How Breast Milk Can Transmit HIV and Why We Should Inform Women

Posted: February 15, 2012 in Uncategorized
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As one of the last fluids we think about when we think about HIV, I thought it might be helpful for us to learn a little more about the 4th fluid that transmits HIV. Since blood, semen and vaginal secretions have gotten all the attention, why not take a moment and learn a little more about how breast milk can transmit HIV.

What a brief review of the research shows:

  • Infant feeding is estimated to be responsible for anywhere from 5-20% of mother to child transmission. If a child is born HIV-negative to a positive mother who is not on antiretroviral treatment, the risk associated with prolonged breastfeeding is estimated at 10-20%.
  • HIV RNA is found in breast milk and the risk of transmission is directly related to the viral load in the mother’s milk.  Some mothers may have a specific gene (SDF1 3’A allele) that causes increased viral replication in breast milk and therefore increases transmission risk.
  • Although breastfeeding from an HIV-positive mother poses a risk of HIV transmission to the infant, there is also evidence that it provides better health outcomes for the child than formula feeding (protective against other infectious diseases)
  • The World Health Organization promotes alternative (formula feeding) only when it is  “affordable, feasible, acceptable, sustainable and safe.” When ARVs are widely available and breastfeeding is a social norm, they recommend that HIV-positive mothers breastfeed until 12 months of age.
  • Women who are on antiretroviral treatment while breastfeeding have a lower risk of transmitting HIV to their infant. (about 3.5% in one study in Kenya)
  • Exclusive breastfeeding has been associated with a reduced risk of late HIV transmission as compared to mixed feeding. Mixed feeding practices (breast milk plus other liquids or solids) and prolonged breastfeeding (more than 6 months) are associated with increased risk of mother-to-child transmission of HIV.
  • Exclusive breastfeeding is hard. Barriers include low milk production, lack of control over the feeding situation, and both perceived and enacted stigma.
  • Infants can develop resistance to HIV medications independent their mother’s resistance – that is, the mother is not necessarily passing on a resistant virus, but if the infant becomes infected while breastfeeding and the mother is on ARV, the infant is being exposed to small amounts of the drugs through breast milk and may therefore develop resistance to them.

The more we can inform women about the risks and benefits associated with breastfeeding, as well as things that can reduce the risk, the better able they will be to make the best decision for themselves and their infants.

Some of the articles/abstracts, if you want to read more in-depth:

WHO Guidelines:

A systematic review of a number of publications on HIV and breastfeeding:

How genetics may impact transmission rates:

Drug resistance:

Large Breastfeeding study in Kenya:

Difficulties of exclusive breastfeeding:

Viral load:

If anyone is still reading,

To kill HIV in breast milk, flash-heating breast milk can inactivate HIV without destroying too many of the vitamins or immunoglobulin in the milk that make it beneficial to the baby. The WHO recommends it as an option to reduce vertical HIV transmission in resource-poor regions. Of course, to do this the mother has to express the milk first, then heat it, then feed it via bottle – so it’s kind of a compromise between breastfeeding, which could transmit HIV, and bottle feeding formula, which has other nutritional/gastrointestinal risks.

What do you think? How has this changed how you think about HIV? Has it changed any of your thoughts?

Let’s make (our relationships) better!

Posted: January 20, 2012 in Uncategorized
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Let’s make (our relationships) better!

Every year we all sit around the television, watch the countdown and at the stroke of midnight (if we’re lucky) someone attractive next to us will give us a huge kiss. Apart from Valentine’s Day, I would say this is the day I see the most people smooching at the same time. After this kiss we say aloud what we have all been thinking about for weeks; our new year’s resolution. Each and every year we vow (without consequence) to do something less, more or not at all. These wishes range from being nicer, traveling more, seeing more friends, being a better sibling, losing weight and some of us to being better partners. However adding that extra spark to our relationships can be easier said than done.

So, in line with the holidays and beginning of a New Year, I thought I’d pull together an easy list of some possible action steps you might take to improve your relationships in the coming year. This year let’s all create resolutions for our relationships with the people we love and care about.

