First findings from 2014 global men’s health and rights survey

MSMGF has partnered with LINKAGES and FHI360 to publish, Rights in Action: Access to HIV Services among Men Who Have Sex with Men, the first of a series of technical briefs highlighting the main findings from MSMGF’s 2014 Global Men’s Health and Rights (GMHR) Survey.  Each brief will focus on specific challenges and opportunities that impact efforts to scale up coverage and quality of services for men who have sex with men (MSM) across diverse regional contexts.

The GMHR was launched by MSMGF in 2010 as a biennial effort to assess the current state of health and human rights among MSM on a global scale. The multilingual online survey focuses specifically on access to HIV prevention, testing, treatment, and care services, including the impact of barriers and facilitators that affect access to each category of service. The survey is designed to place access to services in the broader context of sexual health and the lived experiences of MSM.

For the first time since the GMHR’s inauguration, the 2014 survey includes a longitudinal component that allows for changes to be tracked over time. The 2014 survey also includes questions specifically designed for transgender men who have sex with men, providing a rare global perspective into the health and human rights of this demographic. Read more via MSMGF 

Australia: Here’s what it’s like to go through gay conversion therapy

“Please take this from me, I don’t want to be gay.” Brisbane man Johann De Joodt knows first hand the horrors of gay conversion therapy. A participant in numerous programs designed to purge his homosexuality during his twenties and thirties, De Joodt adopted a traumatising routine of church, sin and repentance that looped on repeat every week for 15 years.

The question of whether conversion therapy works was answered long ago: it doesn’t. Leading psychological associations in Australia and around the world have denounced therapy that attempts to change sexual orientation. Earlier this year, a report from the UN High Commissioner for Human Rights called for nations to ban the practice, describing it as “unethical, unscientific and ineffective and, and may be tantamount to torture”.

Partly as a result of these strident denouncements, the prevalence of such therapy has significantly declined in Australia. Around 40 providers across the country in 2000 have dwindled to just a handful still in action today. 

Johann De Joodt bristles at the description of gay conversion therapy as “nearly dead”. “Conversion therapy hasn’t ended in Australia,” he says. “It is alive and well.”  Read more via Buzzfeed 

New study of midlife and older gay men links "internalized gay ageism" with depressive symptoms

"Internalized gay ageism," or the sense that one may feel denigrated or depreciated because of aging in the context of a gay male identity, is associated with negative mental outcomes according to a new study published in Social Science & Medicine.

Prior research has shown that youth, vigor, and physical attractiveness are disproportionately valued in the gay male community, leaving many to experience a sense of "accelerated aging." This study explores how ageism and homophobia are jointly internalized by gay men, whether these feelings affect their mental health, and whether a sense of "mattering" (the degree to which they feel they are important to others and a significant part of the world around them) offsets any mental health deficits associated with internalized gay ageism.

The study is based on data collected from 312 gay-identified men who have been participating in the Multicenter AIDS Cohort Study since 1984. The men ranged in age from 48 to 78 years (average age: 61yrs) and 61% were HIV-negative. Three decades of depressive symptoms data were included in the analysis to help strengthen the direction of the observed findings.  Read more via Williams Institute 

US: Providers must be vigilant about screening for other STDs

The number of syphilis cases in the United States among men who have sex with men who are infected with HIV, as well as in the general population of MSM, are nearing “epidemic” levels, according to Ina Park, MD, medical director of the California STD/HIV Prevention Training Center and associate professor at the University of California, San Francisco, School of Medicine.

“We’re soon going to be at levels close to the early 1980s, right at the start of the HIV epidemic,” she said.

Park discusses an ocular presentation of syphilis as well as other STDs in patients with HIV. She emphasizes the importance of frequent STD screening among these patients, noting that the increase in syphilis should serve as a reminder to be vigilant. Watch Dr. Parks comments via Healio

New Zealand: Syphilis infection rates almost double

The annual number of gay and bisexual men who have contracted infectious syphilis has almost doubled, prompting a call for DHBs to make sexual health a higher priority. Sexual Health Clinics have reported a rise from 81 cases of infectious syphilis last year to 141, with 86 percent of all 2014 cases found in gay and bisexual men.

Auckland’s infection rate has more than doubled over this period, with numbers rising from 41 cases of syphilis to 85. Further south, Waikato has also seen a large increase in infection from 6 to 16 cases.

Dr Peter Sexton of the Gay Men’s Sexual Health research group at the University of Auckland says, “Syphilis will continue to spread and risks becoming a serious endemic problem unless DHBs are required to make sexual health a higher priority.”

A marked increase in infectious syphilis cases has continued in Auckland in 2015 and Saxton says Auckland and other DHBs need to develop and implement syphilis outbreak plans.  Read more via Gay NZ

US: Risky sex more common among young gay, bi men with detectable HIV

New strategies to reduce risky sexual behaviors among young gay and bisexual men with human immunodeficiency virus may be needed to reduce new infections, according to a new study.

Researchers found that most young gay and bisexual men with HIV don't have the virus suppressed by medication, making them more likely to infect others, and more than half reported recent unprotected sex.

While medications for HIV and access to those treatments improved over time, lead author Patrick Wilson said addressing unemployment, education and mental health is also important. Read more via Reuters

Now, a condom that can kill HIV

Aiming to increase global use of condoms as a way to prevent the spread of HIV and AIDS, Dr. Mahua Choudhery and her team have developed a new non-latex condom which contains antioxidants and can kill the deadly virus even after breaking. The condom is made of an elastic polymer called hydrogel, and includes plant-based antioxidants that have anti-HIV properties.

