stumbleupon
RSS
Health  |  Mar 9, 2010 4:32 AM CST

Sam Wertheimer is a Health editorial writer for Justmeans because he is excited about the opportunities for social innovation in the health sector. He currently works for the health policy group at a non-partisan think tank. His interests include health reform, health 2.0, social entrepreneurship, and his new surfboard. The views expressed in his column do not reflect those of Justmeans or any oth...

Justmeans Weekly News
sent to your inbox

Equality for Men: a new paradigm for HIV/AIDS risk

aids-housing














Los Angeles is famous for its celebrities but is also noted for its downtrodden. A 2009 report by the LA Homeless Services Agency recorded the homeless population as numbering nearly 50,000 people. This number is likely to swell as California prisons plan to release a bolus of prisoners due to recession-related budget cuts. I encounter these disadvantaged men and women frequently. Many reside in Venice, a neighborhood near my office. I have also met homeless people during visits to downtown LA. Downtown contains the infamous "Skid Row" neighborhood, an area with a nickname so institutionalized that the firetrucks bore the moniker until 2006.


Frequent encounters with homeless people throughout LA has increased my awareness of issues facing this population. Since one of the major problems for homeless people - particularly homeless women - is HIV/AIDS, an article on the spread of this disease in the most recent edition of the American Journal of Public Health (AJPH) caught my eye. The article held my attention because the authors argue for a shift in conventional wisdom. In particular, they suggest that men and women are equally vulnerable to HIV.


The authors cite recent studies to support this idea that heterosexual men are as vulnerable to HIV as heterosexual women. These include findings from Africa that women are almost as likely to transmit HIV to partners as men, and evidence from the US and UK that a significant proportion of women dislike the feeling of male condoms. They claim that this shows men are not the only ones making risky decisions. Although the authors acknowledge the importance of more traditional ideas of HIV/AIDS spread that place women as victims and males as perpetrators, they point to flaws in the paradigm. They also mention that this view might actually facilitate the disease since vulnerable men might have less access to services and programming than women of similar socio-economic status.


While I'm not convinced that those fighting AIDS should shift their attention from women to men, the authors convincingly suggest that the "vulnerability paradigm" deserves examination. They blur the line between villian and victim in the spread of HIV. Unfortunately, this adds another layer of complexity for public health officials serving vulnerable populations in Los Angeles and elsewhere. Now they must not only help women avoid risk, and seek early detection and treatment, they must also consider the vulnerabilities unique to men.


Photo credit: flickr