Young Black Gays in Atlanta Getting HIV at Breakneck Pace

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    Mar 07, 2014 4:25 PM GMT
    A staggering 12 percent of young gay black men in Atlanta are contracting HIV each year, an incidence rate exceeding that of almost all other previously recorded figures in the world’s wealthier nations, aidsmap reports. At this rate, a sexually active black man who becomes sexually active at age 18 has a 60 percent chance of becoming HIV positive by the time he hits 30. Researchers presented these troubling findings at the Conference on Retroviruses and Opportunistic Infections (CROI) in Boston.

    Researchers at Atlanta’s Emory School of Public Health uncovered this statistic in their InvolveMENt study, which was a longitudinal cohort study of black and white HIV-negative men who have sex with men (MSM) between the ages of 18 and 39. Of the 803 men initially recruited, 56 percent were black and the rest were white. Forty-four percent of the black men were HIV positive, compared with 13 percent of the whites.

    The study then followed 260 black and 302 white HIV-negative men for up to two years. Seventy-nine percent remained in the study through the follow-up, providing 832 person years of data.

    The black men were 3.8 times more likely than the whites to acquire the virus. Ignoring the race of the man becoming infected, those who had black sexual partners were 4.5 times more likely to acquire the virus than those who did not. Unprotected sex raised the risk of becoming HIV positive by a factor of 4.8. Those who had partners at least a decade older were 2.8-times as likely to contract the virus.

    The researchers found that black men were 2.9-times as likely to become HIV positive as whites. Echoing the findings of many previous studies, the blacks reported less unprotected sex than the whites. “Sexual networks” appeared to be the strongest factor increasing risk for black men: African-American MSM have been found to be much more likely to have sex with members of their own race than MSM of other races. A lack of health insurance was also linked to increased risk.

    http://www.aidsmeds.com/articles/black_gay_Atlanta_1667_25250.shtml
  • mybud

    Posts: 11837

    Mar 07, 2014 5:25 PM GMT
    It's sad..This probably centers around anti-gay sentiment within the black community. Young gay blacks feel they need to hide their sexually, which leads to risky scenarios.
  • WrestlerBoy

    Posts: 1903

    Mar 07, 2014 6:29 PM GMT
    (1)
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere. Con­sidering the adverse effects of the U.S.-led embargo against Cuba and the limited means under which the Cuban health system operates, what has brought about this success story in mysterious Cuba?"

    (2)
    "Meticulous identification of every HIV-positive individual in Cuba allowed the tracking back to the “source” of the patient’s HIV infection, whether from overseas or in Cuba. Cuba has an extensive confidential database of HIV-positive individuals, along with all their intimate contacts who have contracted HIV or remain HIV-negative."

    (3)
    "The current HIV adult prevalence rate in Cuba is estimated to be about 0.07 percent, one of the lowest in the world and certainly the lowest in the region."

    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.


  • Destinharbor

    Posts: 4435

    Mar 07, 2014 6:37 PM GMT
    WrestlerBoy said(1)
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere. Con­sidering the adverse effects of the U.S.-led embargo against Cuba and the limited means under which the Cuban health system operates, what has brought about this success story in mysterious Cuba?"

    (2)
    "Meticulous identification of every HIV-positive individual in Cuba allowed the tracking back to the “source” of the patient’s HIV infection, whether from overseas or in Cuba. Cuba has an extensive confidential database of HIV-positive individuals, along with all their intimate contacts who have contracted HIV or remain HIV-negative."

    (3)
    "The current HIV adult prevalence rate in Cuba is estimated to be about 0.07 percent, one of the lowest in the world and certainly the lowest in the region."

    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.



    Not sure but think it might require the comprehensive medical coverage that you only get with single payor systems. And some suspension of civil privacy my right-leaning brethren here would find objectionable. No, the black community itself must deal with this just as the gay community in San Fran did decades ago.
  • WrestlerBoy

    Posts: 1903

    Mar 07, 2014 6:47 PM GMT
    Yes, I knew the privacy "argument" was coming. With the Snowden affair, I am amused any of we Americans can still make a case (with a straight face) for "privacy from Government", but OK.

    I was also just wondering... well, look at that stat.... for guys who start being sexually active at 18? I wonder what would happen to the 60% seroconversion probability by 30 years of age if that 18 were dropped to a more realistic... 14, 15?
  • Posted by a hidden member.
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    Mar 07, 2014 7:04 PM GMT
    False belief systems / cults / religion are very prevalent among The Black Community and, as such, so is much of the terrible self-loathing, and other stigma, around being gay.

