According to the estimates, published in the journal PLoS ONE, there were 48,600 new HIV infections in the United States in 2006, 56,000 in 2007, 47,800 in 2008 and 48,100 in 2009. Over the four-year period, that amounts to an average of 50,000 cases per year.
[…]Men who have sex with men – which includes openly gay and bisexual men and those who do not identify themselves as gay or bisexual – remain most heavily affected.While this group represents 2 percent of the overall U.S. population, they accounted for 61 percent of all new HIV infections in 2009.
And young men who have sex with men – those aged 13 to 29 – are the hardest hit, accounting for more than one quarter of all new HIV infections nationally.
New HIV infections affected young men who have sex with men of all races, but the CDC saw very sharp increases among young black men who have sex with men.
“We saw increases of up to 48 percent – nearly a 50 percent increase between 2006 and 2009,” Fenton said.
Is it a good idea to celebrate behaviors that are likely to cause harm? Is it a good idea to conceal the risks of certain behaviors from the general public? Aren’t people who set boundaries between harmless and harmful behavior more loving than people who deny that any behaviors are more or less harmful?
Comments to this post will be filtered because of the Obama administration law restricting speech on these topics.
Earlier this year, the journal PLoS Medicine published a stunning report about the prevalence of AIDS in Zimbabwe. Over the ten years to 2007 HIV prevalence was halved. This decline is almost unique in sub-Saharan Africa.
Aha! you might say. Despite the disastrous state of its economy, Zimbabwe has been distributing condoms by the millions to bring down adult prevalence from 27 percent to 16 percent. But you would be quite wrong. It is not condoms which are saving the lives of thousands of Zimbabweans, say researchers, but changes in behaviour, “mainly reductions in extramarital, commercial, and casual sexual relations”.
In other words, it looks like abstinence and fidelity are the secret to turning around the devastating AIDS epidemic which has killed 30 million people and infected 33 million and orphaned 16 million children.
Not condoms.
This report supports the thesis of the authors of the fascinating book Affirming Love, Avoiding AIDS, Matthew Hanley and Jokin de Irala.
[…]Hanley and de Irala show that “primary behaviour change” is the best weapon for fighting AIDS, not “harm reduction”. In fact, the rapid spread of AIDS in sub-Saharan Africa, despite a thorough understanding of how it spreads and billions spent on risk reduction, is “one of the greatest failures in the history of public health”. The South African strategy assumed, for instance, that the spread of AIDS has little to do with sexual responsibility. Authorities there promoted condoms with a “have fun but play safely” campaign. The results have been disastrous. About 18 percent of men and women between 18 and 49 live with HIV/AIDS.
The AIDS bureaucracy is committed to technical fixes despite lip service to abstinence and fidelity. Condoms, voluntary counselling and testing and treatment of other sexually transmitted diseases are their strategies. All of these are effective to some degree, but they ignore mounting evidence that HIV transmission rates remain high despite widespread distribution of condoms. In Botswana, the authors point out, condom sales increased from 1 million in 1993 to 3 million in 2001, while HIV prevalence rose from 27 to 45 percent among pregnant urban women. Between 1990 and 2002 life expectancy fell by 30 years in Botswana, a decline “unprecedented in the history of the human race”.
Why don’t condoms work? It’s not a question of permeability or breakage, but of how they are used. For one thing, only consistent condom use is effective in warding off AIDS. Yet it appears that most men use condoms very irregularly. And the evidence is mounting that condoms actually promote risky sexual behaviour because users feel that they are protected.
The engine of the epidemic is multiple sex partners, a growing number of AIDS researchers believe. When people have stopped engaging in casual sex and participating in a web of sex relationships, as has happened in Uganda and Zimbabwe, AIDS rates have fallen dramatically.
Here’s the abstract from the paper:
There is growing recognition that primary prevention, including behavior change, must be central in the fight against HIV/AIDS. The earlier successes in Thailand and Uganda may not be fully relevant to the severely affected countries of southern Africa.
We conducted an extensive multi-disciplinary synthesis of the available data on the causes of the remarkable HIV decline that has occurred in Zimbabwe (29% estimated adult prevalence in 1997 to 16% in 2007), in the context of severe social, political, and economic disruption.
The behavioral changes associated with HIV reduction—mainly reductions in extramarital, commercial, and casual sexual relations, and associated reductions in partner concurrency—appear to have been stimulated primarily by increased awareness of AIDS deaths and secondarily by the country’s economic deterioration. These changes were probably aided by prevention programs utilizing both mass media and church-based, workplace-based, and other inter-personal communication activities.
Focusing on partner reduction, in addition to promoting condom use for casual sex and other evidence-based approaches, is crucial for developing more effective prevention programs, especially in regions with generalized HIV epidemics.
Government programs that basically try to take promiscuity as a given and then reshuffle wealth around to make the promiscuous avoid the consequences of their own choices. Why is that? Well, government bureaucrats would be out of a job if people behaved responsibly – they have every incentive NOT to solve social problems. The bigger the social problems, the more money they can collect in taxes. The more money they collect in taxes, the more they can play Robin Hood and get accolades from the public for their generosity. That is the real reason that people on the left, who love to feel as though they are solving problems for people by shuffling money around, oppose personal responsibility.
A large study in California released Monday found that cancer may be nearly twice as prevalent among gay men as among straight men.
The study relied on self-reported data from the California Health Interview survey, the largest state survey of its kind in the United States, and included more than 120,000 people over three years: 2001, 2003 and 2005.
A total of 3,690 men reported a cancer diagnosis as adults. Gay men were 1.9 times as likely as straight men to have been diagnosed with cancer, said the study published in the peer-reviewed journal Cancer.
There was no such difference witnessed among lesbian and straight women, but gay and bisexual females were twice as likely to say they were in fair or poor health after a cancer diagnosis compared to their heterosexual counterparts.
[…]The survey did not address how cancer survival rates may differ among those of varying sexual orientation, and may not reflect a true difference in the actual cancer rate because it relied on data from survivors only.
But researchers believe that higher anal cancer rates, caused by the sexually transmitted human papillomaviruses, as well as complications from human immunodeficiency virus, may be at least partly to blame.
“The greater cancer prevalence among gay men may be caused by a higher rate of anal cancer, as suggested by earlier studies that point to an excess risk of anal cancer,” said the study.
Researchers “did not have data available on the rate of human immunodeficiency virus (HIV) infection, which is higher among gay men, and may have contributed to the significant association of cancer prevalence and sexual orientation.”
HIV and AIDS have been linked to a series of cancers including Kaposi sarcoma and non-Hodgkin lymphoma as well as anal, lung, testicular cancer and Hodgkin lymphoma.