Now I know we are all incredibly busy. With the excessive demands on our time it can sometimes be easy to ignore our relationships, but this unconscious devaluation of love can really harm us in the end. And for those couples who have been together for a long time, it’s even easier to settle into comfortable routines and patterns (I call this the relationship slip) at the expense of attending to and nurturing our relationship with our partners. This kind of carelessness can really make your relationship sour and boring, possibly leading to a host of other problems that can erode the foundations we have all worked so hard to keep. So for the rest of this blog, put down your cell phones, log off of Facebook, MySpace, Friendster, My yearbook, Twitter, or any other social media site you may be multitasking with and pay full attention to the next few paragraphs.

Want copious amounts of love in the New Year?

Conscious intention toward putting consistent energy into your relationship is crucial for its long-term success. So why not, as a couple, create your own list of New Year’s Resolutions for your relationship and make sure to keep each other accountable to it? In fact, the actual act of the two of you sitting down and developing a list would be a great first item, something the two of you could creatively do that fosters togetherness and mutual brainstorming on ways to super-charge your connection. The two (or possibly more) of you are creating a vision for your relationship, and the pure act of doing that begins to cement more intimacy between you as you have common goals to pursue and successes to celebrate along the way. This resolution can be simple, but make sure to make it something that you can actually achieve. This doesn’t mean make your goal low, but surely something that you can work towards. Something like:

“in 2012, we as a couple will do the following for the benefit and love of each other,”

Or “this year we will accomplish the following goals together to further solidify our love for each other”

I made a list of 9 simple things that can be on your list, but make sure to also think of your own make them as fun as you can and decorate them when you are done.

1. To listen to each other without interrupting and tell each other when we fear we aren’t heard.

2. To take notice of the “little things” (that can actually be the most important things) we do for each other and acknowledge the effort we put into the relationship.

3. To make more time for each other and restructure our schedules so that we have more quality time and availability to go out on dates and enjoy each other (this could be once a week, every 2 weeks or even for 5 minutes every day).

4. To make love to each other with more passion, intensity, and creativity (safely, of course).

5. To create a scrapbook of memories of our life together that will act as a legacy of our relationship (arts and crafts can be great for building passion. Like Martha Stewart says, “it’s a good thing”).

6. To make sure and “check in” with each other every day to stay centered and focused even when life gets hectic.

7. To surprise each other with simple reminders that we love and cherish each other (a note on the bathroom mirror or a heart written on the snow covering our car, maybe even flowers sent to our schools or jobs).

8. To keep/make more friends who support our relationship and we can go out with.

9.To ensure that we each have both an individual identity and an identity as a couple to bring about more balance/health to our partnership (Having outside interests, hobbies, and passions will help bring more novelty and freshness to joining lives).

And the list can go on and on. Fine-tune these, as well as the ones you’ve come up with so that they are specific, concrete, and measurable. This way, you both know exactly what you have to do to accomplish the goals you’ve set because they’re spelled out with no “wiggle-room” for sabotage, and you’ll ensure that they’re achievable. Prioritize your items and only focus on a few initially so as not to get too overwhelmed. Keep the list in multiple places, near the front door, the bedroom, the bathroom even on your smart phones or post them to each other’s Facebook pages as a reminder of what you agreed to.

Maintain these tasks, and your commitment will soar to new heights! Reward yourselves for jobs well done and from time to time check-in with each other to gauge how you’re doing and if any revisions or additions need to be made. What are your thoughts about healthy relationships. How do you make yours better each day?

-Ernesto Dominguez

The role of “men” in preventing HPV related cervical cancer!

Posted: January 11, 2012 in Uncategorized
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(Photo Credit Gardasil)

This blog was originally posted on CHATpdx.org as a program of CHATpdx For more information check out: Our Facebook Page

In the US, it’s estimated that a majority (75%-80%) of men and women will be infected with the Human Papillomavirus (HPV). With about 6 million new cases of genital HPV every year (there are over 30 genital HPV types) and a majority of these (about 74%) of them occurring in 15-24 year olds, the need for effective prevention programs directed to youth is crucial. The new HPV vaccines protect against the two types of HPV that cause a majority of cervical cancer and genital warts cases.  These vaccines, however, are only effective if they are taken BEFORE someone is infected with HPV. HPV often has no signs or symptoms and partners engaging in sex (or any other kind of genital contact) may be transmitting HPV without even knowing they have it. Recently the Centers for Disease Control (CDC) recommended HPV vaccination for girls 11-26 and have stated that Gardasil can also be given to boys ages 9-26. In women HPV can cause serious health problems including genital warts, cervical cancer, vaginal cancer and vulvar cancer. These cancers can cause death or infertility in women. Men on the other hand usually only develop genital warts. While this is a small percentage of men that could develop HPV-related cancer of the anus or penis, it is much less common.

