The importance of sexual identification in AIDS rates

Gregory in Seattle left the following comment on my AIDS post yesterday and I thought it was worth reposting in its own right.

You might find this of interest: an interactive map giving the HIV infection rates in the US by county, per 100,000 population. According to the CDC, about 25% of Americans, aged 13 or older, with HIV are women. Of them, 64% are African American. Of all the people with HIV in the US, an estimated 20% do not know they have the virus.

I’m a member of the Community Advisory Board for the Seattle HIV Vaccine Trials Unit. We’ve discussed the racial and regional disparity of the pandemic in the US. Education and religion are parts, but there is also a strong element of identification. Many African American men who have sex with men do not self-identify as gay: they do not march in parades, they do not go to bath houses, they do not fall in love and build a common life with other men. Being gay is a white thing, and the popular sentiment is that only gay people get HIV.* This identification divide exists even in major cities on the coasts. Because much of the outreach over the last 20 years has focused almost exclusively on gay men and has been done through gay newspapers and through outreaches to bars and pride events, nearly all of the “Be Safe” message never reaches them.

Another huge issue is the availability of low-cost, anonymous testing resources. It is established that people who can get tested are much more likely to get tested, and that provides an opportunity for education. Tests can cost around $50 if paid for retail, and few insurance companies will cover them. Even if you have that kind of money, in much of the south getting a test means either driving a hundred miles or more to a city where you can be tested anonymously or explain to your personal physician why you think you need such a test. The result is that people just don’t get one.

So yeah, a lot needs to change before HIV rates in the black south will change.

(*) It is conveniently ignored by the people pushing the “gay = HIV” lie is that, as of the end of 2010, about 2/3rds of the people on the planet with HIV lived in sub-Saharan Africa. That in several countries in southern Africa — South Africa, Swaziland, Lesotho — 15% to 28% of the adult population is HIV+. That about 10% of all people with HIV are children aged 14 or younger, and that most of those got it from infected mothers either transvaginally during birth or from the virus expressing itself in breast milk. That of all adults on the planet with HIV, 56% are women. And that since 2006, HIV/AIDS is the leading cause of death among women in their reproductive years.

It is pretty damn grim.

He also pointed me to the following collection of links from a presentation he gave for MENSA recently.

Greta Christina AND Sikivu Hutchinson

Two of the most badass women in the atheist movement are going to be in Columbia, SC during the next week.  It’s pretty amazing.

Tomorrow night (2/23) Sikivu Hutchinson will be here talk about, among other things, Strom Thurmond, race, and religion.  Which gives me an excuse to post the following picture!

Strom "all the laws of Washington and all the bayonets of the Army cannot force the Negro into our homes, into our schools, our churches and our places of recreation and amusement" Thurmond

Then!!  Then it will be Greta Christina, who is tied with Jen McCreight and Heidi Anderson as my favorite people of all time ever in the atheist movement, on Sunday!  I AM SO EXCITE.  She will be talking about sexuality and religion, which gives me an excuse to post THIS picture:

The Heroes Columbia Deserves

Details for Sikivu’s talk here: http://www.facebook.com/events/298007953588030/

Details for Greta’s talk here: http://www.facebook.com/events/389913497701994/

COME SEE THEM THEY ARE AMAZING.

Book Review: Jen Hancock’s Humanist Approach to Happiness

(x-posted from SheThought)

Jennifer Hancock, from her website

Jen Hancock was kind enough to reach out to the SheThought writers and offered me a chance to read and review her book, The Humanist Approach to Happiness: Practical Wisdom. The book is aimed at teens and young adults as a way to teach ethics, critical thinking skills and decision-making to young people. If you’re more interested in the book than anything I have to say, just scroll to the end and there’s more information on the special deal she’s offering SheThought readers.

This is perfect for me because, as someone who automatically hates everything and thinks grown-ups are stupid, I am exactly the right audience for a book aimed at teenagers.

So I suppose that’s a good place to start. I didn’t totally hate it, but I didn’t love it either. Some parts of it were really good, and some parts really rankled. It is written in an easy to understand way with plenty of examples and metaphors that are appropriate to a younger readership. The writer clearly has a very keen memory of her teenage days and isn’t afraid to mine them for engaging examples.

