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Articles tagged with: personal stories of people living with HIV

May22

Dirty secret

Wednesday, 22 May 2013 Written by // Guest Authors - Revolving Door Categories // Health, Living with HIV, Revolving Door, Guest Authors

Guest Kevin Donaldson has been diagnosed with HIV since 2003. Since then, he has been through the wars with his partner, also positive. Here he describes his partner’s tumultuous journey and the quiet life they both now lead.

Dirty secret

My partner and I were both diagnosed HIV, around about the same time.

2003 was the worst year ever. I can remember it like it was yesterday. I didn't even get my bum on the seat and the doctor had blurted out "your results have come back positive". I sat there numb, in shock, then started crying. I had only ever heard of Freddie Mercury from Queen dying from AIDS so I instantly thought I was going to die. The doctor told me I was being stupid. Ten years later, here I am, still alive writing this guest blog

My partner and I managed to keep the diagnosis quiet, like a dirty secret, for three years until it all came to a head.

My partner took seriously ill. He was rushed to hospital in an ambulance ,with blue lights flashing and sirens wailing. It was the talk of the small village where we lived at the time. The rumour mill went into overdrive. Even a cashier in the local supermarket had the nerve to ask his dad if the rumours were true. She ended up with half a dozen eggs on her head, free range at that.That’s a small village for you.

In any event, he was taken to Ward 42 at the Western General Hospital which is where HIV patients are treated. i knew then it was all going to come out.

His sister and dad arrived at the hospital. She knew in her gut what I was about to say before I even said it. I just blurted it out then started crying. I am known for liking a good cry. You should see the state I get in watching "Beaches"

He was put on fluids, taken for MRI scans and put on antiretrovirals - Kaletra if I remember. He had a lumber puncture which missed the diagnosis of a brain virus. By the time they did a second lumber puncture it was too late. His CD4 count was down to 4. About four weeks after his admission he was put on life support when his lungs collapsed and he went into a coma which was said to be irreversible. That was the worst time ever. We had to plan a funeral  - I still have the disc of 4 songs that were picked -  as the consultant said there was no way back from the coma

But eight days later he was awake. It was like a miracle. He was put on feeding drips and had to have a catheter fitted. He would sleep all day and be awake all night. He was having up to 24 showers a night; in his mind he needed to shower to be warmed up. For the first four months he had no idea he was even in the hospital, no knowledge of anything that was happening around him. Without the staff on the ward and his consultants Dr Wilkes and Lisa, I don't think he would have made it

Life insurance policies and mortgage insurance in the U.K do not cover HIV, unless you are prepared to pay mega huge premiums, so in between all the hospital stuff we had to get a lawyer to do a bankruptcy on him. We lost the apartment and the business, three shops that my partner had built up to a worldwide business via the web. It was a terrible time. Apart from with his sister, the HIV was never spoken about. His illness was always referred to as "the brain virus". Why I don't know, but it was. Still to this day, eight years later, it’s called "the brain virus"

The brain virus affected the memory part of his brain so to this day he still has no short term memory. Everything has to be written on sheets of paper or he will forget in seconds what he has just been told.

I lived in the hospital for eight months while he was being treated. I was suffering from stress and my own health was suffering. I lost loads of weight and was looking ill, just as he was beginning to look healthy. But after eight months he was sent to a respite unit for brain injuries. Most people in there had been in car crashes and had severe injuries. He was only there for a month just to get him used to simple things like shopping and exercise.

After a total of eight months in hospital and a month in the brain unit, nine months in total, he was allowed home. It was the best day ever when he got out. We had rib-eye steak with fries to celebrate. After that, we had to live with his parents as we had lost our apartment. It was stressful for them too as they were used to living by themselves and here they were with two grown adults.

We had to apply to the state to see what benefits he was entitled to. He was entitled to Disability Living Allowance as he is classed as having a severe disability. Myself, well I suffer depression for which I get treatment and my HIV results are always good when I get my blood drawn every three month. My consultant Dr Gordon Scott is a living legend. Without his wise words and help I think I would have given up a long time ago.

