Tag Archives: Sickness

CDC: risk of HIV 150 times greater for gay men than for heterosexual men

MercatorNet reports on the latest HIV-related numbers from the United States government’s Center for Disease Control.

Excerpt:

Recent statistics from the Centers for Disease Control and Prevention (CDC) on HIV infection in the United States reveal some disturbing trends concerning gay males or, in CDC terminology, “men who have sex with men” (MSM). In recent data the CDC estimated that 61 percent of the 48,079 HIV infections diagnosed in 2010 occurred through male to male sexual contact.(1) According to the CDC data, sexual contact and injection drug use are the predominant means by which HIV is transmitted.

The CDC data on HIV diagnoses came from forty-six states and five U.S. dependent areas. Some 29,194 new HIV diagnoses in 2010 were linked to male homosexual contact where no injection drug use took place. There were approximately 4550 HIV male diagnoses linked to heterosexual contact. Injection drug use was involved in 5481 cases. Women contracting the HIV virus through heterosexual contact accounted for approximately 8,800 cases. Another 47 HIV cases came from sources other than the four listed. Included in the other 47 cases were blood transfusions and prenatal exposure.(2) When CDC statistics are analyzed using the estimate of the MSM population at 4 percent of the American male population and assuming the other 96 percent who do not have sex with men are heterosexual, the risk of HIV infection from sexual contact for MSM was approximately 150 times greater than the heterosexual male population in 2010.(3)

To put the HIV risk for MSM into perspective a comparison with the health risks of smoking can be made. Smoking tobacco is a causative factor of many types of cancer, the most common being lung cancer. According to the CDC the risk of lung cancer for men who smoke is 23 times greater than for men who do not smoke. For women who smoke the risk is 13 times greater than for women who do not. Those who smoke are also 2 to 4 times more likely to suffer coronary heart disease and 2 to 4 times more likely to suffer a stroke.(4)

[…]Similar to smoking, homosexual behavior has other unhealthy side effects. The CDC stated that the rate of primary and secondary syphilis among MSM is “more than 46 times that of other men and more than 71 times that of women.”(8) Studies have shown that MSM are at higher risk of alcohol and drug abuse, anxiety, major depression, and thoughts of suicide.(9)

The footnotes in the MercatorNet article either go directly back to the CDC web site, or in some cases to peer-reviewed published research.

CDC numbers were also recently reported in the Washington Times.

Excerpt:

Teens and young adults now account for more than a quarter of the new cases of HIV identified in the United States annually, and a clear majority of those cases involve young gay or bisexual men, the federal government said in a major new survey Tuesday.

Of the nearly 48,000 new HIV cases identified in the United States in 2010, the latest year for which complete data are available, more than 12,000 involved teens and young adults, the Centers for Disease Control (CDC) found in its latest report.

About 72 percent of these new HIV cases in younger adults occurred in young men who are gay or bisexual, according to the CDC report.

[…]According to the CDC figures, black youths accounted for the largest share of new HIV cases, with Hispanic youths and white youths accounting for about 20 percent each.

About 1.1 million people are estimated to be living with HIV in the United States. Some 47,129 new HIV cases were identified in 2010.

The CDC’s new report, “Vital Signs: HIV Infection, Testing, Risk Behaviors Among Youths, United States,” estimated that youths aged 13 to 24 accounted for 12,200, or 26 percent, of new HIV infections in 2010.

Of these new cases, 7,000 were among black youths, 2,390 were among Hispanics, and 2,380 were among whites.

About 8,800 cases were attributed to male-to-male sexual contact.

HIV/AIDS is incurable, and an estimated 17,774 people with AIDS died in 2009. Some 619,000 persons have died of AIDS in the United States since the epidemic began in the early 1980s, according to the CDC.

If you really love a person, you don’t hide the risks of certain activities from them. You tell them the truth about the risks, so that they have all the information they need when making decisions. I wouldn’t let any of my friends smoke cigarettes without getting a stern warning, supported by evidence. Somehow, we’ve redefined love to mean approving of whatever people want to do, regardless of risks. Why is that a good thing? Telling people the truth about what they doing are should never be viewed as “intolerant”.

CDC report: Youths make up 1 in 4 new HIV cases

From the Washington Times.

Excerpt:

Teens and young adults now account for more than a quarter of the new cases of HIV identified in the United States annually, and a clear majority of those cases involve young gay or bisexual men, the federal government said in a major new survey Tuesday.

Of the nearly 48,000 new HIV cases identified in the United States in 2010, the latest year for which complete data are available, more than 12,000 involved teens and young adults, the Centers for Disease Control (CDC) found in its latest report.

