (NCSD) is a partnership of public health professionals dedicated to the prevention of STDs. NCSD provides dynamic leadership that strengthens STD Programs by advocating for effective policies, strategies, and sufficient resources and by increasing awareness of their medical and social impact. For more information, visit www.NCSDDC.org.
We want to know about your/their lives! A grad student at the U of M is working on a very worthwhile project to help us understand the reality of men in Montana who have sex with men (MSM) but are not out or do not identify as gay or bi. This is important work, so if you can assist us, it would be greatly appreciated.
I am a researcher with the University of Montana collecting information about sexual health attitudes and behaviors. Specifically, I am interested in understanding more about men who are closeted or not open about having sex with other men.
I am looking to anonymously interview men who have sex with other men who live in Montana and are between the ages of 18 and 69.
I realize what a personal topic this is, so I want to emphasize that this study is completely ANONYMOUS. If you would be willing to participate in this study, you can contact me at (406) 552 – 2115 or firstname.lastname@example.org email@example.com. We can then arrange a time to conduct the (one) interview over the telephone or we can meet in person. The interviews will be audio recorded and then typed into a word processor. The audio will then be destroyed. Your name will NOT be associated with this study in any way, nor will your location or any identifying information be mentioned. As an incentive for your participation, I would like to offer you $25.00.
This study has been approved by the University of Montana Institutional Review Board (IRB 63-10) expires 03-2012 (A copy of the approved IRB application can be provided). Again, if you are interested or even potentially interested in participating in this study, please contact me at (406) 552 – 2115 or firstname.lastname@example.org or email@example.com.
Thank you for your consideration.
Amee Schwitters, MPH
University of Montana
Department of Anthropology
From the Bilerico Project today:
“Gregory Smith from the Bilerico Project, joined the SameSexSunday team with an insightful interview about challenging possibly dangerous HIV prevention tactics with POZ Magazine founder Sean Strub. Listen to part of the interview during the podcast, or you can hear the entire interview on SameSexSunday’s YouTube Channel.”
If you’re not a subscriber, do yourself a favor….
Because I think it’s still relevant, I’m reprinting (with a few updates) my column for World AIDS Day from last year. I may just continue to do so as long as it still makes sense….
Remember when World AIDS Day used to be important?
I remember December 1st as a day when people gathered in terror and grief with candles and tears listening to words that couldn’t begin to touch the pain and anger and sadness.
I remember when it was a time for all kinds of people to gather together, people that probably wouldn’t be in the same room for any other reason. At World AIDS Day services in the early Nineties, I remember seeing queer activists, quietly closeted gay men and women, Episcopal and Catholic priests, Native American leaders, Protestant ministers, atheists, nuns and agnostics. I saw elected officials, Republicans and Democrats, wheelchair-bound elderly, parents, children, nurses, doctors, cowboys, lawyers, accountants, little old ladies and, once, a rodeo clown. All coming together, all looking for comfort and hope and compassion among others who could maybe understand.
We don’t really do that now. And maybe it’s okay that we don’t.
Maybe it’s good that the terror I remember so vividly on the faces of friends and complete strangers is no longer there. Maybe it’s good that people aren’t dying so fast and so painfully, isolated and afraid. Maybe it’s good that we’re not so traumatized by fear and grief and anger.
Is terror a good thing? Is a painful death beneficial? Is emotional trauma something to be longed for?
No. But I have to say, those scenes of suffering and bravery certainly helped capture the zeitgeist of the Eighties and Nineties. It helped keep AIDS in our collective consciousness. Drama and fear and compassion fueled activism and grassroots movements and the formation of community-based organizations. AIDS was overwhelmingly real. It was dramatic. It went to the Oscars, the Emmys, the Grammys and the Tonys. And it won. More than once.
So I’m not sure if it’s a good thing that HIV isn’t such a drama queen anymore. Not to say that I want people to suffer needlessly. I don’t. I just happen to think we’re not paying attention because it’s no longer hip, sexy, avant-garde and noble to do so. I think that our short attention spans need to be constantly reminded. And, there’s really not a lot of spectacular theatrics to grab our attention today. Well, not compared to the past.
But, trust me, it’s still there. There are some rather dramatic facts to consider:
- People are still being infected. In the U.S. there are over fifty thousand new diagnoses a year. The CDC estimates that one in five persons with HIV doesn’t know it. That means they may not be protecting their sexual partners out of ignorance. That means more HIV.
- Gay men, and/or Men who have Sex with Men (MSM) account for more than half of all new infections each year, and MSM is the only risk group in the country whose infections are increasing. MSM account for nearly half of all persons living with HIV in the United States today. Nearly half. And those are just the ones we know about. That means that for all the talk we hear about “AIDS is not a gay disease,” it is. That means sexually active MSM are having sex with HIV+ partners statistically more often than any other members of the general population- and being infected. HIV significantly and dramatically lives in the bodies of gay men.
- HIV strains the budget of every state in the Union. So much so, that states have cut or are considering cuts in funding to drug assistance programs and other HIV support and prevention services. These services keep people alive at a cost of hundreds of millions of dollars a year. More money is needed with every new infection. That money comes out of your taxes.