One of my bigger problems with the book came from formatting choices. There seemed to be some errors with the margins, which is fairly minor, but the author also made the decision to pepper the book with quotations from famous speakers. Now, I’m not against quotations, but giant quotations in between connected paragraphs makes me feel a little bit off kilter. When the quotes intrude, I feel the need either to read the quote and then re-figure out what I was reading or to skip the quote entirely.

Sort of like how you’re engaging with this picture right now

There’s a lot of great stuff, however, on what makes people “good” people, and what makes people not so good. Her three required traits are compassion, ethics, and responsibility, and these seem pretty accurate to me. She’s also happy to list bad people as well, people who generally don’t follow those three guidelines. She’s neither pro or anti-religion, at least not explicitly, and simply says that people can be good or bad regardless of faith and the only real caveat she gives in the book is that if you or someone you know is grieving, don’t assume your faith is the way they want to deal with grief. And be skeptical about supernatural claims, because that stuff is ridiculous and can get you killed!

My favorite part is where she insists that everyone is a dork. Because we all are dorks, and the sooner we embrace it, the sooner we can move beyond lame attempts at being cool. She also thinks we should be more eager to engage in lifelong learning and learning from our elders. Amen to that. We are all dorks who should hang out with old dorks.

And then she starts wandering a bit away from things I agree with into territory I feel a little confused about. She insists that people should aim for simplicity generally, including in their diet. Now, I’m all for simple tastes and simple lifestyles, but I am always skeptical about diet claims of any kind. Insisting on food simplicity strikes me as faddish and there are no references that make it seem like she’s making scientific claims, just personal ones. Why is a drink with chemicals worse than a drink with no chemicals? Am I really to believe that natural means healthy? I mean, arsenic is natural.

And she goes on to really discourage people from indulging in “sinful” pleasures (her quotes). Now, I appreciate that a book aimed at a young audience isn’t going to say go try drugs and sex and rock and roll because they’re interesting and part of the human experience… except that’s exactly what I think it should say. This is clearly just a difference of opinion between the author and myself, but I feel a little confused as to how her view is the only one justified by humanism, though perhaps it isn’t trying to claim to be the only point-of-view.

And then there’s sex. The author and I are clearly coming from totally different worlds on this one. Her advice to play the field while dating and wait for sex are things that I don’t personally find compelling, but I don’t think it’s necessarily bad advice. But when she says things like women who hate their dads transfer that hate to all men; and people who dated can’t really be friends and shouldn’t contact one another for at least a year; and, no matter what they say, women who say they’re OK with a solely sexual relationship are really just looking for an emotional relationship, whether they know it or not; and people who watch porn lose sense of reality and it’s a catalyst for bizarre violent activity and it’s addictive… when she says things like that, it is all I can do not to punch the screen. Where are the citations? Why on earth does she think this stuff?

The book ends, however, on a high note, in a sense, about grieving. This is the best part of the book and speaks from personal experience and love. I’ve never seen much literature on the humanist perspective on grief, and this handles it gracefully.

So, there are good and bad bits and, if you rip out the section on relationships and sex, I think the book is a great read for young adults. I think few adult readers would find it challenging, but there are still some enlightening moments to it.

More information from the author:
Even though the book is explicitly Humanist, I’m finding that moms of different stripes and interestingly enough, religious folk who work with teens, are interested in the book.  My book is currently in the curricula for the Royal Military College of Canada to teach cadets critical thinking and decision-making skills. It’s also going to be in the new curricula for the UUA for youth education in the areas of critical thinking and character development.  Oh, and it’s enjoying its third month atop the Kindle best seller lists for Parenting/Morals&Responsibility and Parenting/Teens.

For a copy of the book go to: http://www.smashwords.com/books/view/22621  20% off both the ebook and the paperback formats, Coupon code: UT36F – Price will be $4.80 instead of $6.00 – this coupon expires Oct 1st 2012.

For the paperback go to: https://www.createspace.com/3463716 and use the discount code: 2SV7A43M  20% off the list of $12.98 – so the price will be $10.38

The book is also available at whatever online book retailer you might prefer to use.

PS – I’ve also got a new little e-book out – Jen Hancock’s Handy Humanism Handbook – I’m giving that away free to people who sign up for my email list and the Humanist of Florida Association are giving it away free to anyone who donates to them or becomes a member.