Check your HIV bias
STIGMA / Do you think you're AIDS-okay?
Nicholas Little / Ottawa / Thursday, June 07, 2007
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"I remember this one guy who was cruising me so hard at the bar!" I'm talking with Mike, a gay guy living in Ottawa with HIV. "We started making out and he was all over me — kissing, licking, sucking. So we got back to my place and I'd left my bottles of pills out and when he saw them he freaked. He made a face like this..." Mike mimics a locked jaw, clamped down grimace. "He didn't even want to kiss anymore, despite that he'd been licking me up and down at the bar. And kissing is no risk!"

The sexual side of HIV stigma can be obvious, but other sides of HIV paranoia play out every single day in the life of any person living with HIV. It affects who gets jobs in our city, who finds apartments, who gets laid, who does or doesn't get meds, who lives and dies in Canadian prisons, which immigrants get into the country, which children are teased at school, and more. And it doesn't just affect positive folks. It's a huge part of the homophobia that excludes all gay people. It stands in the way of the queer community's access to the quality jobs, homes, and liberated lives that will make all of us healthy — including HIV-positive people.

"People need more education about HIV and a willingness to stop segregating HIV-positive guys within the gay community," Mike says. "We are the gay community! There's too much gossip about who is or isn't positive and too much paranoia about the virus. Yes it's a serious illness but it's actually pretty hard to share and we know how to prevent it — even when one guy is poz and the other guy is negative."

So what's the outcome of HIV stigma? "Poz guys are afraid to disclose their status because people reject us or treat us like we're less than human. There's little safe space to tell a guy your status and there's a big risk of being tactlessly rejected if you do." And that rejection extends beyond sex in the bar or the bedroom. "People don't even want to know you, perhaps because they're happier pretending HIV doesn't even exist in our community."

But it does. Mike laughs at the thought of urban gay men who claim they don't know anyone positive. He says it's as absurd as straight people who claim they don't know anyone gay in Ottawa. "Of course you do! Are all your partners HIV negative? Really? If you live downtown and you go to gay spaces and you hook up, then you definitely know and are having sex with HIV-positive guys."

The outcome of all that fear and rejection is isolation. Loneliness. HIV-negative dudes are cutting themselves off from men like Mike. Men who are sexy, wise, experienced, and full of vitality. They're cutting themselves off from rewarding relationships with potential friends, lovers, family, and community. At the same time, HIV-positive men are being marginalized from a community they have equal claim to. Many of them are or have been the radical trailblazers who transform Ottawa and Canada into safer places for all of us. And in the end, loneliness and isolation both lead to yet more HIV infections and harder lives for those already positive. HIV stigma literally sucks the life out of the gay community.

So what can we do? What could that guy have done differently instead of losing his hard on for Mike after seeing those bottles of pills? Mike has answers. "Start by assuming responsibility for your own health. It isn't the job of HIV-positive guys to take care of you or to keep you safe." You're entitled to not use condoms, to not ask when your partner was last tested, to smoke tina and party hard — but know that those choices belong to you, not your partner.

Second, learn the facts about HIV. Know what sexual acts are high, low, or no risk. "I don't want to have to educate the world," Mike says, "especially before sex." Third, figure out your comfort level around those factual risks. This choice is personal. It's okay to be comfortable only with no risk activities like kissing or hand jobs. It's also our right to be comfortable with high-risk activities like unprotected anal sex. But knowing what fits for you personally will prevent that harsh sexual freeze in the face of bottles of pills.

Fourth, find a few tactful ways to explain your comfort levels to a partner and practice saying them in advance. Seriously! Most poz guys tell me that it isn't someone's boundaries that hurt them, but the insensitive ways they're expressed. So if you've thought it through and you know that even protected anal sex with a positive dude is outside your comfort level but sucking dick without eating his cum is still cool, consider how you'd communicate that respectfully in the heat of the moment.

Something like, "I don't know if I'm ready to think about fucking with you yet, but it'd get me rock hard if you keep thrusting your cock down my throat like that. And lemme know when you're gonna cum so I can see it shoot all over my chest."

The AIDS Committee Of Ottawa believes that eliminating stigma against HIV-positive folks will reduce the number of new HIV infections and will make life better for every single queer in our city. That's something to celebrate, so we've decided to throw a fucking righteous party to say, "HIV discrimination is bullshit!" If you believe everyone — positive or not — deserves to live free of HIV stigma, come party with us at The Living Room Dance on Jun 29 at 9pm. Check your bias at the door!