It’s been five years since he was in hospital. He can’t work as his short term memory is non-existent.He keeps in touch with everybody through his Facebook account. I work part time in an HIV respite centre in Edinburgh. It’s a great job where every day is different. It was opened by the late Princess Diana 20 odd years ago when AIDS was a big taboo. She came and touched AIDS patients.

We lost everything we had to HIV. Gone are the six times a year visits to the States. You learn to live with what you have. Apart from our families we don't really keep in touch with anyone, apart from my dearest friend David in Toronto, whom we have visited. It seems to have made us very withdrawn. We are quite happy in our small house with our two cats, Fluffy and Lucky and our garden. I like to bake cakes.

We still keep our diagnosis to ourselves. It’s nobody's business but ours and in Scotland. especially in the small village where we live, it still has a large amount of stigma attached to it. If it was cancer we would get loads of sympathy but HIV gets no sympathy, as in Edinburgh, it's still thought of as that gay disease.

Small town mentality I call it. It’s still our dirty secret.

About the author: A gay man, happily partnered for 20 odd years, living in Edinburgh  - or Auld Reekie as some people call it.

Here I am trying to live my simple life. I just happen to be HIV+. Enjoy the story of my journey and what the virus means to me 
May22

The biohazard blog, part three: bathhouse breakout

Wednesday, 22 May 2013 Written by // Evan Howard Categories // Evan Howard, Gay Men, Health, Sexual Health, Living with HIV, Opinion Pieces, Population Specific

Evan Howard is using a biohazard tattoo on his chest as a means of expressing his poz identity and solidarity with the HIV community, blogging about the reaction he receives as he goes.

The biohazard blog, part three: bathhouse breakout

March 15, 2013 - 11:30 pm

Met a guy last night online who was visiting LA for the weekend. We meet up this evening and found we had more than just a simple mutual attraction. He's newly POZ (just six months) so when he got an eyefull of the tattoo he was a bit confused but being in the medical field he quickly connected the dots. His reaction, like many, was supportive yet I got the distinct feeling it wasn't for him. Coming from a more traditional background I think being openly gay and now POZ was more than enough for him to deal with though he did have a nice tribal tattoo.  I wonder if the tattoo would have been an issue for him if we wanted something more serious or maybe he would want one as well ... there's a thought.  

March 17, 2013 - 12:30 am 

We decided to meet up late this evening but because I presently have roommates and like my privacy we chose a more ‘interesting’ venue to hang out at, the local gay bathhouse.  To be honest I have avoided the bathhouses for many years as they no longer hold much appeal. But lacking a place, seeing how he had never been to one before and me desiring to gauge the reaction of people to the tattoo in a sexually charged environment, the bathhouse on a late Saturday evening was the perfect place. 

We did the grand tour of the smallest bathhouse in LA and while he was filling his eyes with the sights - bathhouses by nature defy description so I will not attempt - I was focused on the patrons and their reactions … which was nothing.  That said, we were never approached, nor did we approach anyone to get any sort of reaction.  After a thorough once over of the place we retired to our room and later headed out to West Hollywood. 

March 17, 2013, 2:30 am 

We arrived at one of my old haunts, the now remodelled Mickey’s bar for after hours but instead of dancing we found ourselves on the patio talking.  He attended small high school where he was openly gay, a handsome guy who was into weightlifting at the time and had the respect of his fellow classmates.  Now in his early 30’s he was having to quickly come to terms with being HIV+, something he was having issues accepting and this caused him difficulties disclosing.

Knowing he came from a small southern community I asked if he had told anyone of his family he was positive, something I have yet to doUpon his diagnose he called his siblings and told them, “I am HIV+, I need you to go on the web tonight and learn about it because when I call you tomorrow I am going to need your support!” and hung up.  He called back the next evening and when they answered the verdict was unanimous “you are not going to die!”  I have to be honest, this was one of the most simple yet powerful disclosure stories I have ever heard.  

