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Gay Men & HIV: Challenges In The Third Decade. Jeff Bailey, MPH Director Health Education & Prevention L.A. Gay & Lesbian Center. Gay Men & HIV: Challenges In The Third Decade. Overview of epidemiological profile in the County of Los Angeles Syphilis outbreak among gay men

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gay men hiv challenges in the third decade

Gay Men & HIV:Challenges In The Third Decade

Jeff Bailey, MPH

Director

Health Education & Prevention

L.A. Gay & Lesbian Center

gay men hiv challenges in the third decade1

Gay Men & HIV:Challenges In The Third Decade

Overview of epidemiological profile in the County of Los Angeles

Syphilis outbreak among gay men

Historical perspective of HIV & gay men.

Social impact of HIV

Emerging issues

Where do we go from here?

slide3

Source: Data Analysis Unit,

HIV Epidemiology Program

slide5

Cases of AIDS in Los Angeles County, by Mode of Exposure--Cumulative for Year 2002

Source: HIV Epidemiology Program Advanced HIV Disease (AIDS) Quarterly Surveillance Summary, LAC/DHS, data as of 12/02.

estimated number of persons living with hiv including aids by brg
Estimated Number of Persons Living with HIV (including AIDS) by BRG

28,400

# BRG with AIDS

6,400

4,200

4,200

3,100

1,700

1,700

slide9
Annual Syphilis Cases: Percent Co-morbidity with HIV by Gender, Sexual Orientation and Year-LAC, 2002-2003
historical perspective of hiv

Historical Perspective of HIV

HIV has primarily impacted gay men in North America.

HIV emerged as historical arguments against homosexuality were collapsing.

In some countries the gay rights movement gained momentum with the emergence of HIV.

HIV linked to sexual behavior – resulted in the reporting of cases based on lifestyle.

GRID

Gay related cancer

“Being gay is a health hazard” (1982).

social impact of hiv

Social Impact of HIV

Men initially reduced the number of partners.

Created AIDS Organizations to respond to the epidemic.

Emergence of gay families

“Safer Sex” becomes a norm in sexual speech.

Erotizing safer sex (1980’s)

The condom code

HIV Negative Men

Circuit parties

challenges

Challenges

“Post AIDS”

AIDS fatigue

HIV & the media

ABC’s of HIV Prevention

Abstinence

Be Faithful

Use Condoms

Internet

Substance Use

Gay men of color

Circuit parties

21% of HIV+ & 9% of HIV-negative attendees reported UAI during a distant circuit party.

where do we go from here

Where do we go from here?

Office of Men’s health

Integration of HIV/STD efforts

Integration of substance use and sexual health strategies

Improve the life for gay men in low prevalence areas:

Addressing violence

Sexual Health model

Community building activities

Do smarter prevention

Not all gay men are at risk for HIV

Historical context of individual level interventions

Alternative events for gay men to socialize with one another