Measuring Up California’s Measure B

The adult entertainment industry has been in the news recently with the passing of Measure B, the Safer Sex in the Adult Film Industry Act. This new legislation requires actors in pornographic films to wear condoms to prevent the spread of STDs and HIV. There’s been a lot of controversy around this issue which promises to continue, as The Free Speech Coalition- an adult-film-industry trade association- says it will challenge Measure B in court as a violation of the First Amendment. We took a closer look at some of the different perspectives and opinions.

Public health and policy advocates

The AIDS Healthcare Foundation (AHF), a global organization providing HIV/AIDS medical care and advocacy, was one of the most outspoken champions of the measure. Their advocacy website states that passing the Measure will help prevent the spread of STDs and HIV, protect porn performers, and prevent taxpayer dollars from being spent on costs related to the adult industry. Porn producers are now required to obtain health permits and the county will do spot checks on porn sets to make sure performers are using condoms.

Since Measure B’s passing, AHF has expressed interest in taking its effort statewide by advocating for a bill that would broaden the power of the state and local governments to enforce condom use on porn sets. Some have even speculated that that was the main inspiration for Measure B—to gain footing for state legislation, which could, in turn, influence other states to adopt a similar policy.

Emily Nagoski, a sex educator and owner of The Dirty Normal, supports Measure B because it protects adult performers. She writes, “It’s not a right to put yourself in harm’s way for a paycheck, it’s a circumstance created by employers who care more about their bottom line than the safety of their workers.”

Nagoski also supports Measure B because some studies suggest that including condoms in porn will cause viewers to normalize condom use and thus use condoms more in their own sex lives.

 

Adult industry producers and actors

Porn industry leaders say the extra precautions aren’t warranted; L.A. County porn community hasn't had a performer test positive for HIV since 2004. "During that time, we've produced over 300,000 scenes. We do a pretty incredible job when it comes to protecting the performers," said Steve Hirsch, opponent of Measure B and founder of porn production company Vivid Entertainment.  

Performer and director Kylie Ireland said, “It's a ridiculous waste of time and money to regulate an industry that is already self-regulating.”

Measure B has also been criticized because it could be bad for business. Porn producers speculate that customers will not be interested in watching porn featuring actors wearing condoms. With the passing of Measure B, executives and directors have threatened to move from Los Angeles to other locations. Veteran director Kevin Moore said, “I love this business, but I feel this is an attempt to drive us out of California.''

The public

Though there hasn’t been a large-scale survey of the general public surrounding California’s Measure B, 56.8% of voters supported the measure at the polls.

We want to hear what you think. Is Measure B providing a good service, ensuring that adult actors are protected and moving porn toward becoming safer? Or is this unwarranted legislation that will waste money and move the industry elsewhere (or further under the table)?

 Sources

http://abcnews.go.com/Health/porn-industry-measure-mandatory-condom-measure-passed-los/story?id=17673377
http://latimesblogs.latimes.com/lanow/2012/11/condoms-in-porn-los-angeles-county-measure-b.html
http://healthland.time.com/2012/11/09/porn-industry-threatens-to-sue-over-l-a-county-law-requiring-condoms/

Get tested for HIV… on your couch

You may have heard the recent news that the first ever home rapid HIV test, OraQuick, is now available in stores and online. You may even remember our previous post on this very topic. People are able to purchase the test kit for about $40 at stores such as Walgreens and CVS, or on the OraQuick website. This is huge news! Here’s why:

There are approximately 1.2 million people in the U.S. that have HIV and 1 out of 5 of them are unaware of their status. People who don’t know they are HIV+ are much more likely to unknowingly transmit the virus to others. They are also at greater risk for serious health problems and early death with HIV.

 

A recent study found that 84% of gay and bi men say they would administer a self-test if one were available. Sometimes it feels hard to make time to take care of ourselves, even if it’s something as important as getting tested for HIV. It can also be scary to get tested. For some, the appeal of taking a quick test in the comfort and privacy of home is a deal breaker.

 

Many people are concerned that without the support of a trained HIV counselor, people who test positive for HIV may be upset, hurt themselves, or ignore the result. Finding out you have any disease is difficult, but an HIV+ diagnosis is crushing to some. Trained professionals can connect folks to resources and explain why being poz isn’t a death sentence today.  

 

While the oral swab test is 98% accurate when conducted by a professional, it’s estimated that the test is only 92% accurate when conducted by an average person. OraQuick recommends that if a person tests positive, they contact a professional for follow up.

This is a controversial issue: will home rapid HIV tests prompt more people to get tested and learn their status? Will people who test positive access the resources they need to stay healthy?