March 17, 2013 - 4:30 am 

We spoke some more and being the night was still felt young to us we decided to retire to LA's largest bathhouse to round out the evening.  If I was going to get a reaction to the tattoo I imagined it would be at this location. Though it was late, there were still lots of people awake and looking to connect. We got a room on the ground floor and made a quick tour of this location; it had changed a bit since my last visit years earlier but the general layout remained the same, with a basement, ground floor and upstairs. 

My guest had a mind to get a third to join us, so we set out on a search. There was no shortage of guys and though we made several attempts, whether being a couple was too intimidating or the tattoo worried the players or the general luck of the evening, we were unsuccessful. Neither approached nor shunned, without actually interviewing someone I couldn't say for certain what was the root issue, if any. So much for testing the tattoo at the bathhouses. 

March 24, 2013 - 10:00 pm 

Yet another in my series of my trips to the Korean spa with the tattoo, one guy struck up a conversation about it saying it looked like the Olympic symbol (it does have three semi concentric rings), I corrected him saying it was actually a biohazard symbol and left it at that.  I was not particularly interested in informing him of my status as this was still the Korean spa and I didn't feel entirely comfortable just announcing my status randomly, sort of defeats the idea of limiting disclosure.  However if he pressed me I would have willingly explained why I was wearing the tattoo as it’s purpose is to promote discussion and it definitely empowers me to disclose. 

March 26, 11:45 pm 

Sitting in the spa at the gym before closing, just myself and another guy (seen him before never talked to him), when out of the blue he commented on the tattoo saying it looked like a gay symbol. (In fact the biohazard tatt is rainbow coloured so it serves to ID me as gay to the observant).  In context this was the day of the US Supreme Court hearing the arguments regarding the Defense Of Marriage Act (DOMA) and the following day they were scheduled to hear Proposition 8 arguments and he was curious how I felt about it as well as the possible outcome.  This was fascinating, as the tattoo appears to get people talking about things that are close to my heart other than just my status. This was a great and most unanticipated result. 

March 30, 2013 9:00 pm 

Arrived late to the Korean spa. I had problems applying the tattoo that evening; the skin seems oddly irritated but I ignored this and off to the spa I went. Only ten minutes into my visit I notice the tattoo, a thin sheet of acetate glued to my skin, was bubbling up. Argh! I pressed hard to get it to adhere and thought it would just stick ... it didn't.  The temporary tattoo that I usually wore for three to five days without any issues was coming unglued.  By the time I was done with my 70 minute session it had peeled up to the point that once I returned to my locker to change I needed to remove it.  It appears my skin has built up an allergic reaction causing the temporary tattoo to not only bubble up but actually cause physical pain to the application site.

So no more temporary tats, the universe has spoken! 

April 1, 2103 10:45 pm 

In the shower at the gym the following evening, a sexy young black guy is one shower over and is clearly looking for some action. Never been one for public play but without the tattoo I felt oddly more naked than I already was ... interesting that the tattoo appears to work for me both as a shield as well as a warning. 

April 6, 11:30 am 

Finally I made contact with Jill Jordan, a highly respected and innovative tattoo artist! Set an appointment with her for April 14th at 1:00 pm. My gym buddy Alonso is so excited he also wants to meet Jill (he has a tattoo of his own in mind). 

April 7, 2013 9:00 pm 

I meet up with my first former bf David while he was visiting LA and being that he was one of the inner circle of people who knew I was poz I wasted no time telling him about my desire to get the biohazard tattoo. Why open with the tattoo? David and I have also had a very deep connection on a spiritual level and I wanted to hear him ask "what is your intention?" 

I gave him my canned answer - it will make it easier to disclose, show solidarity to the HIV+ community, etc., yet I was merely buying time to really look deeper and see if I could find an even more tangible answer. This was always the way with us because of our connection and frankly it's quite refreshing to speak about life in terms of spirit and action.  Oddly I rarely avail myself of such opportunities anymore ... makes me wonder why. 