Subsequently, I believe that men have a pretty important role to play in the prevention of HPV. Likelihood of developing cervical cancer is greatly reduced if the vaccine is used. Unfortunately, it is too common for women (particularly women of color) to have barriers to screening services or accessing this vaccine because of the stigma around accessing sexual health services. This reality makes it even more important for men to seek the vaccine and to encourage the women in their lives (particularly the ones they are having sex with) to also receive the vaccine. I have encouraged many of the women in my life to get the vaccine whether or not they have been sexually active or think they are at risk. Men have the same responsibility to help prevent HPV even if they do not suffer the same consequences as women.  As allies, men can play an important role in helping to reduce HPV transmission. It’s time that men stand in solidarity with our friends, sisters and mothers by encouraging them to seek pap smears as part of a well-women’s annual checkup as well as the HPV vaccine.

(Photo Credit http://www.gardasil.com/hpv)

Speaking of mothers, my own mama had such a hard time talking about her own health growing up. I remember her waiting for us to leave for school before she would call our neighbor to talk about a yeast infection she once had. This kind of taboo, to not even want to say the word “Vagina” like it was some sort of dirty word only reinforced my ideas as a kid that we weren’t supposed to talk about our bits and pieces. I was lucky to even get a pack of condoms on my nightstand when she thought I was having sex with a note that said “no seas guey” (don’t be dumb). Growing up in an undocumented Latino family we never dreamed of going to the hospital unless our arm had actually fallen off, yet alone to receive preventative care. Our fear of getting deported was much worse than the fear of cervical cancer. Growing up I’ve had to learn to talk about sex and sexual health in a way that resonates with my mother and with my siblings. At times it can be hard, but for the women in my family, I knew it would be the only way I could convince them to talk to a doctor and get the care they needed. They may roll their eyes or not want to talk about it, but I care about the health of the vaginas in my family, just like all men should care about the vaginas in theirs.

What do you see as the role of men and boys? How can you advocate for the health of women in your life?

-Ernesto

edominguez@cascadeaids.org

Being An Ally

Posted: January 4, 2012 in Uncategorized
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According to the Merriam-Webster dictionary, being an ally is defined as “one that is associated with another as a helper”. The same goes for the New Oxford version “a person or organization that cooperates with or helps another in a particular activity:” Any way you put it, an ally is there to help another person, community and in some instances a country when they need that support. Historically, there were allies assisting to free Africans being enslaved in the United States, America served as an ally to European countries during World War II. And civil right activists were allies to the thousands of African-Americans fighting for civil rights guaranteed to them by the Constitution of the United States of America. Most recently, there has been a movement across the country of young people, educators, and parents supporting lesbian, gay, bisexual, transgender, and queer youth as allies.

Allies play a vital role in making schools safer for all students, regardless of sexual orientation or gender identity/expression. In fact, the first Gay-Straight Alliance was the idea of a straight ally. Although this isn’t a “new” movement, recent headlines about anti-LGBTQ bullying have brought to light the importance of allies to the LGBTQ community.

Being an ally means being there for people when the world marginalizes and discriminates against any one. Even today when we see more media representation of LGBTQ individuals, by in large, we still live in a society where to be anything other than heterosexual is not accepted. This is where allies come in! An ally for the LGBTQ community can be anyone, whether they are black, white, old, young, gay, or straight. Allies can be a support for LGBTQ people when they decide to come out to family, friends, community, church, or to anyone else. LGBTQ allies can stand up for LGBTQ youth and pledge: “I believe all students, regardless of sexual orientation or gender identity/expression deserve to feel safe, and supported. I will not use anti-LGBT language or slurs. I will intervene, if I safely can, in situations where students are being harassed, and support efforts to end bullying and harassment.”

Personally, as an ally I have had very rewarding experiences that made me really proud of what I stand for. Those experiences made me realize that the work I do isn’t in vain. In early October, a good friend of mine asked me, “What would you think of me if I told you I was attracted to men?” I told him, “I would think of you the same – who am I to tell you who you care about is wrong?” From then on he told me about his feelings and how he has been holding them in because he doesn’t want to be a part of the stereotype that society has created for gay men. He doesn’t want anyone to look at him differently because of his sexual orientation. We attend a university that is the most diverse in the North Carolina school system, and yet there is stigma around being a gay African-American male.