    Many gay black men I've talked to are angry, about lots of things: being gay; being black; feeling substandard; feeling shut out; many don't have a father figure; lots of resentment.

    It's a cultural issue that starts in the home, but, the best advice I can ever give anyone is to ditch the false belief systems, and love yourself.

    This resentment ends up being angry indifference to The World, and...there ends up being consequences.
  • Posted by a hidden member.
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    Mar 07, 2014 7:08 PM GMT
    Destinharbor said
    WrestlerBoy said
    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.

    Not sure but think it might require the comprehensive medical coverage that you only get with single payor systems.

    No, the black community itself must deal with this just as the gay community in San Fran did decades ago.

    I doubt the health care system has anything to do with it. If they are poor, the get Medicaid. If not, they can see regular docs.

    You're right about the black community having to deal with it if there is to be a solution. The reason AIDS drastically declined among gays in SF and NYC is because of massive volunteer efforts by gay organizations to educate about safe sex and the consequences of not adopting it. Pretty much everyone got the message. Having religious institutions that denigrate gays and constantly preach that gays are evil probably has a lot to do with young black kids who have started out their young years in the church not being willing to admit to anyone but their gay compatriots that they are gay, and not getting any info on AIDS. Maybe they don't watch any television where AIDs info PSAs are shown. How many 14-15 year olds do? The situation is likely to continue until the black churches accept gay people as normal, which might not happen in our lifetimes.
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    Mar 07, 2014 7:38 PM GMT
    Yikes.

  • FRE0

    Posts: 4865

    Mar 07, 2014 7:42 PM GMT
    WrestlerBoy said(1)
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere. Con­sidering the adverse effects of the U.S.-led embargo against Cuba and the limited means under which the Cuban health system operates, what has brought about this success story in mysterious Cuba?"

    (2)
    "Meticulous identification of every HIV-positive individual in Cuba allowed the tracking back to the “source” of the patient’s HIV infection, whether from overseas or in Cuba. Cuba has an extensive confidential database of HIV-positive individuals, along with all their intimate contacts who have contracted HIV or remain HIV-negative."

    (3)
    "The current HIV adult prevalence rate in Cuba is estimated to be about 0.07 percent, one of the lowest in the world and certainly the lowest in the region."

    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.




    There is something wrong with those numbers. Per the post:

    The number of HIV+ people is 11,243,000.
    The current HIV adult prevalence rate is 0.07%.


    Perhaps it is not 0.07%, but rather 0.07 which would be 7%, but that seems too high.

    Assuming that it really is 0.07%, that means that the population of Cuba would be approximately 11,243,000 / 0.0007 which is impossible.

    ???
  • FRE0

    Posts: 4865

    Mar 07, 2014 7:54 PM GMT
    HikerSkier said
    Destinharbor said
    WrestlerBoy said
    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.

    Not sure but think it might require the comprehensive medical coverage that you only get with single payor systems.

    No, the black community itself must deal with this just as the gay community in San Fran did decades ago.

    I doubt the health care system has anything to do with it. If they are poor, the get Medicaid. If not, they can see regular docs.

    You're right about the black community having to deal with it if there is to be a solution. The reason AIDS drastically declined among gays in SF and NYC is because of massive volunteer efforts by gay organizations to educate about safe sex and the consequences of not adopting it. Pretty much everyone got the message. Having religious institutions that denigrate gays and constantly preach that gays are evil probably has a lot to do with young black kids who have started out their young years in the church not being willing to admit to anyone but their gay compatriots that they are gay, and not getting any info on AIDS. Maybe they don't watch any television where AIDs info PSAs are shown. How many 14-15 year olds do? The situation is likely to continue until the black churches accept gay people as normal, which might not happen in our lifetimes.


    I'm sure that that's a large part of it.

    Surveys clearly indicate that black religious leaders are much more likely to have strong negative views on gay men and women than white religious leaders are. In addition to the factors mentioned above, that would also make black men less likely to have a stable same-sex relationship and would increase the likelihood of having anonymous sex. Also, by undermining their sense of self-worth, it would cause them to neglect taking good care of themselves, including taking excessive risks.

    It is not only black men who are affected. Because black men are less likely to accept the fact that they are gay, they are more likely to have sex with both men and women thereby putting black women at higher risk than white women. Decades ago I noticed that a large number of black men who had sex with men also had sex with women; that really is not new information. Of course some white men did too, but it seemed much less common. The difference can be explained only by religious, social, and cultural factors which are closely interrelated.

