The study, “ Individual and Network Factors Associated With Racial Disparities in HIV Among Young Men Who Have Sex With Men: Results From the RADAR Cohort Study,” will be published in the January 2019 edition of the Journal of Acquired Immune Deficiency Syndromes. “If they want to discontinue because they are in a relationship I encourage clinicians to help them think through the need to make an explicit relationship agreement with their partner and receive at least two HIV negative test results 3 months apart,” he said. However, these people still should be vigilant. Many men will stop using PrEP once they’re in a relationship, believing they are no longer at risk, Mustanski said. “It’s key to take judgement out of the encounter and to make it clear it isn’t about right or wrong but about knowing the facts and using them to protect yourself and your community,” Mustanski said. He explained that, first and foremost, physisicans should discuss PrEP and condom use with their patients. “Dense networks are also ideal for spreading information and changing behaviors, so when an effective HIV prevention measure is identified, it spreads more easily and quickly through dense networks,” he said. The good news is that, while dense social networks allow for more efficient transmission of HIV, they also allow for more efficient transmission of positive public health messages. “Although black MSM are more likely to use condoms and less likely to abuse drugs, they also are less likely to discuss their HIV status with their sexual partners and more likely to encounter sexual orientation-related stigma,” Mustanski said. Illustrations Templates Audio Premium More.
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Mustanski said one reason is a lack of frank communication. Photos Illustrations Vectors Videos Audio Templates Free Premium Fonts. The higher rates of HIV among young black MSM persist despite the fact that the cohort is more likely to get tested regularly for HIV and less likely to engage in risky sexual behaviors.
However, the study also exposes a frustrating public health paradox. They were also more likely to have denser social networks and sleep with other young black MSM. They had higher rates of sexually transmitted infections as a result of anal sex. The data showed young black MSM were 16 times more likely than their white peers to be infected with the virus. Mustanski and colleagues used data from a longitudinal cohort study of 1015 young men (aged 16-29) in Chicago who have sex with men. “Past research has found that the higher the score (the denser the network), the more likely an individual is to have multiple sexual partners at the same time and more contact among members of the group, thus increasing their risk of acquiring HIV,” Mustanski, a professor at Northwestern’s Feinberg School of Medicine, explained. Social network density is calculated by taking the total number of friends or partners reported by a person and dividing that by the total number of potential friends or partners the person could have. Senior author Brian Mustanski, PhD, director of Northwestern University’s Institute for Sexual and Gender Minority Health and Wellbeing, told MD Magazine® it all has to do with how “dense” a person’s social network is. I also want to break down barriers of communication in families and the church, and even just on the block.New research finds dense social networks play a major role in the wide HIV risk disparity between young white men who have sex with men and their black peers. Also, I think it's kind of a known thing in the Black community, but are we accepting of young black non-binary people and allowing them to feel safe and allowing them feel that they can be taken care of, and that they can trust doctors and healthcare professionals? One thing I hope As Much As I Can opens up is exploring how we have real conversations in the community about these issues and destigmatize homosexuality, queerness, non-binary relationships and roles. And because quality care is so expensive, the idea of having to go and get tested and then having to go twice a year to get blood work and medication those things for many people, especially for marginalized people, is scary.
Sometimes people go to the doctor and they feel that they don't know what the doctors are talking about, or they don't trust the healthcare system, they feel like they're being charged every time they go in, so financial barriers are an issue. To that end, the government is actually failing our community. In the United States, healthcare is overly complicated and doesn't seek to serve everyone and their needs. In most countries in Europe, there are amazing healthcare benefits in place for citizens. Information is available, but not always easy to understand or access. For some queer people of color, the process of seeking proper healthcare is a barrier in itself, due to a person's resources, whether it is financial or educational.