The South is the new epicenter of HIV transmission — half of all new infection happen here, though we have less than a third of the American population. South Carolina is 8th in the nation for rates of HIV, but other southern states are doing poorly as well. Louisiana, Georgia, Mississippi, Texas… HIV is not going away. And there’s more bad news, if you get HIV in the south, you’re more likely to die from it.
So why is everybody getting AIDS? Well, you could look at our education scores, our poverty levels, our resistance to decent health care coverage, the rural populations with little access to doctors, or the Bible thumping hatred of homos that makes people terrified to get tested or admit they’ve contracted the disease.
Those making under $10,000 are three times more likely to get HIV than those making $50,000+. People making under $10,000 a year can’t afford medicine and doctor visits, they can’t afford to be driven to where they can get tested and get treatment.
And in the south, most poor people are black. According to the Washington Post, one in five gay black men in the south has HIV.
Researchers say that African Americans in the South are especially likely to see homosexuality as immoral. In response, gay black men in the South often live on the “down low,” leading ostensibly straight lives with girlfriends and wives while having sex with men.
“In the African American community, men who are gay are more likely to hide their sexual activity,” said Saag, who also directs a HIV clinic in Birmingham. “So it’s more common for the virus to spread from gay men to heterosexual women.”
Good work, Good Book. Religion is also to thank for the limited sex education provided in many of the southern states. Abstinence only education? Not great for telling people how to use condoms when they act on hormones or get married. Combine that approach with the Nikki Haley-esque Christian Conservative approach to healthcare, and you find a lot of people who get missed by healthcare. 25% of people with HIV in SC live in rural areas, care for people far from urban centers is difficult, even more so when your state refuses to fund or accept funding to help them.
So what can be done? The Washington Post again:
Many who work with HIV patients including Saag, the Birmingham HIV clinic director, are trying to win over churches. Many say that churches in the South often foster HIV stigma, presenting the disease as part of a sinful gay lifestyle. Saag and others are working to persuade pastors to see HIV as a health problem rather than a moral issue. Some observers are hoping that the new Affordable Care Act will improve HIV care in the South, and elsewhere, by increasing funds for Medicare and Medicaid recipients.
You know what else can be done? Increase the stigma of being a Christian who thinks that helping the poor is bad and being gay is a sin. Accept that if you’re not black and not gay, you’ve got a lot of privilege and need to work really hard to understand that other people have it worse than you. We are not all given equal circumstances. As a white woman in this state, my chances of getting HIV are incredibly small and it’s got nothing to do with my choices and everything to do with how I was born. If I’d been born a gay black man, I’d have a 20% chance of being HIV positive, which is five hundred times my risk as a white woman.
Why am I telling you this? Because you should care. Because social justice issues should be important to atheists. Because religion hurts people. And we can do something about it.
Have some stats from the glorious state of South Carolina:
Who has HIV:
04.6% are white women (34.7% of population)
19.4% are white men (33.8% of population)
25.0% are black women (14.2% of population)
46.9% are black men (14.9% of population)
Demographics of the state:
34.7% are white women
33.8% are white men
14.2% are black women
14.9% are black men
(15% of the population makes up almost half the HIV cases)
Percentage of Population w/HIV:
0.04% of white women
0.19% of white men
1.07% of black men
0.51% of black women
Or look at it this way:
1 in 100 black men
1 in 200 black women
1 in 600 white men
1 in 2500 white women
Or look at it this way:
White men are 4.3 times as likely to get HIV than white women.
Black women are 12 times more likely to get HIV than white women, and 2.7 times more likely to get HIV than white men.
Black men are 25 times more likely to get HIV than white women, 5.7 times more likely to get HIV than white men, and over twice as likely to get HIV than black women.