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Keith Boykin, a former Clinton White House aide, syndicated columnist, and AIDS activist, breaks new ground by going beyond the hype with the first responsible, eye-opening look at the down low sensation. Unlike all previous accounts on the topic, Beyond the Down Low refreshingly presents the DL not merely as a problem of gay and bisexual men living in the shadows and endangering women, but more broadly as a telling example of the African-American community's overall failure to engage in critical but uncomfortable conversations about sexuality. Boykin details how the virtual silence from black leaders on sex matters has helped to create an environment where gay and bisexual men feel compelled to lead double lives. Meanwhile, the dialogue that has occurred both inside and out of African-American circles encourages an unhealthy battle of the sexes, ignores the complexities of the closet, demonizes homosexuality and bisexuality, disempowers women from personal responsibility to protect themselves from STDs, and misdirects public resources and attention at vilifying down low men.
A bold exposé of the controversial secret that has potentially dire consequences in many African American communities. Delivering the first frank and thorough investigation of life “on the down low” (the DL), J. L. King exposes a closeted culture of sex between black men who lead “straight” lives. King explores his own past as a DL man, and the path that led him to let go of the lies and bring forth a message that can promote emotional healing and open discussions about relationships, sex, sexuality, and health in the black community. Providing a long-overdue wake-up call, J. L. King bravely puts the spotlight on a topic that has until now remained dangerously taboo. Drawn from hundreds of interviews, statistics, and the author’s firsthand knowledge of DL behavior, On the Down Low reveals the warning signs African American women need to know. King also discusses the potential health consequences of having unprotected sex, as African American women represent an alarming 64 percent of new HIV infections. Volatile yet vital, On the Down Low is sure to be one of the most talked-about books of the year. “A survey by the Centers for Disease Control in Atlanta found that nearly a quarter of black HIV-positive men who had sex with men consider themselves heterosexual.” —Essence
Choosing Unsafe Sex focuses on the ways in which condom refusal and beliefs regarding HIV testing reflect women's hopes for their relationships and their desires to preserve status and self-esteem. It also discusses the related issue of seropositivity concealment or non-disclosure. Many of the inner-city women who participated in Dr. Sobo's research were seriously involved with one man, and they had heavy emotional and social investments in believing or maintaining that their partners were faithful to them. Uninvolved women had similarly heavy investments in their abilities to identify or choose potential partners who were HIV-negative. In either case, women sought to present and to view themselves as wise and their men as monogamous. Women did not see themselves as being at risk for HIV infection, and so they saw no need for condoms. But they did recommend that other women use them; they saw other women as quite likely to be involved with sexually unfaithful men. Choosing Unsafe Sex includes recommendations for educational strategies that are sensitive to cultural expectations for relationships. Dr. Sobo's findings have significance not only for inner-city HIV/AIDS educators but for all who seek a deeper understanding of mainstream assumptions about heterosexual relationships.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
This Handbook provides a comprehensive overview of the theories, methods and approaches for reducing HIV-associated risk behaviors. It represents the first single source of information about HIV prevention research in developed and developing countries. It will be an important resource for students, researchers and clinicians in the field.
The U.S. Census Bureau reports particular demographic, social, and health conditions for African Americans. Population-wide, the African American community has a higher mortality rate from cancer and diabetes than the rest of the population, a higher infant mortality rate, and a lower vaccination rate for influenza and pneumonia. The contributions to this comprehensive Handbook of African American Health uncover the specific demographic conditions of the African American population, and outline social interventions for both physical and mental health at the primary, secondary, and tertiary levels. The 26 contributions to this comprehensive volume cover interventions for a diverse range of health problems, including:-obesity and cardiovascular disease-diabetes-asthma and other respiratory diseases-smoking, alcohol, and recreational drug abuse-risky sexual behaviors-cancer screening, prevention, and survivorship-infant mortality-community and interpersonal violence-mental health. From a healthcare standpoint, it also examines specific interventions for treatment compliance, health care access, and community collaborations. This volume will be an invaluable resource for researchers in medical sociology, mental health studies, public health, health behavior, and African American studies.
