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FREE ESSAY ON AIDS AND HOMOSEXUALS

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AIDS AND HOMOSEXUALS

Homosexual Men and the Aids Virus
Over the phone, I could hear quiet anguish in the mother's gentle contralto voice: " We
found out in late August. He sat us both down and told us his secret. Deep inside, I
already knew. I guess I've known for a long time, but I could not accept it. He's my baby
boy. How could he be a freak of nature? We couldn't talk about it. When he came home for
Christmas, We talked about his job, his new home, and his new car. He and his brother
talked about golf, and basketball, and everything else except that. I'm so frightened.
Suppose he gets it. Suppose he already has it. I don't want him to come home sick. I
don't want other people taking care of my child. I don't want him to die. His father and
I can't bring ourselves to talk about it either...but..." (Scego, Betty. June 2000)
Homosexuality traditionally has been frowned upon and scorned in the United States as
well as other countries across the globe; it is often ignored and "kept in the closet". 
Some people argue that homosexuality is unnatural, some families view homosexuality as an
affront to their values. Although tolerance toward homosexual people has grown in recent
times and there is more attention to their civil rights, many people still find it
difficult to accept homosexuality. 
According to 1994 statistics, at least sixty percent of United States AIDS cases have
been transmitted through homosexual activity. (Socialism of the skin, 1994). 
As this figure represents a number greater than half of all reported cases, I believe
that it is safe to assume homosexuals are still a group that exhibits one of the greatest
levels of risk behavior. With this in mind, I began to seek out a profession that would
enable me to reach out to the gay population and educate them so that their behavior may
be influenced in a more positive direction- avoiding infection while maintaining a safe,
satisfying sex life. 
In the absence of a cure, or an effective vaccine, education and risk reduction can be
powerful tools in the fight against AIDS for any group. Because of the limited number of
transmission routes, avoiding behaviors that place persons at risk could virtually stop
the further spread of AIDS. Education can help to achieve this, through development and
dissemination of materials by local community groups, statewide organizations, and
national governments. In 1988, for example, the U.S. Public Health Service produced a
simple, straightforward brochure containing information about HIV infection and AIDS. The
brochure was mailed to every household in the nation. Although behavior change is often
very hard to achieve, studies have indicated that such change is beginning to noticeably
occur in all but one group: homosexuals. (Socialism of the skin. 1994). 
I strongly believe that while the association between homosexuality and AIDS has been
well publicized by the media, there is not nearly as much emphasis on safe homosexual sex
as there is on safe heterosexual sex. Emphasis on the importance of condoms, abstinence
and various risk-lowering methods are aimed only at male-female couples and never at the
highest risk-type; male-male couples. Consequently, I have found it necessary that we
begin implementing more programs and education geared towards reducing the high-risk
behavior exhibited by gay males. 
In understanding how to control or influence the behavior of any group of people, one
must first understand the people. A certain degree of diversity exists among the types of
individuals who call themselves homosexuals. (Issues in the Perception of Aids. 1988) The
popular stereotype of the homosexual as a sexually promiscuous male who will not maintain
a relationship reflects only one type. There are, however, many other gay people, female
and male, who have formed long-lasting, sometimes lifelong relationships. Additionally,
many homosexuals have begun to adopt children of different races; some of them are
raising these children alone or with their partner. And lead lives not much different
than those of heterosexual parents. Gay persons are basically in every kind of job and
hold all kinds of political positions. Some are very open about their homosexuality, and
some are more private. Some view their homosexuality as biological, and others view
theirs as a personal preference. 
In the field of work that I do, I have learned that homosexuality has been common in most
cultures. Despite tolerant periods, however--in ancient Greece, for
example--homosexuality has been widely condemned as it is in our contemporary society. I
know that Christians view homosexuality as sinful and put that tradition into written
law. As a result, homosexual activity was considered a crime, and the penalty in early
courts was death. Homosexual behavior is still illegal in many countries. However,
Homosexuality continues to occur, even in societies that strongly condemn it.
Unfortunately, because of societies negative feelings towards Homosexuality, high-risk
behavior has resulted because these individuals become secretive and rebellious. 