What do you think, readers?

If you’d like to get tested for HIV at AID Atlanta, contact us at (800) 551-2728 or visit this website.

 

Grindr: Friend or Foe to the Gay Community?

By now, most people have heard of Grindr, and many of us have profiles. Our contact at Grindr reports that there are 4 million users worldwide, 1.3 million of whom are in the U.S. The average user logs on to Grindr 8-10 times per day and spends about 90 minutes using the app throughout the day. So if you find yourself Grindr-addicted, you’re not alone!

News headlines about the app are pretty extreme:

• EXPOSED: The seedy underbelly of hook-up apps (News.com.au, September 2012)
• A deadly dating game (China Daily, September 2012)
• Grindr: Welcome to the World’s Biggest, Scariest Gay Bar (Vanity Fair, May 2011)
• Popular gay dating app Grindr blamed for syphilis outbreak (Examiner.com, August 2012)

Not to mention Paris Hilton’s recent comments that “most” gay men on Grindr “probably have AIDS.” Paris isn’t the only one to blame Grindr for increased rates of HIV and STD infections among gay and bi men. So what’s the deal? Are folks just looking for someone to blame, or does the app somehow promote or condone risky business, like barebacking or anonymous sex? We at GO Atlanta took a closer look.

In Grindr’s policies, there’s nothing to be found promoting or discouraging unprotected sex. The app does prohibit “sexually explicit, revealing, or overly suggestive photos,” as well as “nudity or physically revealing clothing of any kind.” And, to Grindr’s credit, there is a Grindr Health page, which links to resources for HIV and STD testing, as well as substance abuse resources. Throughout the site, Grindr advocates user safety and responsibility.

Grindr has a reputation for being a booty call app. But is it? In a recent study [1] of Grindr users in West Hollywood and Long Beach, CA, researchers found that the most popular reasons for using Grindr were to kill time (84.3%)and make new friends (78.7%), followed by connecting with the gay community (64.5%) and meeting hook-ups (64.5%). Participants in the study were more likely to use condoms with partners they met on Grindr (59.8%) compared to partners they met elsewhere (41.9%).

So, that brings us back to our original question: is it really Grindr that’s fueling HIV and STD epidemics? The app touts itself as a platform for guys to meet other guys, and it’s being used heavily around the world... but not necessarily to look for sex.

 

It’s easy to blame an app that makes it so darn easy to get laid. There are 9 guys within a mile of me right now! But really, it’s my job to get tested so that I know my status and use condoms to stay healthy. And to talk to my partners about their status, too. Here in ATL, AID Atlanta offers HIV and STD testing and free condoms. If you want to learn more about staying safe, watch our series of webisodes, “A Gay in the Life.” They’re quick, funny, informative, and just for registering and watching, you’ll get a Starbucks giftcard. 

Many health agencies are starting to use Grindr and other hookup apps to talk to guys about getting testing. Who knows? Maybe you’ll see GO Atlanta on Grindr soon.

 

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[1] Rice et al. Sex Risk among Young Men who have Sex with Men who use Grindr, a Smartphone Geosocial Networking Application. J AIDS Clinic Res 2012, S4.

Safer Sex For Your Smartphone?

Know your HIV status? Know your partner’s? There’s an app for that. Technology is creeping further and further into our personal lives, and the question has become, does it make our lives easier or more complicated?

The recently developed app called Chec-Mate allows individuals to search for testing locations, receive results after the test, and share the results with a partner. The app complies with all HIPAA regulations, the laws by which all healthcare professionals are bound. Privacy is maintained by using a unique username and password. A key advantage of sharing a person’s status using the app is that it reduces the amount of personal information disclosed with the test results. The question of ease versus complication remains unanswered. The app requires registration, and then an individual must have the professional complete a special verification form at the testing site. The app also requires a yearly subscription. Since the application is currently only available for iPhone, it is certainly not usable by everyone who could potentially benefit from it.

Some people have no qualms about sharing all of the information displayed on the paper results. Others choose not to discuss status at all because of fear or unease about how to approach the subject. At GO Atlanta we are addressing this unease with our online video series that stresses everyone’s responsibility for talking about sexual health. If this app encourages dialogue around sexual health while maintaining privacy I am willing to add it to my list of prevention tools.

What do you think? Why are some apprehensive about discussing sexual health? Is this app beneficial to anyone, some, or potentially everyone?

Lucas.Gosdin@aidatlanta.org

FDA reviews first rapid, take-home test for HIV

WOULD YOU USE AN OVER-THE-COUNTER HIV TEST KIT?