HIV alters the lives of anyone that it touches, whether they are gay or straight. This book looks at all of the aspects of how HIV/AIDS has altered the lives of those it touches. . . . The titles of the 12 chapters give an excellent overview of what is covered in these extremely well-written reports. . . . This is a must-read book for everyone. It should be in all libraries, including school libraries. Young adolescents who are facing the problem of coming out would benefit from this book. --AIDS Book Review Journal Hit hard by the AIDS epidemic in the United States and in much of Europe, the gay and lesbian community has been forced to examine existing notions of what it means to belong to a community based on sexual orientation. The editors of this second volume in the annual series Psychological Perspectives on Lesbian and Gay Issues have collected a perceptive array of chapters that explore sexual behavior, personal identity, and community memberships of gay men and lesbian women. With the exception of a few, the chapters reflect study findings from AIDS-related research and include discussions of AIDS in large urban centers and in less populated settings outside of major AIDS epicenters. Focusing on underconsidered AIDS populations, the contributors explore specific topics concerning the AIDS epidemic among gay and bisexual men of color, lesbian women, and gay and lesbian youth. Accessible and sensitive, the book also examines relevant public policy, volunteerism, and long-term survival as important to AIDS awareness and education. AIDS, Identity, and Community is an appreciable resource for AIDS researchers and caregivers, mental health practitioners, social service professionals, behavioral and social science students, and any reader who seeks deeper insight into the complex and subtle areas of the lesbian and gay community in the AIDS era.
This book explores the various psychosocial, sociocultural, and contextual factors that affect the sexual health of Black students who attend Historically Black Colleges and Universities (HBCUs), and how this environment can help develop strategies to improve sexual health outcomes for its students. The college environment provides young people with a new sense of independence, self-determination, and peer pressure to engage in risky sexual behaviors, and research has shown that Black students at HBCUs bear a disproportionate burden of poorer sexual health outcomes than students at predominately white institutions (PWIs). Uniquely focusing on the sexual milieu of Black students, Hall-Byers explains why a better understanding of these settings is needed to guide successful interventions that benefit and support the sexual health of Black students. Chapters compare data and research on sexual health outcomes of young Black men and women in comparison to those at predominately white institutions, as well as looking at the role of HBCU campus contexts and cultures, the potential psychosocial and sociocultural influences, what culturally responsive approaches may look like, and recommendations on how HBCU campuses can increase positive sexual health, such as through access, collaborative efforts among administrative offices, and reallocating resources. Sexual Health and Black College Students aims to advance the translation of culturally grounded research into effective practice and is essential reading for researchers and practitioners in sex therapy, public health, and social science as well as for college health staff, including nurses, student affairs, and campus wellness centers.
This is the first concise handbook on Lesbian, Gay, Bisexual and Transgender (LGBT) health in the past few years. It breaks the myths, breaks the silence, and breaks new ground on this subject. This resource offers a multidimensional picture of LGBT health across clinical and social disciplines to give readers a full and nuanced understanding of these diverse populations. It contains real-world matters of definition and self-definition, meticulous analyses of stressor and health outcomes, a extensive coverage of research methodology concerns, and critical insights into the sociopolitical context of LGBT individuals’ health and lives.
Most public health students, academicians, and practitioners recognize the association between racial/ethnic minority status and the disproportionate burden of preventable disease in the United States. Much less attention has been directed, however, toward health disparities that affect gay and bisexual men. These disparities affect the lives of an estimated 5.3-7.4 million American men, and are an important concern for public health. Until very recently, the relative invisibility of this group and a paucity of empirical data have hampered attempts to identify health disparities experienced by gay and bisexual men. This book proposes to review and synthesize evidence of health disparities among gay and bisexual men, identify individual and community factors that contribute to these disparities, and articulate strategies for public health efforts to eliminate disparities. To date, these disparities have been largely discussed in isolation in the research literature in a manner that does not permit a comprehensive examination of these problems, their underlying causes, and potential solutions. Thus, a primary emphasis of the book will be to document health disparities among gay and bisexual men while also describing public health solutions to these challenges.