We had both been through some serious life events, broken relationships, health and financial issues, yet we seemed to be better off for it all.  By the end of the evening I was feeling very comfortable with David again and was ready to give him a better answer with regards to my intent of getting the tattoo. 

First, I wasn't branding my soul, only the body. It reminds me to be mindful of the infection but not overwhelmed by it. A few years ago I might have found such a reminder very disturbing, a constant reflection of a mistake I made and was unable to undo. But now much, like knowing I will die, I am coming to terms with it. The tattoo reminds me my life and time on this earth is precious as well as short and to embrace life at every opportunity. 

Second, the tattoo is a method of communication of not just my HIV status or that I am gay (the rainbow flag has many people identifying as a gay symbol) but purely as an art form with a language all its own.  I trust many will appreciate it on many levels but haters will hate and how I deal with such situations will be a measure of my own growth.  Most reactions have been good and I predict that though this seems like a bold act now it will be passé in 10 years but no less important to me! 

Lastly, it memorializes the freedom of my mind if not body from HIV (my spirit has always been free and I am beginning to appreciate that more and more). David applauded my intention and asked me to meditate further on this act. II told him I would and let him know what conclusions I reached. 

April 10, 10:00 pm 

Over the following days I considered what David and I talked about and we shared more messages over FaceBook when it dawned upon us - damn this tattoo really does get people talking. That’s when it hit me this was an immerging aspect, not just to communicate to other people but to get people talking - about HIV, about gay issues, breaking down the barriers we put up in our daily lives.  I am not so naïve to think this tattoo will change the world but getting people talking is a great start! 

May20

Women talking about being HIV-positive

Monday, 20 May 2013 Written by // Guest Authors - Revolving Door Categories // Arts and Entertainment, Movies, Women, Living with HIV, Population Specific , Revolving Door, Guest Authors

Two young women born with HIV make a video about the advances in treatment, having babies and where they are today.

Women talking about being HIV-positive

FromConnected Health Solutions, Inc.  

While recent advances in the treatment of HIV have opened up new possibilities for families, stereotypes and misconceptions still abound.

According to the Centers for Disease Control, an HIV positive mother who is not being treated for her HIV during pregnancy, labor, or delivery has a 25% chance (1 in 4) of passing the virus to her baby. However, women with HIV who take antiretroviral medication during pregnancy as recommended can reduce the risk of transmitting HIV to their babies to less than 1% .

In this new adolescent-made public service announcement, two women with HIV discuss their feelings towards the mothers who transmitted the virus to them and how advancements in treatment changes their future fantasies.

"I wish I could have been one of those babies...[but] I'm going to be the best mom in the world." says one young woman. "For so long I had hateful feelings towards her...my destiny was chosen for me" says the other, but by the end of the film she expresses that "as a positive female, knowing that if I have a kid, that they're not going to be positive gives me hope."

These women also explore the stigma of being an HIV+ woman. "With the dating, comes the disclosure, comes the fear of rejection," says one of the women. The other woman mirrors these fears, "I feel like I won't have a future as far as finding love, starting a family." They both wanted to make this video as part of a competition held by "Youth, the Arts, HIV&AIDS Network" (YAHAnet), which instructed the adolescent contestants to create a "webisode" that addressed HIV and gender stereotypes.

"I am HIV positive. I'm healthy, I'm living, and I'm still going; If you are positive, stay positive," says one of the women who decided to show her face on camera. Though the other was inspired by her friend's bravery, she remained anonymous but took the next step of sharing her voice. The film can be seen below.

YAHAnet recently announced that the film was the winner of the 19-24 year old category.

About: Connected Health Solutions, Inc. is a consultancy for nonprofits, service organizations, and educational institutions. Their premier product, MyMediaLife, is series of group-level workshops that engage with at-risk target populations to explore and problem-solve social issues and find their voice through digital media. The resulting campaigns are highly polished public-service announcements that attempt to inform and change behaviors, norms, and attitudes.

