Note: This article was originally published on The Conversations, independent source and pointless & # 39; news, analysis and commentary from academic experts. The information disclosure is available in the original site.
More than 60,000 Canadians and 37 million people worldwide are living with HIV. At the beginning of HIV and AIDS, there was a huge fear and discrimination – to the extent that in British Columbia, the politicians discussed the kwarantizza individuals with HIV.
Since then, the arc of scientific progress on HIV was fast. But the stigma and discrimination associated with HIV are not removed and the global epidemic is still & # 39; away.
There are still 2,000 new cases & # 39; HIV in Canada every year. Collection & # 39; funds for the AIDS service organizations decreased and the overall funding for research and development of HIV has decreased.
This World AIDS Day we call for recognition of the negative judgment and feelings about HIV are linked to & # 39; racism, homophobia and transphobia.
You can & # 39; you have HIV and become a "communicable"
Because access to modern antiretroviral treatment, HIV has become a manageable condition for most. Research by the BC Center for Excellence in HIV / AIDS (BC-CFE) has shown that people who are taking HIV treatments are now waiting & # 39; like life for those who are HIV negative.
Julio Montaner, Director of the BC CFE, has been a pioneer in the concept of & # 39; & # 39; Prophylactic treatment & # 39; (TasP). The medical and scientific community reached a consensus that individual living with HIV can & # 39; done "communicable" – which means that m & # 39; there is no risk of sexually transmitting the virus – if you get viral load that can not be measured by & # 39; HIV treatment. People living with HIV have led to the movement "transmissible can not be transmitted" to share this message & # 39; hope to combat HIV stigma.
According to our research on the Momentum Health Study, the number of & # 39; gay men HIV adverse f & # 39; Vancouver who knew this concept has almost doubled from 2012 to 2015. The good news is that this was not associated with & # 39; any reduction in the use of condoms.
The bad news: Key messages on prevention and HIV testing may not reach all audiences. For example, we found that bisexual men, older men and men living outside the city were much less likely to have been tested for HIV in & # 39; the last two years.
Unfortunately, efforts to halt the spread of & # 39; HIV disturbed by fear & # 39; and stigma. For example, some gay and bisexual men ever being tested for HIV because they worry about the impact it can & # 39; have on their relationships and sex life, and may face discrimination.
Men are still afraid to be tested
In Canada, remains & # 39; criminal offense not to disclose the status & # 39; HIV positive in & # 39; consensual sense if not used a condom.
This discriminatory law remains & # 39; despite the scientific consensus is now well established that individuals with & # 39; viral load can not be controlled can not transmit the virus. This has been proven by & # 39; study in which nearly 60,000 act & # 39; serodiskordanti intercourse without condoms between couples (where one partner is HIV negative and the other is HIV positive) did not result in HIV transmission.
These fears also make it difficult for men to tell their doctor about sex with & # 39; other men. At least a quarter of the participants & # 39; Momentum had not informed their physician about who had sex with men, and men were half likely recently tested for HIV.
Stigma also affects access to services and mental health. The men were more mental challenges (depression and use of & # 39; multiple illegal drugs) were more likely to engage in & # 39; & # 39 sex can; passing HIV.
The concern & # 39; dissociation of the disease can & # 39; be linked to & # 39; discrimination. For example, the risk of & # 39; HIV among men in the Health Study & # 39; Momentum was formed by difficulty to find b & # 39; sexual partners safe way, challenges using & # 39; condoms and barriers to access to health care including transition-related services.
Effective drug prevention & # 39; HIV
Now we have a tool box in the & # 39; the tool & # 39; prevention & # 39; HIV than at the top & # 39; the epidemic. Safer sex, once referred to condoms alone, now consider issues such as state undetectable and prophylaxis & # 39; pre-exposure, or prep.
The drug for HIV prevention prep is very effective when taken by & # 39; consistently and is available free of charge to eligible HIV individuals in British Columbia that are in & # 39; high risk & # 39; HIV .
Before prep is covered in & # 39; CB, only 2.3% of & # 39; gay men in Study on Momentum in Health & # 39; Vancouver had used the prep. However, knowledge & # 39; prep over kwadrupled to 80 percent from 18 percent during this period.
Although there are still challenges to access, thousands of & # 39; gay men and others in & # 39; risk & # 39; HIV across B.C. Prep now take for free.
The changed HIV. And our perceptions need to catch up. Now is the time for policy-making, the service providers and the entire country to foster a better understanding of HIV.
The kumpliċenza, ignorance and continued to view HIV as something & # 39; shame prevent moving & # 39; forward in our efforts to nissapportjaw people living with HIV and reduce new infections.
Authors: Nathan Lachowsky, Assistant Professor, the School of Public Health and Social Policy, University & # 39; Victoria; Gbolahan Olarewaju, Coordinator & # 39; Study Momentum in BC Center for Excellence in HIV / AIDS, University & # 39; British Columbia, and Heather Armstrong, Momentum Postdoctoral Fellow, BC Center for Excellence in HIV / AIDS, University of British Columbia
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