Despite advances in HIV medicine and the wealth of education thats available, people still have misconceptions about the virus that causes AIDS. So, Creative Loafing headed to the Metrolina AIDS Project to separate fact from fiction.
MAP project coordinators Emerson Rojas and Darrin Johnson sat down with us and answered questions about some common misconceptions about HIV/AIDS.
1. Why are we still seeing high numbers of new HIV cases when there is so much information out there about prevention?
Rojas: When it comes to safe sex, we see a lot of excuses. Theres not a way to say "Im infected." And we dont have a culture of getting tested, thats one of the things. There is a stigma surrounding the people who are already positive. Then, finally, we have people not using condoms correctly.
Johnson: There are a number of reasons why the rates continue to increase. One reason is health care. People dont have adequate access to health care and there are cultural differences, a lot of gender norms and in some cultures women cant advocate for themselves and negotiate condom use.
2. You have a lot of people who look at Magic Johnson and say, Hes HIV positive, and hes healthy so, if I get it, Ill be fine.
Rojas: Almost in every single HIV 101 class that weve had in the past, people always use him as a reference. Hes famous; he might have tons of money and access to a private doctor. The reality is that hes infected; theres nothing he can do to get rid of the virus. He might have access to top of the top medicine, but the reality is at the end of the day, he doesnt have to worry about a case manager trying to get his prescriptions filled though ADAP. He probably can buy them all at one time. He probably has a personal gymnasium and a personal chef to cook for him. But hes still infected and thats the bottom line.
Johnson: Again, it relates to access to health care. The general population can get access to these types of insurance. The majority may not be able to afford it. Its about how you take care of yourself to manage the virus and a lot of people just dont have the capability to do in their everyday life.
3. You have people who believe they are practicing safe sex and they are using condoms properly, so they cant get infected. What do you say to those people?
Rojas: We do counseling and testing here at Metrolina and we talk to people and do a risk assessment and they say in the beginning they were using condoms, but it got boring, and Ive been with her or with him for a number of times, so I guess its OK. Were just using any excuse not to use condoms. We dont want to accept the fact that were putting lives at risk every single time we chose not to use a condom.
Johnson: Anybody who is sexually active, were all at risk.
4. HIV and AIDS is becoming a black womans disease and Im fine as long as I dont sleep with anyone in that subset.
Johnson: Statistics just verify the risk factors, but it doesnt say that a certain population is not at risk. Maybe they are being tested more now than any other population and you dont know the reason behind the statistics, you just see them. That feeds into the misconceptions that people have. They dont take the opportunity to learn the information, they just see it and go off what they see and what they hear and spread misinformation.
Rojas: This is what I like to tell people, you should assume that you are the only negative person in the world. That way you will make sure that every single time you will use a condom. If you use a condom correctly, you are isolating yourself from the virus.
5. But Im safe, I dont have anal sex, he pulls out before he ejaculates in me.
Johnson: A lot of people dont know these things. They may hear it from people in their family and it just trickles down to the youth. People spread this misinformation.
Rojas: In the gay community, we have what is called a top or bottom. The one on top is the one giving and the one on the bottom is the one receiving. Some people think that, "Im the top, and I will never get HIV or an STD because Im the one giving." Both are exposed.
Johnson and Rojas: The bottom line is that many people have this misconception and it comes from other misleading information.
Do you need to be tested? MAP offers free testing every Friday from 5 p.m. to 7 p.m. at 127 Scaleybark Road.