May16

On the anniversary of my being “sober”

Thursday, 16 May 2013 Written by // Josh Kruger Categories // Josh Kruger, Gay Men, Lifestyle, Living with HIV, Opinion Pieces, Population Specific

Josh Kruger looks back on the day he decided he was finally done with drinking - and asks why we do it.

On the anniversary of my being “sober”

Late at night, I research and write by myself so I can avoid confronting the fact that I am alone, typically until I pass out from exhaustion. Gradually through the evening, as sources for my stories and colleagues I’m collaborating with over long-term projects go to bed themselves, I’m left alone at my computer, occasionally Googling a fact that I’m curious about; tonight, I learned about the history of Prussia.

Thoughts randomly piece themselves together until a great idea hits me, I write it down, and then my aimless reading continues. Sometimes, I’m chasing a lead and poring over ethics complaints and campaign finance disclosure forms. Other times, I’m refreshing my knowledge of American or military history. And, tonight, I purposefully watched the digital clock on my computer until 12:00 AM hit to reach another year of sobriety from alcohol; today, May 6, is the day that I decided years ago that I was finally done with drinking. 

At one point in my life, I had a good job serving my community, a good partner whose boundless compassion and understanding was remarkable, a quaint suburban home, and a good network of friends with reputable backgrounds and even more respectable jobs. Yet, during that very same period of my life, and for years prior, I had generally functioned as an alcoholic.

Somehow, I had always managed to apologize away the missteps, the rare flashes of rage, and the endless sadness, literally bouts of uncontrollable sobbing, that inevitably ensued when I became drunk. At some inexact point years ago, however, the functioning component of my alcoholism started to disintegrate and more of my work was sloppy, more dinners with my husband were missed, more hangovers caused more missed trains, and, eventually, I lost the very thing that I so desperately wanted my entire life: love.

Jung said that we do not wish to hear someone say “I love you” but, instead, “I understand you.” And, for me, this is a truth that I have found only once in my life and that was because it was coupled with love. Sometimes, I will hear someone inexperienced with long-term relationships wax poetically about the perfect nature of his newest adventure; candidly, I indulge myself in these sophomoric romps to, feel, at least for a short while, capricious and giddy. Indeed, there is a fleeting joy in being, for all intents and purposes, idiotically infatuated. But, the one thing that I rarely hear and have never uttered in years is the sincere, and quiet, appreciation of imperfection inherent in love and understanding between two human beings: the pensive tics, the bedhead cowlicks, the sometimes terrible sense of humor, the earnest goodwill found in whomever you truly love.

These imperfections are the essence of the love that we truly seek, whether we know this or not is irrelevant because it is true. And, at one point in my life, I had this love. Though, being an alcoholic, and a particularly nasty, narcissistic one at that, I threw that all away in exchange for doing whatever I wanted to do. This is, indeed, the surest way to destroy a relationship.

Let no maudlin drunk or repentant (at least today) sinner convince you otherwise: we do things as human beings not because we are compelled by nature or illness but, instead, because we choose to do these things.

We cheat on our wives because we are lustful and, for some reason, decide to not have a candid conversation about a non-monogamous yet loving relationship. We steal from public coffers because we desire greater wealth and material instead of appreciating the things we have and choosing to live within our means. We belittle others because we have the power to do so and can feel better about ourselves in the process, and there is no complexity in our motivation anymore than there is complexity in the fact that we must sleep every night as it is our biological function. Whether or not we choose to resist these motivations, to instead cultivate the noblest components we are endowed with is entirely our decision. We are not powerless nor are we weak. On the contrary, we are empowered to deliberately make decisions that have inevitable consequences, be they good or bad.

And this is the most frightening part of being human.