Research indicates that homosexuality was viewed as a sickness more so than a sin several
decades ago. Different Ideas about the origin and nature of homosexuality were based
solely on the study of psychiatric patients that came from dysfunctional families. Some
research suggested disorders in family relationships, particularly between mother and
son, this research pointed to this being a major cause of homosexuality. 
I am not convinced by these theories, not only because they are based on the assumption
that homosexuals are psychologically abnormal, but also because many heterosexual people
come from dysfunctional families that have relationship disorders. Are some men born?
1991). 
In 1973, homosexuality was removed from the American Psychiatric Association's list of
mental disorders. Although most of the mental health professions don't consider
homosexuality an illness, there are still some who insist that it is. 
More recent theories have suggested that homosexual behavior may be an adaptive response
to situations. For example, a prison inmate might participate in homosexual activities
while in prison but return to heterosexual behavior upon release. While such theories can
offer explanations about why homosexuality occurs in some situations, to date there are
no conclusive general theories that can explain the causation of homosexuality.
(Stigmatizing the Victim, 1986). 
Because of the controversial nature of homosexuality and the heavy social pressures
against it, many individuals are reluctant to reveal that they are gay. Estimates of the
incidence of homosexuality have thus been misleading and inaccurate. Attitudes toward
homosexuality have begun to change in recent decades. 
Gays attribute this, in part, to their own assertiveness about their rights and about
pride in their orientation. Gay activism, which according to my research began in the
late 1960's as a civil rights movement, has helped to change people's thinking. While
some attitudes change, however, prejudice against homosexuals still exists. This attitude
sometimes causes people to make harsh judgments about homosexual individuals. The AIDS
epidemic, to which many male homosexuals are falling victim, may be a major contributing
factor to antigay prejudices. 
As more gays have identified themselves publicly, they have also formed more public
organizations. There are gay journals, gay newspapers, and gay political groups, These
groups have formed an alliance; they support candidates for public office, fight legal
battles in such cases as child custody, and work in other areas to eliminate
discrimination. Yearly Gay Pride marches in major cities are intended to bring about
awareness by society. (The Shrinking Ten Percent. 1993).
So with all of this gay pride in mind, it is evident that there is no simple solution to
the problem of effectively teaching homosexuals to avoid high-risk behavior. And with the
variety and types of homosexuals in society, it is doubtful that there is any one
solution to the problem either. Since it can be established that homosexuals are normal
people; it can be further said that there exists a large amount of sub-categories for
homosexuals. For example, someone could be white & homosexual, black & homosexual, poor &
homosexual, rich & homosexual, or virtually anything and homosexual. Therefore, in
teaching the avoidance of high-risk behavior, society must realize that to a certain
extent, homosexuals must each be treated for their individuality and not just for their
group stereotypes.
I have learned that; one behavior can be associated with virtually every gay person and
that behavior is homosexual activity. Since high-risk behavior is for the most part,
comprised of unprotected, random encounters of a sexual nature, we must first attack the
problem by teaching safe sex to homosexuals. However, to teach all gays not to engage in
any sexual activity at all would be crazy, since they have sexual desires, which need to
be fulfilled just as heterosexuals do. 
Just as our parents, Schools, and media are teaching lower risk populations about the
importance of safe heterosexual sex, I believe that we should also teach about the
importance of safe homosexual sex as well. To do this, homosexuality must be recognized
as a legitimate sexual preference. We cannot afford to continue to ignore it. I feel that
in order to teach homosexuals to stop high-risk behavior, we must first begin by teaching
society to accept homosexuality. 
If society would go ahead and accept homosexuality I believe it would have a huge effect
on high-risk behavior. Although, while working in the Case Management field, I have found
that many intelligent and health-conscious homosexuals still engage in random acts of
unprotected sex. 
I have found that many of society's more distinguished homosexuals remain in the closet.
These individuals look for quick, discreet gay encounters where the other person does not
know them, or anything about them. They "stake-out" bathroom stalls, movie theatres, etc,
looking for gay men to have random sex with. Recent data on HIV prevalence and risk
behaviors suggest that homosexual men continue to place themselves at risk for infection
with HIV and other diseases. (Need for Sustained HIV Prevention. 2000).
