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"The young men that we work with are predominantly African-American, and HIV is not their No. 1 priority," said Chono-Helsley. "Often survival is their main priority -- where they are going to sleep tonight. They're kicked out of the house; they have substance abuse issues, they're in recovery."

Young black women can easily get caught up in similar problems, or are coerced into unsafe sex by their partners, she added.

Another trend -- soaring rates of methamphetamine use over the past five years -- may also be fueling HIV infection rates for both blacks and young gay men, the experts noted.

Too often, marginalized young people develop "a 'whatever' attitude -- whatever happens, happens," Chono-Helsey said.

Outreach aimed at HIV prevention remains important, of course. But one expert believes too much state and federal money is being funneled away from community outreach programs and toward "HIV Stops With Me" campaigns that focus on individuals already living with the virus.

"The message there is that, if I don't have HIV right now, then all I have got to do is avoid those people who have got it," said Carrie Davis, director of adult services at the Lesbian, Gay, Bisexual and Transgendered Community Center in New York City.

She believes those types of messages allow uninfected people to shift the burden of responsibility from themselves to the HIV-positive, or to people they deem at high risk, such as gay men or drug abusers.

"I think it affects straight people, too, in that they absorb this 'magical thinking' -- that this is someone else's problem," Davis said.

So what doeswork to change attitudes and behaviors? That's a tough question, Chono-Helsley said, and the answer usually depends on particular contexts and communities.

"You really have to evaluate what methods you're using and think about the person as a whole, not just the infection," she said. "Because they've all heard 'use a condom, use a condom.'"

 
 
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Posted By: Evmim Posted 4 Years, 6 months, 2 Weeks, 3 days ago
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