If we are not compelled by force to behave in a terrible way, then we have chosen to deliberately defy our ethics and the better parts of our innate characters and have opted, instead, to give in to the most repugnant and damaging aspects of our animal nature. We become drunkards, drug addicts, narcissists, mean-spirited misanthropes, or, as is typical, whiny, weak-kneed explainers who would rather use these very tools of manipulation, drink for instance, to excuse away our behavior disingenuously rather than confront the fact that our characters are, at least for some of us, inherently predisposed toward unethical acts. This predisposition is not immutable; we can change how we behave and how we cope with life in order to focus our energies in more socially acceptable and rewarding ways. Some folks call this cognitive behavioral therapy; others call it Alcoholics Anonymous. Personally, I call it ethics.

As the years go by and the length of time between the last time I was drunk and “now” continues to increase, I realize that I know very little considering I have experienced so much. Oddly, my knowledge seems to have an inverse proportional relationship to my age and experience; and, this is unnerving. For if part of getting older is recognizing that you are fully responsible for your mistakes, then you must logically realize that you are where you are because of, mostly, your own actions combined with a small number of lucky encounters.

These small chances, these opportunities presented by chance, fate, or God himself, are often hard to identify, but they exist and your actions in response propel your own trajectory down one of many different paths presented to you.

Personally, I chose an unhappy path for a very long period of time, a path that unfairly involved others to a tragic degree. And, I cannot change this, nor can I possibly ever find redemption for these actions and words. Rather, I can simply try harder and hope that those opportunities I once had will present themselves again only in a more recognizable fashion with, I assume, a different set of characters. Hopefully, I will recognize these opportunities more perceptively than I did when I was an active drunk, otherwise I am destined to repeat my mistakes and the idea of happiness, of that love, will always be the dream that I put off every evening, opting instead to read about history or write about politics until I fall asleep.

Today, I am still sober. And, I am still putting off going to bed. Even so, it is much easier being alone sober than it is drunkenly sobbing. And, for that, I am glad I made the choice to continue my sobriety today. I expect that this will continue for some time; after all, you get quite used to not drinking and, interestingly enough, are sort of puzzled after a while why people drink at all, or why you did it in the first place. Then again, there is no puzzle to it.

We do these things because we want to do them.

This article first appeared on Josh's own blog here.

May14

Gay men and sex

Tuesday, 14 May 2013 Written by // Guest Authors - Revolving Door Categories // Gay Men, Research, Health, International , Sexual Health, Population Specific , Sex and Sexuality , Revolving Door, Guest Authors

Aidsmap.com reports consistent decline in partner numbers in US gay men in last decade, but no change in condom use

Gay men and sex

This article by Gus Cairns first appeared on aidsmap.com here.  

Data from two national sex surveys in the United States show that gay and bisexual men (men who have sex with men, MSM) reported significantly fewer sexual partners in the previous year in a survey conducted between 2006 and 2010 than they did in one conducted in 2002. This decline was consistent across most ethnicities and age groups, but was particularly marked, and statistically significant, in younger men aged under 24.

In contrast, the proportion who reported having condomless anal sex at least once in the previous year did not change between surveys. In the minority of men who also had sex with women, condom use fell markedly, but on the other hand the proportion of MSM who also had sex with women fell too.  

The proportion of men who tested for HIV or for sexually transmitted infections (STIs) in the last year did not change, although the proportion who had never tested for HIV fell.

The survey

The data come from the last two National Surveys of Family Growth (NSFGs). The NSFG is a survey of 15 to 44-year-olds; participants are contacted at random by phone but due to lower contact/response rates, people under 24, black people and Hispanic people are ‘oversampled’, i.e. a higher proportion are initially contacted than are in the general population.

NSFGs used to be conducted every three to seven years, but in 2006 a decision was taken to conduct interviews (by voice-assisted automated computer interview) continuously. This study therefore compared figures from interviews conducted in 2002 with ones conducted in 2006 to 2010.

NSFG interviewed 4928 and 10403 men in 2002 and 2006 to 2010, respectively. Of these, 197 and 272 reported having a male sexual partner in the last year – 2.7 and 2.1% respectively (this difference was not statistically significant, p = 0.1).