The Food and Drug Administration is considering approval of the first over-the-counter HIV test that would allow consumers to quickly test themselves for the virus at home, without medical supervision.

FDA reviewers said Friday the OraQuick In-Home HIV test could play a significant role in slowing the spread of HIV, according to briefing documents posted online. But they also raised concerns about the accuracy of the test, a mouth swab that returns results in about 20 minutes.

The review comes one day after an FDA advisory panel endorsed the HIV pill Truvada for preventive use. If FDA follows the group's advice, the daily medication would become the first drug approved to prevent healthy people from becoming infected with the virus that causes AIDS.
Public health experts estimate one-fifth, or about 240,000 people, of the 1.2 million HIV carriers in the U.S. are not aware they are infected. Testing is one of the chief means of slowing new infections, which have held steady at about 50,000 per year for two decades.

In a trial conducted by the company OraSure Technologies Inc., the test correctly detected HIV in those carrying the virus 93 percent of the time. That rate is below the FDA-recommended 95 percent threshold for accuracy.

The FDA estimates the test would miss about 3,800 HIV-positive people per year, if approved for U.S. consumers.

The test was more accurate at correctly clearing patients who do not have the disease. In company studies, OraQuick correctly identified HIV-negative users 99 percent of the time.
In their briefing documents, FDA scientists noted both the benefits and risks of expanding HIV testing with the take-home diagnostic kit.

"There is considerable personal and public health value in informing infected, but otherwise untested, persons of their true positive HIV status," the reviewers state. "However, this benefit is offset in some measure by HIV-positive individuals who receive an incorrect message that they are not infected."

The lukewarm endorsement apparently spooked investors. OraSure's stock tumbled $1.32, or 11.8 percent, to close at $9.85 in trading Friday.

On Tuesday, the FDA will ask a panel of outside experts whether the test should be approved for over-the-counter sales in U.S. The agency is not required to follow the group's advice, though it usually does.

Based in Bethlehem, Pa., OraSure has marketed a version of OraQuick to doctors, nurses and other health care practitioners since 2004. The test sells for $17.50, though OraSure declined to discuss how it would price the consumer version. When used by professionals, the test is shown to accurately identify both carriers and non-carriers 99 percent of the time.

While it's not clear why the test was less accurate in consumer trials, CEO Doug Michels said company researchers anticipated that its "performance in the hands of a consumer would be different from that observed in hands of a professional."

OraSure tried the new version of the test in a study of 5,800 people of various sexual orientation, race and income levels. The trial identified about 100 HIV carriers who were previously undiagnosed.
The FDA has already approved HIV test kits that people take home. However, those kits, which require a blood sample, must be sent to a laboratory for development. But OraSure argues that a test that can be done at home will appeal to a much broader group of people.
According to the company's study, 41 percent of people who discovered they were HIV-positive using OraQuick had never been tested previously. In its own briefing documents, the company estimates that 9,000 new HIV carriers would be identified for every 1 million people who use the test.

Read more: http://www.foxnews.com/health/2012/05/14/fda-reviews-first-rapid-take-home-test-for-hiv/#ixzz1urP5xsWG

STD's: What's the Real Risk?

Yesterday, the Center for Disease Control and Prevention released an annual report of statistics and trends for three rampant sexually transmitted diseases in the US. For the first time in ten years overall syphilis rates have decreased in the country.  While this is a wonderful step forward for our nation, the CDC still reports ungodly amounts of STDS in the US.  What should come as no surprise is, just like in previous years, communities of color, gay men, and MSM-identified men are still subject to highest rates of infection among the nation’s most prominent STDS. 

Here is a breakdown of where the nation stands with each STD:

Syphilis:

MSM make up 2/3 of all 2010 syphilis rates. Black MSM who have seen a 135% increase in syphilis from 2006-2010, found some alleviation this year with an 8.5 % drop in infections compared to last year. Hispanic communities saw a 9% increase in in syphilis. Caucasian communities saw a 3.65 % increase in syphilis rates.

Gonorrhea and Chlamydia:

The CDC recorded 1.3 million positive case of Chlamydia in 2010. Black women make up the largest numbers of both Gonorrhea and Chlamydia infections. The Hispanic community saw a 12 percent increase in both STDS.  White communities faced a 7.5 percent increase in Chlamydia infections and a 9.2 percent increase in gonorrhea infections. 

These results highlight dichotomy’s that exist across color lines:

Reuters did a telephone interview with Dr. Kevin Fenton, director of the CDC's National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention. He explained the statistics in way that communicates the spread better.

Syphilis infections are 2.4 per 100,000 for Whites, 5.9 per 100,000 for Hispanics and 20 per 100,000 for African Americans.