Being there for him was the best feeling I could have ever felt. After talking to me, he has since made strides in coming out to his peers and wants to tell his mother soon. I remember he told me once “I respect, support, and appreciate straight allies because they are the ones in society that are ‘normal’ in strong support of something that society sees as ‘abnormal.’ You all take the slack for all of that.” Although I let him know that he is in no way abnormal or wrong for his sexual orientation, I appreciated his words. I felt like I had a purpose.

You, too, can be an ally. High school students can join their gay/straight alliance at their schools, or if there isn’t one make an effort to be the founding member. College students can also join an organization that advocates for the issues relevant to LGBTQ youth. Within in that organization, plan a project, pass out flyers, ask questions, and most importantly, BE AVAILABLE! Go out into your communities and tackle the issues that relevant to the people around you. Take notice of abusive language, support your friends and their events. The Gay Lesbian Education Network, Advocates for Youth, and YouthResource are all great resources on how to plan events on campuses and in communities and ways to speak to your peers to ask questions to be a better ally.

I hope that the information that I have provided to you will make you more aware of the people around you and I hope that I have influenced you to stand up for the youth in your communities. Be the change.

As an ally, there will be instances where you will have to direct your peers to resources to deal with their specific situations. To start you off on your journey here are a few resources:

Share your own stories of being an ally. What does it mean to you? How important is it?

-Amara

World AIDS Day 2011!

Posted: November 24, 2011 in Uncategorized
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World AIDS Day, observed December 1 each year, is dedicated to raising awareness of the AIDS pandemic caused by the spread of HIV infection. HIV/AIDS has been a global epidemic for more than 27 years. Most of today’s youth have never known a world without it. As CHATpdx (a coalition of organizations that are working to Curb HIV/AIDS Transmission among youth in Portland) we having been working to change how youth view and are impacted by HIV.

From November 28th-December 2nd we will collect people’s own stories using photographs of their own “Facing AIDS” statements. During our youth drop, CHAT(room), on November 28th from 3-7pm at Pivot (209 SW 4th Ave) in Portland, we will ask young people to create their own message and take a photo for us to post on the AIDS.gov website as well as create a video for the CHATpdx facebook page (www.facebook.com/chatpdx). Youth will also have an opportunity to be tested for HIV for free and receive their results in 20 minutes. Later this evening we will print out photos of everyone’s messages and do a street outreach, distributing copies of the photos to people walking around our drop in space.

For more information about CHATpdx or its programs, please visit our Facebook page (www.facebook.com/chatpdx) or contact Ernesto at edominguez@cascadeaids.org.

Don’t be silly, Wrap up that Willie!

Posted: July 21, 2011 in Uncategorized
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Condoms are GRRREAT! When used correctly they help protect you from a whole host of bacterial and viral infections (they’ll also keep you from getting preggers if that’s one of your concerns).

But I’m not going to talk about statistics or the basics of how to use a condom (here’s some videos on the basics if you wanna brush up). For right now, I’m going to talk more about how condoms can increase your pleasure during sex – yeah, that’s right, I said INCREASE your pleasure.

First, there are tons of different types of condoms. Big ones, snugger ones, ones with spirals, bumps, ridges, pleasure pockets, and bends. Ones that make you tingle, ones that are thinner and some that are thicker. Plus, all sorts of flavors (fyi, flavored condoms should only be used for oral sex because they can cause problems for the va-jay-jay and the bum). All those condom “extras” aren’t just there for show; they can increase different sensations and make sex feel better (and last longer!). But, hey, don’t take my word for it; conduct your own research experiment to figure out what you like. And for extra fun you can learn how to put on a condom with your mouth. It helps incorporate condoms into sex play and is also a pretty neat party trick. It’s a good idea to practice this beforehand so that you don’t damage the condom with your teeth. I’m sure your partner will have no problem letting you practice, but if so, then revert to the old banana standby. Different folks like different strokes so this might not be for you. Half the fun is finding out what you like!

Now, let’s talk lube! Lube ain’t just for anal sex. Lube and condoms are like peas and carrots; they complement each other very nicely no matter where you’re sticking your dingy.