The results

The mean number of male sexual partners MSM reported in the previous year fell significantly from 2.9 to 2.3 between the two surveys (p = 0.035) and was more marked in men under 24 years old (mean 2.9 to 2.1 partners, p = 0.027). The number of partners also fell in men aged 35 to 44 from 3.0 to 2.2, though this was not quite statistically significant (p = 0.07).

The fall in the number of partners was statistically significant in men with incomes under 150% of the US federal poverty level (3.0 to 2.1) and in men living in suburban metropolitan areas (3.2 to 2.1) but not in city-centre areas (2.6 in both surveys). There were declines in partner numbers in white (3.0 to 2.5) and black (2.4 to 1.9) men, though these did not reach statistical significance. In general though, there was a consistent picture of fewer partners among most groups.

There were no changes in condom use for anal sex. In 2002, 57% of men had not used a condom the last time they had sex and in 2006 to 2010 the proportion was 58%. In the minority of men who also had sex with women, the proportion who had not used a condom the last time they had vaginal sex was 46% in 2002 but had become 67% by 2006 tp 2010, and this difference was statistically significant (p = 0.04). However, the proportion of MSM who had had female partners also decreased from 38 to 25% (p = 0.03).

One other notable difference was that fewer men reported transactional sex (sex for money or drugs) in the last year (down from 15 to 3%) and fewer men said they had injected drugs or had had sex with someone who had injected drugs (from 12 to 5%).

HIV and STI testing in the last year did not increase. In 2002 and 2006 to 2010, 41% of men said they had had an HIV test in the last year and in the case of STI check-ups 38% reported having one in 2002 and 39% in 2006 to 2010. The proportion of men who had never had an HIV test, however, fell from 25 to 15%.

Conclusions and comments

The researchers comment on the fact that HIV prevalence and the incidence of STIs increased in gay men during a period when numbers of partners and some other sexual risk behaviours were falling. They note that there have been previous studies in Seattle and Peru where STI incidence and/or HIV diagnoses have remained high even though sexual risk indicators in gay men have fallen. Studies of young black gay men in the US, including one recently presented at the 20th Conference on Retroviruses and Opportunistic Infections (CROI), have consistently shown that they tend to have fewer partners despite considerably higher HIV incidence.

The researchers speculate that this may be due to ‘network factors’: factors about partners that are not captured by the individual risk behaviour focus of most studies. For instance, some studies have found that black gay men tend to restrict sex to partners of their own ethnicity and are also more likely to have sex with men a number of years older or younger than themselves. Both of these would tend to concentrate HIV infection within the black gay community.  

Whether these are the main drivers of US black men’s greater vulnerability to HIV infection, another interesting aspect of this study is that gay men appear to have taken steps that could reduce their HIV risk by using a method that has received little emphasis in HIV prevention programmes for gay men – reducing their number of partners – while not increasing condom use, which has received the most emphasis.

Reference

Leichliter JS et al. Temporal trends in sexual behaviour among men who have sex with men in the United States, 2002 to 2006-10. J Acquir Immun Defic Syndr, early online publication, DOI: 10.1097/QAI.0b013e31828e0cfc, 2013. 

May14

Riding on a wave of good Karma

Tuesday, 14 May 2013 Written by // Wayne Bristow - Positive Life Categories // Hobbies, Gay Men, Lifestyle, Living with HIV, Opinion Pieces, Population Specific , Wayne Bristow

Wayne Bristow: “I made many bad choices in my life and tasted the bad Karma on those occasions, so yes, the good Karma is working for me now.”

Riding on a wave of good Karma

I think I am riding on a wave of good Karma and if that’s true, I am really enjoying the ride! It’s not a tsunami wave, it’s a simple, gentle wave with small things happening with large rewards.

Today, I went downtown for the raising of the Pride flag at City Hall. This is the first time I’ve done this, and I’ve lived here for the better part of 32 years. I went mostly because I saw a photo opportunity  - and I did get a few good ones. When I was wrapping up, I looked over my shoulder and there was a young guy watching me.