"Supercondom could help fight against HIV infection and may as well prevent unwanted pregnancy or sexually transmitted diseases and If we succeed, it will revolutionise the HIV prevention initiative," said Choudhury, the lead researcher.

Choudhury, who studied Molecular Biology, Biophysics and Genetics in India before getting her PhD in the US, has been researching diabetes and the obesity epidemic. She was one of 54 people awarded the Bill & Melinda Gates Foundation's "Grand Challenge in Global Health" grant.  Read more via HuffingtonPost

Op-Ed: The choice to take the HIV prevention pill has nothing to do with sluttiness

I began taking PrEp, I told people the news very casually over drinks or in passing. Many times, this conversation has become a defense of my sex life. “Oh, so you’re a hoe now?” one person replied or “So you want to start having sex with everyone?”

Now that I’m taking the daily pill, the only thing I worry about is the next time I am going to be slut-shamed by another gay man for being on PrEP. When PrEP became FDA-approved in 2012, many long-time activists immediately began calling it a party drug for gay men who just wanted to have lots and lots of condom-less sex.

Others focused on “taking a drug that is poison to you”, like Larry Kramer, playwright and activist, who told the New York Times that being on it “lessened your energy to fight, to get involved, to do anything”, showing a fear that this new drug would make us lose our activist roots – that a way to save us from an epidemic that has ripped through the gay community for decades is a form of selfishness.

That’s quite a lot to put on a pill whose only job is to block the virus from staying in your bloodstream and becoming a chronic medical condition.  Read more via Guardian 

US: No new HIV infections in San Francisco community PrEP clinic

A trailblazing pre-exposure prophylaxis (PrEP) program by the San Francisco AIDS Foundation sexual health center Magnet was lauded at the 2015 HIV Prevention Conference. The PrEP health program began as a pilot program in November, 2014 and will continue to expand when it moves into a new health and wellness center, Strut, in San Francisco’s Castro neighborhood.

In early December, Magnet director Steve Gibson, MSW, shared lessons learned about the PrEP health program—which has seen no new HIV infections—at the conference in Atlanta, Georgia.  Read more via Beta

Papua New Guinea: UN recognises local journalists

The UN Women’s Awards is a joint initiative by UN Women and UNAIDS to recognise journalists who write stories on human rights. The UN Women office in Papua New Guinea has recognized several journalists with the award.

Journalist, Deborah Pranis was acknowledged on a documentary she compiled on Sorcery killings in the Highlands. Florence Jonduo was recognised for her story on transgender issues male sex workers encounter on a daily basis.  And Abraham Avidiba, a Lae-based journalist, took out the third award for a news piece he wrote on a male sex worker.

The recognising of journalism work in PNG, unlike other professions, is rare. These awards are predicted to boost journalists’ morale and encourage them to continue to report on HIV & Gender Based Violence issues within Papua New Guinea and the Pacific.  Read more via EMTV 

IACHR Publishes Report on Violence against Lesbian, Gay, Bisexual, Trans, and Intersex Persons

The Inter-American Commission on Human Rights published a regional report on the violence perpetrated against LGBTI persons or those perceived as LGBTI [...] Some countries in the region have made significant progress in recognizing the rights of LGBTI persons, but there are still high rates of violence in all countries of the region.

As the many testimonies included in the report show, this violence tends to be extremely brutal and cruel. Moreover, the everyday violence that affects LGBTI persons is often invisible, as it is not reported to the authorities or covered by the media.

The report focuses on violence against LGBTI persons as a complex and multifaceted social phenomenon and not just as an isolated incident or individual act. Different sexual orientations and identities challenge fundamental heteronormative notions about sex, sexuality, and gender. The report also analyzes how the situation of violence faced by LGBTI persons intersects with other factors such as ethnicity, race, sex, gender, migration situation, status as a human rights defender, and poverty.

When States do not carry out thorough and impartial investigations into violence against LGBTI persons—as in the majority of cases—this leads to impunity for these crimes; this sends a strong message to society that violence is condoned and tolerated, which generates even more violence and leads victims to distrust the justice system.  Read more via OAS

On Human Rights Anniversary, LGBT Groups Shift Strategies at UN

December 10 is human rights day, the 67th anniversary of the Universal Declaration of Human Rights. This year, the focus of the presentations will shift to include not just human rights but also economic development. This shift, from human rights to economic and human development, represents a larger expansion in the strategy of the global LGBT movement which we will see played out in the years to come.

Until recently, LGBT groups have not focused on seeking inclusion in human and economic development programs. This has not been an oversight but rather a strategic choice. Fifteen years ago, a small number of LGBT activists were earnestly seeking recognition at the United Nations. Though certainly the battles are not over, the LGBT movement has been successful in assuring that LGBT issues are part of the human rights discussion. 

This same advancement has not happened in the sphere of human and economic development. The new set of global development goals adopted this year by the UN do not recognize LGBT people at all. These goals will guide trillions of dollars of international aid. The systems that are used to measure progress toward these goals --- a multitude of surveys and measurements of everything from health, education to domestic violence and agriculture -- do not track any data about LGBT people. In most countries in the world we know nothing to very little about the the lifespan, economic status, or educational attainment of LGBT people.  

Read more via Huffington Post