About 72 percent of these new HIV cases in younger adults occurred in young men who are gay or bisexual, according to the CDC report.

[…]According to the CDC figures, black youths accounted for the largest share of new HIV cases, with Hispanic youths and white youths accounting for about 20 percent each.

About 1.1 million people are estimated to be living with HIV in the United States. Some 47,129 new HIV cases were identified in 2010.

The CDC’s new report, “Vital Signs: HIV Infection, Testing, Risk Behaviors Among Youths, United States,” estimated that youths aged 13 to 24 accounted for 12,200, or 26 percent, of new HIV infections in 2010.

Of these new cases, 7,000 were among black youths, 2,390 were among Hispanics, and 2,380 were among whites.

About 8,800 cases were attributed to male-to-male sexual contact.

HIV/AIDS is incurable, and an estimated 17,774 people with AIDS died in 2009. Some 619,000 persons have died of AIDS in the United States since the epidemic began in the early 1980s, according to the CDC.

Numbers like this should cause us to reconsider whether we should be encouraging behaviors that cause widespread disease and enormous health care costs. All we have to do is tell the truth – some things are morally wrong, and people should choose not do them. If they choose to do them anyway, let them pay the costs of their own decisions themselves. Why does government need to get involved to pay for some people’s choices, and not others? If people want to make poor choices, let them do it. But let’s not celebrate it or encourage it. Let’s not pay for it, because that just means we’ll get more of it.

Studies show HIV infection rates still rising among gay men (MSM)

From left-leaning Time magazine.

Excerpt:

As the world’s leading AIDS researchers gather for the International AIDS Conference in Washington, D.C., scientists report that despite gains in controlling the spread of HIV, the disease has continued to spread at an alarming rate in the very population in which it first appeared — gay men.

In a series of papers in the Lancet dedicated to the dynamics of HIV among gay men — a group epidemiologists define as men who have sex with men (MSM) — scientists say that the continued burden of AIDS in this group is due to a combination of lifestyle and biological factors that put these men at higher risk. Rates are rising in all countries around the world.

In one study, led by Chris Beyrer, of the Center for Public Health and Human Rights at the Johns Hopkins Bloomberg School of Public Health, researchers analyzed surveillance reports and studies of HIV among MSM, including data that were part of routine United Nations reporting from member nations. Rates of HIV among gay men ranged from 3% in the Middle East to 25% in the Caribbean. In all reporting nations, rates were on the rise, even in developed nations like the U.S., Australia and the U.K. where HIV is declining overall.

In fact, says Beyrer, income does not seem to matter when it comes to HIV trends among MSM. In the U.S., for example, infection rates among gay men have been increasing by 8% each year since 2001, contributing to a 15% prevalence rate and putting the U.S. on par with countries like Thailand, Malaysia and some African and Caribbean nations where neither awareness of HIV/AIDS nor drug treatments are as widespread. HIV prevalence rates among MSM in Brazil, Canada, Italy and India range between 11% and 15%, while many western European countries have lower rates of around 6%.

[…]HIV has always been more common among gay men, but Beyrer and his colleagues say the traditional risk factors may not entirely explain the surge in many cases. Traditionally, HIV experts have pointed to high-risk behaviors such as unprotected sex, having multiple partners, injection drug use and drug use in general for making gay men more vulnerable to infection. But there may be biological reasons for the enhanced risk as well. For example, there is an 18 times greater risk of HIV transmission through anal sex than through vaginal sex, which may explain why the virus continues to thrive in gay men, despite the fact that they still receive the bulk of HIV awareness and treatment public-health messages.

I took a look at one of the research papers mentioned on PLOS Medicine and it looks pretty solid. That’s peer-reviewed literature, and Johns Hopkins is a good school for medicine. My impression of this research is that we should not be encouraging anyone to get into this lifestyle. We should not be subsidizing it. We should not be celebrating it. It’s not good for the gay men themselves that we continue to push this lifestyle onto them as normal. We wouldn’t push cigarette smoking onto people, whether there are biological factors that predispose them to it or not. I would not want to be responsible for encouraging anyone to prefer harmful behaviors. The article makes it clear that the problem isn’t “acceptance of gays” or reducing “bullying”. The problem is the promiscuity of the lifestyle itself, as well as the mechanics of anal sex. This problem cannot be solved by persuading everyone that the gay lifestyle is normal and praiseworthy. It’s a problem rooted in reality, not in people’s opinions. And we are all paying for this HIV research and HIV treatment at a time when we as a society cannot afford to be voluntarily incurring the costs of one group’s risky choices.