He began to tell me, “This has got to be one of the most powerful statements any city can make”, pointing to the flag. There it was, flying next to the city flag and the Canadian flag. There was another flag that he thought was some sort of British flag. I felt I had to tell him it was the Ontario Provincial flag. He went on to say, what an experience it was that I could be there taking a picture of that flag, proudly flying next to all the others, only in Canada. In other countries it wouldn’t be celebrated in the same way.

This whole experience made me think back to 2011 Toronto Pride, I had taken a photo of the Pride flag with the Canadian flag (see below) that I was so proud to have taken. It was seen by a writer who wanted to use it in a story he wrote. It was an honour to have it included in a story about Pride.  I agreed to it right away. I have since donated a copy of it for a silent auction at a local fundraiser last year.

In a true “social media experience” I saw a link on my facebook that led me to another link for a site that one of my contacts was following called Fierté Canada Pride. Right away I noticed their profile photo, I clicked on it to see a larger version of it and sure enough, it was the same photo of the two flags. I thought about other photographers I’ve met who would be upset someone used their photos without permission or compensation.  For me, if it’s for an HIV cause or to promote Pride, then please use it. I volunteer to do all photos for my local AIDS Service Organizations for most of our events. It’s a way of giving back for a lot of what they have done for me. I sent the site a private message letting them know that it was my photo and that it looked great on their site and to enjoy it.

So giving in this way is a large reward for me. Karma, what you give out, you will get back. Beautiful!

The most positive Karma experience happened about a week and a half ago.  I was out taking pictures at the local University Arboretum. I had been there for an hour or so, just sitting at the picnic table trying to catch the birds flying in and away from the feeder. I noticed a few people coming through the area. I talked to a couple of them, just a hello.

Then I noticed a couple  of guys. They looked around, then sat down on a bench to the right of me. They were around my age. I had this feeling that maybe I knew them as they fit the general description of a couple of guys I once chummed around with. One was a friend I had hoped to reconnect with, someone I hadn’t seen in about 15 years. I had made a commitment at a recent retreat back in February to try to re-connect. I had found an old phone number, but misplaced it.

So, after about 10-15 minutes, I decided to pack up and go say hello, see if it was that old friend. I turned around to see they were on their way out of the area, so I had to hurry. I managed to catch up and I called out the friend’s name. He turned around and said, “pardon me?” I said his name again and he looked at me. Then he said, “don’t tell me, give me a minute”. It was him, and like me, a little older a little more grey. He lives in another nearby city; we hadn’t seen each other in maybe 15 years and there we were, in the least of all expected places. I go to this place so often. We tried to catch up but he was in a hurry to go somewhere, said he had an appointment, he gave me his cell number and I was to call him.

This has to be the most genuine form of Karma ever, or was it “fate”? Could they be the same thing?  To move forward now I realize that I will need to do some apologizing to him. I can’t go into the reason for the separation but I wasn’t the person I am today. I didn’t know or use empathy or compassion very well then, hell most times I can’t say I had any awareness of it. I am aware that it may not be the same friendship it was before, but it could be. We can’t get into the same trouble  - or can we?

I spend a lot of time on the internet, but I am trying to get out more. Now that the weather is cooperating it’s been easier. Photography has become a social affair; I get to meet other photographers or people asking what I’m taking pictures of and they share stories of their own. One gentleman and his wife last night suggested I join the seniors’ centre, they have a photography club and I could win the photo of the week. I do qualify, you need to be 55 and over, and I am over.

So I’m trying to put a finger on what it is I’m doing and I don’t see many great things. I think a lot of it is just staying positive, avoiding the negatives. If you want things to add up in life, avoid the negatives. I have seen how people treat me by the way I treat them, I do it all so differently now. I made many bad choices in my life and tasted the bad Karma on those occasions, so yes, the good Karma is working for me now.

So I’ll sign off here and since Pride season is kicking off around the world, Happy Pride everyone.

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