If we could create a society that accepted homosexuality, many gay men would come out of
the closet and lead healthier, more meaningful sex lives. In one article I read, an
anonymous survey indicated that most 'closet gays' leading high-risk life styles wish
that they could come out and get involved in normal gay relationships. In a sense, we as
a society are apparently to blame for much of their tendency towards undesirable
high-risk behavior. (Stigma: 1963). 
All homosexuals do not engage in high-risk behavior. I have found threw working very
closely with homosexuals, that those involved in serious homosexual relationships remain
loyal and true to their lovers even more so than heterosexuals do! The transmission of
AIDS is greatest where men are socially forced to hide their homosexuality by seeking
unclean, unprotected sexual encounters wherever they can for their sole purpose of quick,
sexual fulfillment. 
Based on my findings, I am convinced that safe homosexuality should be taught in schools
and by the media, just as we teach safe sex to our heterosexual community. After all, if
sixty percent of AIDS cases are homosexual and one of our primary goals in teaching safe
sex is to prevent AIDS, it is only logical that their be a focus on homosexuals beyond
just the simple mentioning of them constituting a high risk group. Once this is done by
schools and by the media, society will take the next step in accepting homosexuality and
homosexuals as societal equals to heterosexuality and heterosexuals. As a result, gays
will be less pressured to hide their sexuality and seek anonymous fulfillment in bathroom
stalls and adult movie theaters. The problem is not gay sex; just as it is not
heterosexual sex- the problem is unprotected, unclean gay sex just as the problem is
unprotected, unclean heterosexual sex. 
WORKS CITED 
Are Some Men Born to be Homosexual?, U.S. News & World Report, Sept 9, 1991
V111 n11 p58
A Socialism of the Skin: Homosexual Liberation., The Nation, July 4,1994
Goffman, E. Stigma: Notes on the Management of a Spoiled Identity. Englewood Cliffs, NJ:

Prentice-Hall, 1963.
Mays, V.V., and Cochran, S.D. "Issues in the Perception of AIDS Risk and Risk Reduction 
Activities" American Psychologist 43 (1988): 949-957.
Need for Sustained HIV Prevention Among Men Who Have Sex with Men: Young and Minority Men
at
High Risk. Centers for Disease Control (http: //www.cdc.gov/hiv/pubs/facts/idu.htm* June
2000
Scego, Betty. Phone Interview. 6 July. 2000.
The Shrinking Ten Percent. The Nation. 12 April 1986. v242. p505.
Bibliography
WORKS CITED
Are Some Men Born to be Homosexual?, U.S. News & World Report, Sept 9, 1991
V111 n11 p58
A Socialism of the Skin: Homosexual Liberation., The Nation, July 4,1994
Greaves, Wayne L. "The Black Community." In AIDS and the Law: A Guide for the Public,
Edited by 
Harlon L. Dalton, Scott Burris, and the Yale AIDS Law Project. New Haven and London: Yale
University Press, 1987 
Mays, V.V., and Cochran, S.D. "Issues in the Perception of AIDS Risk and Risk Reduction 
Activities" American Psychologist 43 (1988): 949-957.
McCord, Colin; and Freeman, Harold P. "Excess Mortality in Harlem." The New England
Journal of
Medicine 322 no. 3 (1990) 173-177
McCormick, Kathleen; and Greene, Brenda Z., eds. Reducing the Risk: A School Leader's
Guide to AIDS
Education. vol. 2. Alexandria, VA: National School Boards Association, 1989.
Miller, Heather G.; Turner, Charles F.; and Moses, Lincoln E., eds. AIDS: The Second
Decade. National
Research Council, Washington, D.C.: National Academy Press, 1990 
Need for Sustained HIV Prevention Among Men Who Have Sex with Men: Young and Minority Men
at
High Risk. Centers for Disease Control (http: //www.cdc.gov/hiv/pubs/facts/idu.htm> June
2000
Scego, Betty. Phone Interview. 6 July. 2000.
The Shrinking Ten Percent. The Nation. 12 April 1986. v242. p505.

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