Is lube a new venture for you?  No worries, I’ll walk you through it. Put a drop of water based or silicone based lube on the erect penis before putting on the latex or polyurethane condom (trust me on this) and then as much as you like on the outside of the condom or directly on the vagina or rumpus. Reapply lube as needed while you’re doing the deed (dry sex causes too much friction which can cause the condom to break). People always ask me what the best lube is, and while I hear lots of great things about silicone based (my favorite being, “you can slip n’ slide on gravel with that stuff!”) the fact is that it’s really a personal choice. So depending on what you’re into it may vary.  Here’s a list of different lube pros and cons to help get you started.

That’s all for now, but check back soon for our next installment of Hotflash!

In the meantime, if you have questions or wanna talk about more fun ways to reduce your risk then give the Oregon AIDS/STD Hotline a call at 800.777.2437 or chat with them live online at www.oregonaidshotline.com. The Hotline Volunteers are super nice, nonjudgmental, and ready to answer all your burning questions! We’re here Monday-Friday 9am-6pm and Saturday 12pm-6pm (pacific).

Why Gender Neutral Bathrooms Should Matter To You.

Posted: July 13, 2011 in Uncategorized
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“…when they willfully ignore the concerns of LGBT people,

they not only limit opportunities for these individuals, but

also stifle our community as a whole. In the end, it is the

community that loses, as dynamic, intelligent, and highly

skilled people move on to places that value and respect them.”

–National Gay and Lesbian Task Force

Recently I have been thinking quite a bit about the value of gender neutral bathrooms. As a cis-gender gay man (who on occasion may like to dress a little more feminine) I have never had to think about the bathroom I needed to use. In all honesty If you had asked me a year ago if I thought gender neutral bathrooms were an important issue for the queer community I would have said “no.” I understood that this was an issue that trans* folks and gender non-conforming folks were dealing with, but I would not have put this issue above the dozens of other issues the queer community was working on.

Some public places (such as facilities targeted to the transgender or LGBT communities, and a few universities and offices) provide individual bathrooms that are not gender-specified, specifically in order to respond to the concerns of gender-variant people; but this remains very rare and often controversial. Various courts have ruled on whether transgender people have the right to use the bathroom of their gender of identity, but again these rulings are not identical.

Transgender advocacy groups in the United States and elsewhere have taken up the cause of gender neutral toilets. They see de-gendered toilets as a solution to eliminate harassment and other inconveniences for trans* people in using conventional toilets. In 2005 there were 5 American cities, including San Francisco and New York, with regulations for public restroom access based on person’s perceived gender identity rather than their birth sex, but again this does not take into account a person’s identity and not just perceived identity. Various TV shows like Ally McBeal  depict gender neutral bathrooms, but this did not come without controversy.

It wasn’t until I got into a pretty heated discussion with a friend that I realized that this is actually a really big issue that actually seems pretty easy to fix. The discussion came up when I walked into the “women’s” restroom at a conference and once inside didn’t want to make an issue of things so I just used the bathroom like I normally would. When I came out my friend asked if I felt safe using the bathroom or if I was afraid anyone would call security on me. I replied that I didn’t actually think about it and just wanted to use the bathroom. Out of convenience I used the bathroom I had already entered.

My friend (Trans* identified f2m) told me that they had to think about those two things (among others) every single time they use a public bathroom. That using the restroom was more difficult than just finding where they are located and choosing one, unlike how it might be for me. My friend would in most cases plan their bathroom usage based on where they were. For example, they would use their home bathroom before traveling somewhere or find a single occupancy bathroom and always be aware of where the nearest handicapped bathroom is (these bathrooms tend to be gender neutral so that anyone in a wheelchair etc can use the bathroom).

I can’t imagine always having to plan my next bathroom usage, there are plenty of other things I have to worry about in a day to add something like this to the list. It’s really kind of ignorant of me to have never thought about this while being part of the Queer community, especially with how engaged I am in this work. Over the past year I have thought a lot more critically about gender neutral bathrooms and have come to this conclusion. I believe every human being (regardless of gender identity, or sexual orientation) should have access to bathrooms that are safe, clean and meet their needs or privacy.

“Bathrooms segregated by sex are potentially unsafe and

intimidating places for a variety of people.”-University of Chicago

I understand the valid concerns of a female bodied person saying “I don’t feel safe using the bathroom with a man in the same room” or “I need privacy and need a closed bathroom.” I think having single occupancy bathrooms that are open to anyone is a simple solution to this problem. I don’t think it is imperative that all bathrooms are gender neutral, but that any place that has public bathrooms should also have a gender neutral option. At the risk of making a few people uncomfortable, we have a simple solution to make many trans* and gender non-conforming folks comfortable using bathrooms, wherever they may be.

