Black Cool Men in the U.S. Face High HIV Risk: The Impact of Race and Homophobia

Over the past two decades, the quality of life for people living with HIV in the U.S. has improved dramatically, thanks to medical advances and ongoing efforts to combat AIDS. However, these gains have not reached all communities equally. In particular, the rate of new HIV cases remains high among black gay and bisexual men, a group that is at far greater risk than any other ethnic group.

According to the most recent data, Black gay and bisexual men account for a whopping 261 TP3T of new HIV cases in 2019, even though they represent less than 31 TP3T of the total U.S. population.Even more alarming is the fact that an estimated half of Black gay and bisexual men will become infected with HIV in their lifetimes if current trends continue.

This situation is similar to the state of the HIV epidemic in sub-Saharan Africa in 2003, when the international community stepped in to provide assistance, including the Emergency Plan for AIDS Relief (EPAAR) implemented by former U.S. President George W. Bush. Today, sub-Saharan Africa remains the epicenter of the global HIV crisis, accounting for nearly 70% of the world's HIV infections.

Research has shown that when Black gay and bisexual men have access to appropriate health care and social services, their health improves. However, this group faces significant barriers to accessing necessary preventive measures and treatment, including social stigma, discrimination, and financial burdens.

Pre-exposure prophylaxis (PrEP) is an effective method of HIV prevention, but many people are unable to access this treatment for a variety of reasons. For example, some doctors may refuse to prescribe it for fear of promoting unsafe sex. In addition, even if a doctor is willing to prescribe, the high cost of PrEP is a major barrier.

HIV infection rates are particularly high in the southern United States, which also has the highest mortality rate among black gay and bisexual men. My research explores how members of this group face and overcome structural barriers to accessing HIV testing and adequate housing by interviewing them.

Many interviewees shared their life experiences and expertise, demonstrating their vulnerability and strength. Their stories highlighted the importance of issues such as housing, employment, transportation and medical costs in maintaining health. In addition, the lack of education is a major issue, with many young black gay men never receiving education about HIV and condom use in school.

Overall, despite the progress that has been made in the fight against HIV/AIDS, there is still much work to be done, especially in ensuring that all communities benefit equally. By raising awareness, improving education and removing barriers, we can make progress towards this goal.