This stigma can also apply in the other direction. In a survey from Janssen Therapeutics, black doctors, who are more active among black communities in which HIV is more prevalent , said three of five barriers to offering routine testing for HIV are related to social stigma. In particular, physicians said they're concerned patients may perceive the recommendation to test as accusatory or judgmental.
Not getting tested or treated for HIV appears to be a major cause of the disease's recent spread. A new study from CDC researchers found more than 90 percent of new HIV infections come from people not receiving medical care for the disease, and 30 percent of new infections were transmitted from people who don't know they have HIV. Among men who have sex with men, the youngest population saw the largest increase in annual HIV diagnoses by far. But the change in HIV diagnoses varied among older age groups.
During this era, the disease quickly spread throughout the world, and few treatment and prevention options were known. The disease ravaged the gay community in particular, infecting and killing millions. About 60 percent of under gay and bisexual men said they had anal sex without a condom in the past year. Only half of gay and bisexual men 40 and older reported having anal sex without a condom in the same time span. There's also some reasons to be skeptical of the theory.
While it's true new HIV diagnoses saw the largest increases among the youngest of gay and bisexual men, new annual diagnoses also rose among populations 45 and older. The theory also rests on the idea that younger people would be less worried about HIV, because they simply don't know well enough to be aware of its risks. But in a survey from the Kaiser Family Foundation, more young adults reported being personally "very concerned" about being infected with HIV and getting tested than the overall adult population.
Young adults, for instance, might be reporting their thoughts but not their actual behaviors and actions to Kaiser. The Kaiser survey also looks at all adults; it's possible young men who have sex with men would report different levels of concern and testing.
Like all the other risk factors, this issue needs more study if public health workers want to stop what could turn into a new epidemic. With the new CDC study, Lansky and others hope to provide a first step.
Our mission has never been more vital than it is in this moment: to empower through understanding. This web content uses the term gay and bisexual men to represent gay, bisexual, and other men who reported male-to-male sexual contact.
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