A great resource, safe2pee.org, helps you find accessible bathrooms for you to use by entering your address. If you know of any bathrooms that aren’t added to this list, please add them so that others who need access to these bathrooms can find them. Interesting anecdote: I also found an iPhone app that uses geo-location software to find the nearest public restroom to your location. It doesn’t however tell you where gender neutral bathrooms are which I think would make the app even more fantastic. (Any iPhone app developers want to make some quick cash and develop it?)

I am interested to know what you think. Why should bathrooms be gendered or gender neutral? What are the implications that you see? Would you feel comfortable with having only gender neutral bathrooms?

National A&PI HIV/AIDS Awareness Day

Posted: June 17, 2011 in Uncategorized
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How does the  Asian Pacific Islander National HIV/AIDS Awareness Day impact me?
I have never heard of the Banyan Tree Project nor National Asian & Pacific Islander HIV/AIDS Awareness Day, which falls today, May 19, of each year and sponsored by Banyan Tree Project. National Asian Pacific Islander HIV/AIDS Awareness Day goal is too highlight the negitive stigma, lack of communication and general awareness of HIV/AIDS in the API community. The theme for 2011 is “Saving face can’t make you safe. Talk about HIV–for me, for you, for everyone.” An idea that is very important to highlight in our community.
Growing up as a Queer Chinese Asian American; I have seen the hush, hush of just talking about the queer community. It’s something you don’t acknowledge nor talk about subject. Heck, I didn’t even know that there are community groups out there dedicating themselves to informing and educating the Asian Pacific Islander Queer community. Over the years, I have to learn to embrace myself, my community and all those that are a part of it. It was recently that I became even deeper part of the queer community and making myself part of the local API group, Asian Pacific Islander Pride, which had made me aware locally of the Asian Pacific Islander community and events. This is step one of many steps in my life to make myself a more engaging part of the API community. I’m proud for simply reaching out and help to increase awareness, decrease negative stereotypes and providing information that helps keep people informed.
Just like the other National HIV/AIDS Awareness Days, it is very important to embrace awareness into the ethnic groups of all backgrounds as those are the ones who generally are looked over and forgotten. I am glad that we, the Queer Asian community, are standing up and putting a voice to bring education and awareness to help make HIV/AIDS less of an impact while ending the stigma of being Queer in API community. The motto this year is for you to make our issue, your issue. Go and simply Speak Up! Get yourself involved in an organization, like Asian Pacific Pride, that you feel strongly with. It’s all starts with YOU.

How do you honor your heritage in the work you do or talk about health issues in the communities of color you work/live in?

National A&PI HIV/AIDS Awareness Day May 19th 2011

Posted: May 19, 2011 in Uncategorized
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Asian Pacific Islander Pride and Cascade AIDS Project will be commemorating National Asian and Pacific Islander HIV/AIDS Awareness Day on Thursday May 19th.  We invite everyone in our communities to join us!  We will be discussing HIV/AIDS related issues during our Monthly Happy Hour (Element Restaurant & Lounge, 1135 SW Morrison Street, Portland, 5-9pm). This event is part of a larger effort organized by The Banyan Tree Project, a national social marketing campaign to stop HIV/AIDS-related stigma in Asian & Pacific Islander (A&PI) communities.  
There are similar events being held in many cities across the country (visit www.banyantreeproject.org for more information).
  
The theme of the 2011 Campaign is HIV/AIDS and API Women.  While HIV is still seen as a men’s issue, the disease continues to rise unchecked among A&PIs and A&PI women in particular. Recent analysis of data from the Centers for Disease Control and Prevention reveals that A&PIs have the highest rate of increase in new HIV infections in the nation, the only statistically significant growth among any racial or ethnic group, and yet two-thirds of A&PIs have never been tested for HIV. The rate of increase for A&PI women is actually higher than that of A&PI men, but the misconception that A&PIs are not at risk for HIV persists–even among healthcare providers who discourage A&PIs from getting tested. In fact, a recent study by Dr. Hyeouk Chris Hahm (a leading researcher on A&PI women’s sexual health from Boston University) indicates that A&PI women are less likely than other ethnic groups to be offered an HIV test in OB/GYN settings. A number of factors contribute to the HIV risk for A&PI women, including a lack of targeted HIV prevention information for women, unequal power dynamics in sexual relationships, biological differences and the fact that a woman’s HIV risk is often indirect. A woman’s HIV risk is her partner’s HIV risk and many women in monogamous relationships are shocked when they test positive. Contrary to popular belief, the vast majority of A&PI women living with HIV got it through heterosexual contact (86%).
 

