Poor Black and Hispanic Men Are the Face of HIV Donald G. McNeil Jr. - The New York Times
go to original February 13, 2014

Roderick, who is gay, came to New York after family ties became too strained, saying, “I’m just basically dead to my family now.” (Nicole Bengiveno/The New York Times)

The AIDS epidemic in America is rapidly becoming concentrated among poor, young black and Hispanic men who have sex with men.

Despite years of progress in preventing and treating H.I.V. in the middle class, the number of new infections nationwide remains stubbornly stuck at 50,000 a year — more and more of them in these men, who make up less than 1 percent of the population.

Giselle, a homeless 23-year-old transgender woman with cafe-au-lait skin, could be called the new face of the epidemic.

“I tested positive about a year ago,” said Giselle, who was born male but now has a girlish hair spout, wears a T-shirt tight across a feminine chest and identifies herself as a woman. “I don’t know how, exactly. I was homeless. I was escorting. I’ve been raped.”

“Yes, I use condoms,” she added. “But I’m not going to lie. I slip sometimes. Trust me — everyone here who says, ‘I always use condoms’ - they don’t always.”

Besides transgender people like Giselle, the affected group includes men who are openly gay, secretly gay or bisexual, and those who consider themselves heterosexual but have had sex with men, willingly or unwillingly, in shelters or prison or for money.

Read the rest at The New York Times

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