Rates of chlamydia in African Americans are about 1,383 per 100,000, compared with 467 per 100,000 among Hispanics, and 166 per 100,000 for Whites.

For gonorrhea, rates for Whites are 26 per 100,000. Among Hispanics, rates are about three times that at 63 per 100,000, and among African Americans, the rates are 512 per 100,000.

Fenton explained the dichotomy’s across color lines as such:

"It's not because someone is black or Hispanic or white that results in the differences that we see in STDs. It's really what these represent in terms of differences in health insurance coverage, employment status, in ability to access preventive services or curative services. These are all factors which are going to have a huge impact on communities”.

What Fenton said hits the bull right in its eye. Barriers to healthcare services exist in Hispanic, black, and queer communities. These findings are very similar to CDC reports released in August on 2009’s new HIV infections—which pinpointed that while gay/bi men make up only 2% of the population, they are an astounding 61% of new infections. Young MSM (ages 13 to 29) were most affected, representing more than 1 in 4 (27%) of all new HIV infections nationally in 2009.

MSM and other community’s that historically have been and continue to be marginalized today, face the heaviest burden for sexually transmitted diseases and HIV alike. But it is not the fact that they are of color, gay, or sleep with men that is causing these disparities; the fact is that access to healthcare, education, and preventive services become limited by societal stigma. The reality is individuals that lie within the intersections of being both queer and of color are at the highest risk for these STDs and new HIV infections.

AID Atlanta is doing its part to alleviate the stigma by providing programs that target specific risk groups. With programs like Evolution, Deeper Love, SISTA SOL, and of course GO Atlanta, we hope to reduce the rates and change the patterns in which these STDS and the HIV virus is spreading. Our new web-based outreach series, A Gay in the Life, allows us to break through some of the barriers associated with accessibility. Programs like the ones found here are hopefully just the beginning of more culturally competent health-care systems and AIDS service organizations.

For a list of all the programs found here at AID Atlanta log on to www.aidatlanta.org

And to watch A Gay in the Life for yourself check out www.getupandgoatlanta.com

STRONGER TOGETHER

We know the old addage that there is safety in numbers, but the reality is that it's true.  For instance, the only way you can REALLY know your partner's HIV status is to be tested together.  Often times we can find testing to be intimidating and awkward.  Wouldn't that situation be made better if your partner was there with you?  Additionally, we can find it hard to have a conversation about our wants/needs surrounding safer sex.  Wouldn't it be easier if you had someone to help you with that conversation?

WELL.....

AID Atlanta is now proud to offer couples testing for gay and bi men.  Testing Together provides an opportunity for you and your partner to have your HIV test together and get your test results together, with a trained counselor present to help you talk about the results. Testing Together and receiving your results together can start an ongoing healthy conversation between you and your partner about HIV in your relationship, and allow you to talk openly about building a protection plan together.

AID Atlanta is excited to be one of the area locations to pilot this program.  You can find out more details here: http://testingtogether.org/ or by visiting AID Atlanta.  If you have a partner, I encourage you to consider getting tested together.  You're always better to know your status - and your partner's too!

MOVING FORWARD

Earlier this month, the CDC released new findings that indicated that Gay & Bisexual men continue to make up the largest portion of new HIV/AIDS infections.  While HIV infection rates have remained level across the country, with new infections hovering around 50,000 per year, the infection rate amongst gay/bi men continues to climb.

The study showed that while gay/bi men make up only 2% of the population, they are an astounding 61% of new infections.  Young MSM (ages 13 to 29) were most affected, representing more than 1 in 4 (27%) of all new HIV infections nationally in 2009. Although young MSM of all races are affected, black MSM were the only group to see a statistically significant jump in new infections over the 4 years studied. Between 2006 and 2009, new HIV infections among young black MSM surged by half (48%), from 4400 infections to 6500 infections.  These rates are even scarier, when you consider that 1 in 5 people in the US do not know their HIV status.

Last week, The GA Voice did an article/cover story on some of the work that is being done in Atlanta to help combat these trends.  If you missed it, you can find the article here.  Clearly we have a lot of work to do still in the battle against HIV/AIDS.  One of our biggest foes is stigma.  Our new web outreach at http://www.getupandgoatlanta.com/ is working to help alleviate some of that stigma.  Here, gay & bi men (and our allies) can access video trainings to learn more about safer sex information.  You can also get information on how to start those conversations about safer sex with your friends and loved ones.  Additionally, men can find events in the Atlanta area to allow them to socialize with other gay/bi men and to meet with AID Atlanta staff face to face.