“By 2050, A&PIs will represent about 11% of the US population,” says Lance Toma, executive director of A&PI Wellness Center in San Francisco. “We could be facing a public health disaster if we
fail to address the rise in HIV and STD infections in our communities now.” Another significant issues related to HIV/AIDS that is relevant to the API community is HIV-related stigma, which refers to the severe individual, family and community shame or disgrace associated with HIV. API’s living with HIV are blamed for their condition and are punished—by exclusion, isolation, prejudice and discrimination—for contracting the disease. They are often vilified and reduced to stereotypes—drug users, gay men, sex workers—with little regard for their individual experience or situation. In the A&PI community, HIV-related stigma is so powerful that people avoid talking about sex or HIV entirely. This silence feeds the fear and misconceptions about HIV transmission. For A&PIs, an HIV-positive test result can shame and disgrace the individual, as well as the family and community.  By raising awareness and openly talking about HIV/AIDS, sexuality and sexual health issue, we can help to erase this stigma and reduce HIV transmission and its impact in API communities.

API Pride is an organization led by and for Lesbian, Gay, Bisexual, Transgender, Queer people of Asian and Pacific Islander descent in Oregon. We provide safe and supportive environments and opportunities to celebrate, educate and bring our communities together. For questions or concerns, please contact us by email at api.pride@gmail.com or visit our blog:  http://api-pride.blogspot.com

Can I GLEEfully Drink?

Posted: April 12, 2011 in Uncategorized
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By: Maya Luque

Mix one part lonely, two parts self pity and one part wishful thinker and you’ve got me in a very rough moment.   The kind of moment Rachel from the show GLEE had when she said she’d throw a party.  The kind of moment Rachel had when she opened her father’s liquor cabinet for her “friends.”  She was probably thinking along the lines of “I want to be popular.   I want to be liked.”  These thoughts can be dangerous because they lead to:  I need to be popular.  I need to loosen up.  What will make people like me?  The answer to all of these questions, in the show GLEE, was alcohol.  But that doesn’t mean it’s always the answer.

Personally, I wish there was one solid answer to making more people like me but I know for myself that drinking and/or partying isn’t what’s going to make people stick with me when times are rough, or even when I just don’t feel like drinking that day.  And the fact is that I want people to stay with me when times are tough, which is bound to happen at points.

Rachel was peer pressured into throwing a party, by others and by herself.  She wanted people to like her, she wanted to “live” for once.  Along with the outside peer pressure she was getting this was a precarious mix.  All of this nonsense made her forget and forgo her true passion, songwriting, to go after something with an expiration date; her fellow GLEE members’ company and “friendship.”

I’m not saying that drinking is all bad and I’m not trying to say that it’s a cure-all liquid either.  The fact is, there is no magic potion that will make everything better.  There just isn’t.  There are ways, though, that you can make yourself feel a bit better about your own situation and standing in life.  You can write down the word “why?” on a piece of paper and anytime you have a hasty thought such as “I need to drink” look at it and answer it for yourself.  I have one above my wall at home and it actually helps.  The visual of seeing something makes me think why I am doing what I am doing, or why do I care that others think I’m boring for not drinking.  I think if everyone stopped and looked at their own “why?” cards we as a society would have less “whys” and more actions we can be proud of.

Rachel could have asked why but she didn’t really give herself a chance.  She didn’t have the visual to snap herself back into reality.  The visual of a word, even if it isn’t the word “why” can really help.  It can begin a change in a direction we can be proud of.

I know I can’t sing like Rachel and I’ve certainly never been thrown up on like Rachel but I have felt lonely or depressed like she has before.  And I’ve thought like her too.  I’ve thought maybe it’d be easier to just drink and “be cool.”  But now as I grow in more directions I’m learning to not give in to the party peer pressure.  I want to be proud of my actions and one day if that includes drinking so be it.  But I want to like myself and like my decisions and I know I won’t if I get peer pressured into drinking.   After writing this I am more confident in choosing my own path.  Drink or not I am now one part more confident, two parts ego boost, and three parts relieved.

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