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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Jeff Bailey, MPH
Health Education & Prevention
L.A. Gay & Lesbian Center
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
Where do we go from here?
HIV Epidemiology Program
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.
# BRG with AIDS
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.
Gay related cancer
“Being gay is a health hazard” (1982).
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
HIV & the media
ABC’s of HIV Prevention
Gay men of color
21% of HIV+ & 9% of HIV-negative attendees reported UAI during a distant circuit party.
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:
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