- People are still dying. Yes, the drugs help, and people with HIV are living longer lives, but the drugs don’t always work, and HIV mutates. Our immune systems are under a great deal of strain and one serious opportunistic infection can kill. I lost a friend just this year.
- It’s not over. Families are still being traumatized and our community is being hurt by this epidemic. Here in Montana, with its relatively miniscule gay population, new members joined my HIV+ support group this year, most are gay men in their twenties- kids, really. All facing a lifetime radically different than they had hoped for.
And those are just some of the many points to consider.
Is it good that people are no longer dying and suffering in such huge numbers? Yes.
Is it good that we no longer gather in great numbers, sharing strong emotions, standing hopefully resolute in the face of pain and suffering and memory? I don’t think so.
Personally, I need to remember these facts and these people, because they’re part of my history, my community, my country and my world. I need to be reminded that my compassion, my voice and my heart are all still relevant. I need to be reminded that I’m not alone, I need to remind others of the same thing. And I think doing it once a year is the least I can do.
That’s why I’ll be going to a World AIDS Day service this year. That’s why I’ll be wearing a red ribbon, holding a candle in the dark, listening to words of grief, bravery and encouragement. To remember, to remind, to regroup.
Because I still think it’s important.
Today I begin the Fall Men’s Health Retreat in Greenough for gay/bi men- it’s one of the highlights of my year. This is my fourth in a row, and the first without Ken (we actually met (or re-met) at the first one I attended). I can’t say enough about the positive effect that I’ve seen happen in these guy’s lives….
I really love these weekends away- it’s a rare chance for me to have a bit of time for self-reflection and teaching. It’s also a rare chance for the men of Montana to make some connections, to share some intimacy that goes beyond the ordinary and maybe discover a bit about themselves. I know I never fail to find some deeper meaning in my own life as a result of experiencing life through the eyes and lives of the guys during this weekend.
So, I’ll be out of touch for a bit, but doing some good things.
And if you’re a guy who wants a deeper connection to himself and others, you could do worse than attend one of these retreats.
“The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination.”
A visionary national strategy (the first!) for dealing with HIV has been unveiled. Read it here.
Whatever you might think, this is the first time an administration has actually had a plan that specifically deals with gay/bi men in a light that’s not defamatory and shameful sounding. The government has also appropriated $25 million dollars for ADAP, The AIDS Drug Assistance Program.
From the response by NAPWA, the National Association of People with AIDS:
| Overall, the plan is thoughtful and lays down some meaningful and aggressive goals to reduce the number of new infections and improve access to care for persons living with HIV. President Obama, as part of his campaign for President, promised the nation that he would develop such a strategy; NAPWA thanks the President for fulfilling this important commitment.
Frank Oldham, President and CEO of NAPWA stated “On behalf of the 1.2 million people living with HIV in the United States, I wish to thank the President and Jeff Crowley for releasing this long awaited document. NAPWA promises to work with the Administration and Congress to ensure that this becomes a living breathing document that has a meaningful and fruitful impact on the lives of people living with HIV.”
Overall, the strategy has three basic goals, which NAPWA wishes to comment on:
(1) Reducing new HIV infections, with a particular focus on communities where HIV is concentrated. The Administration’s goal of reducing new infections by 25% is an important goal that we must all work together to ensure is not only met, but exceeded.
(2) Increasing access to care and improving health outcomes for people living with HIV. NAPWA particularly applauds the goals of establishing a seamless system of care for people when they are diagnosed with HIV, increasing the number of HIV clinical care providers, and addressing the complex co-morbid conditions of many individuals living with HIV, including issues such as access to housing. In light of the current AIDS Drug Assistance Program (ADAP) crisis, with over 2,200 individuals on waiting lists for HIV medications, it is very apparent that this goal will only be met with the significant introduction of new federal resources to meet the growing demand for HIV services. The Administration and Congress must step up to the plate to provide new federal funding not only to address to the ADAP crisis, but also to help meet the goals laid out in this important plan.
(3) Reducing HIV-related health disparities, including recognizing the role that stigma continues to play in reducing access to care and getting people tested. We at NAPWA recognize on a very person level the major and ongoing role that stigma continues to play in the everyday lives of people living with HIV, including promoting fear, inhibiting disclosure, and reducing persons access to the HIV care they need and deserve. In order to effectively address the HIV epidemic, reducing stigma must play a major role in any strategy.
Stated Matthew Lesieur, Director of Public Policy, “The release of the nation’s first National AIDS Strategy is only the beginning. Now the long road ahead lies in making this strategy a reality that has value to the average person living with HIV. ”
Founded in 1983, NAPWA is the first coalition of people living with HIV/AIDS in the world as well as the oldest AIDS organization in the United States. NAPWA is the trusted, independent voice of the more than one million people living with HIV/AIDS in America.
For more information, visit http://www.napwa.org.
7/15 Update: Dan O’Neill’s excellent analysis here.