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Reader Comments


 
Closets
As gay men we have preached about the liberating effect of 'coming out'. How important it is to be honest with our friends, family, co-workers etc. That 'coming out' is empowering and in some ways a responsibility to ourselves and other closeted gay men. Now compare that with HIV+ people. We seem more then happy to push them back into the 'closet', to be quiet, isolated, and ignored. We don't talk about HIV, we whisper and gossip about it. Yet more and more people are becoming HIV+, more and more gay men don't know there status. It's not the sex that will kill us, it's the lack of open and honest dialogue.
Anonymous, Toronto Ontario
06/07/07 1:02 PM EST
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Too true! And yet...
Powerful statement!

Based on your idea, it sometimes seems like HIV- folks expect the open and honest dialogue to *start* with HIV+ people. The implied expectation is often that it's the responsibility of HIV+ people to disclose their status first.

Yet I wonder: what sort of safe, respectful, dignified environments have HIV- people made, both individually and collectively, for HIV+ people to speak about their status? To continue with your analogy of gay people coming out, what are the chances of a gay dude telling others he is gay if every day he feels hostility and experiences overt and subtle discrimination because of his queerness? Pretty unlikely. Yet we often seem surprised (and even angry!) when poz guys don't feel safe enough to disclose their status.

So I agree that open and honest dialogue will save a lot of lives. And I think that dialogue will come once HIV- people make HIV+ people feel safe enough to talk about their status.

Nicholas Little, Ottawa Ontario
06/07/07 3:53 PM EST
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Is anyone ever "Disease Free"?
Excellent article. Stigma is so pervasive that we newly diagnosed people sense it before we even experience it directly, because of some of the vicious community discussions we've witnessed.

People are expected to "know better" than to have "made a mistake" and gotten HIV. Well we're all only human, and some of us ended up with HIV after engaging in lower-risk activities. There is little different between poz and neg guys when it comes to ethics or basic humanity.

It's almost enough to make you wish some of these thoughtless oafs would seroconvert, maybe then they would finally understand. Note that I said almost. I wouldn't wish this medical condition on anyone. But I wouldn't wish the self-righteous judgment and misguided chastisement on anyone either.

There has to be a better way for people to develop greater sensitivity, and this article is a step in the right direction.

Anonymous Too, Toronto ON
06/07/07 4:21 PM EST
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Kudos!
Well written Nicholas! You and your readers have touched upon a very central issue when it comes to gay men and HIV in this province! It also warrants the idea that open, accurate and honest communication is a dual responsibility. All too often I find myself responding to questions and concerns about the fact that HIV actually exists in both romote and urban locations in southwestern Ontario. Discussing numbers is irrelevant! Your article illustrates the notion that assumptions can lead us down a windy road of judgement and risk. In reflection of Pride festivities, let's stand together as proud Queers and promote the discussion about ourselves, our risks and our ability to negotiate our choices effectively. Best of luck on the 29th and keep up the good work in Ottawa!
Daniel Pugh, AIDS Committee of London, London Ontario
06/14/07 11:11 AM EST
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So true...
Hey Nicholas, it's so refreshing to read what you've written. You've highlighted a serious issue in our community. Our community which was at the pinnacle of supporting people living with HIV at the beginning of the epidemic now needs to reevaluate our assumptions and biases. Given that HIV infection is on the rise among youth, it is importantly to send the message home that this is not something that was an issue for gay men in the 80s/90s, but something that affects all of us still to this date.
Jason Asselin, Positive Youth Outreach, Toronto On
06/19/07 3:19 PM EST
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Grass Roots Quarantine
Great article. As gay men, we all know the pain of ostracization by portions of the straight community. But when other gay men ostracize us (for any reason), that can be excruciating. We can either seek out what separates us (e.g. hiv status), or we can revel in our shared humanity, sexuality, fantasies, needs, and desires. My neg partner of 7-1/2 years stayed neg, despite our constant and passionate love-making. How? Simple. Safe sex, safe sex, safe sex. Even if both parties claim to be neg, have safe sex. Remember, it ain't how many you do, or where you do it... it's how you do it. So go out and embrace those sexy, smart, loving men (poz or neg) of your community... just be safe. Make love -- there's not enough.
Tom Kelly, San Francisco USA
06/23/07 12:03 PM EST
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