    Instead of being rigidly dogmatic, black religious leaders should consider the effects of their positions, i.e., that their positions are basically destructive in ways that can even be quantified.
  • Posted by a hidden member.
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    Mar 07, 2014 8:06 PM GMT
    Cool, we can give out Darwin awards en masse.
  • Posted by a hidden member.
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    Mar 07, 2014 8:29 PM GMT
    It's the church, it's the culture, it's the blame this, it's the blame that but lord have mercy don't put the blame squarely on the shoulders of the individuals involved.

    "A lack of health insurance was also linked to increased risk." WTF?! Not having insurance is what spreads the disease?! icon_lol.gificon_lol.gificon_lol.gif
  • Posted by a hidden member.
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    Mar 07, 2014 8:32 PM GMT
    WrestlerBoy said(1)
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere. Con­sidering the adverse effects of the U.S.-led embargo against Cuba and the limited means under which the Cuban health system operates, what has brought about this success story in mysterious Cuba?"

    (2)
    "Meticulous identification of every HIV-positive individual in Cuba allowed the tracking back to the “source” of the patient’s HIV infection, whether from overseas or in Cuba. Cuba has an extensive confidential database of HIV-positive individuals, along with all their intimate contacts who have contracted HIV or remain HIV-negative."

    (3)
    "The current HIV adult prevalence rate in Cuba is estimated to be about 0.07 percent, one of the lowest in the world and certainly the lowest in the region."

    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.




    Where do these stats come from? An independent source or the repressive Cuban government? I wonder what happened to those early HIV cases in Cuba. I would imagine they were rounded up and never heard from again.
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    Mar 07, 2014 8:40 PM GMT
    Simple. Dudes are just fucking dirty and don't take their health or the health of others seriously.

    So many bruthas running around on the DL and not using protection and not being honest about who they are. Then they turn around and sleep with a girl who thinks he's real deal. It's a horrible cycle.
  • WrestlerBoy

    Posts: 1903

    Mar 07, 2014 9:59 PM GMT
    UndercoverMan said
    WrestlerBoy said(1)
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere. Con­sidering the adverse effects of the U.S.-led embargo against Cuba and the limited means under which the Cuban health system operates, what has brought about this success story in mysterious Cuba?"

    (2)
    "Meticulous identification of every HIV-positive individual in Cuba allowed the tracking back to the “source” of the patient’s HIV infection, whether from overseas or in Cuba. Cuba has an extensive confidential database of HIV-positive individuals, along with all their intimate contacts who have contracted HIV or remain HIV-negative."

    (3)
    "The current HIV adult prevalence rate in Cuba is estimated to be about 0.07 percent, one of the lowest in the world and certainly the lowest in the region."

    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.




    Where do these stats come from? An independent source or the repressive Cuban government? I wonder what happened to those early HIV cases in Cuba. I would imagine they were rounded up and never heard from again.


    The UN, the WHO, the US Govt, the European Union, all have exactly the same stats....as does the Cuban Govt. There are multiple references online; help yourself.
  • WrestlerBoy

    Posts: 1903

    Mar 07, 2014 10:01 PM GMT
    FRE0 said
    WrestlerBoy said(1)
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere. Con­sidering the adverse effects of the U.S.-led embargo against Cuba and the limited means under which the Cuban health system operates, what has brought about this success story in mysterious Cuba?"

    (2)
    "Meticulous identification of every HIV-positive individual in Cuba allowed the tracking back to the “source” of the patient’s HIV infection, whether from overseas or in Cuba. Cuba has an extensive confidential database of HIV-positive individuals, along with all their intimate contacts who have contracted HIV or remain HIV-negative."

    (3)
    "The current HIV adult prevalence rate in Cuba is estimated to be about 0.07 percent, one of the lowest in the world and certainly the lowest in the region."

    Too bad for those young guys in Atlanta that we're too proud to learn anything from our "enemies", even when they're clearly doing something very right.




    There is something wrong with those numbers. Per the post:

    The number of HIV+ people is 11,243,000.
    The current HIV adult prevalence rate is 0.07%.


    Perhaps it is not 0.07%, but rather 0.07 which would be 7%, but that seems too high.

    Assuming that it really is 0.07%, that means that the population of Cuba would be approximately 11,243,000 / 0.0007 which is impossible.

    ???


    The entire POPULATION of Cuba is 11,243,00, not the HIV+ population!
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    Mar 07, 2014 10:25 PM GMT
    It's the grammar. The way it's worded in (1), that's the population, not infections and then it goes on to say in (3), "0.07 percent, one of the lowest in the world", meaning infections in Cuba.

    The success story of HIV and AIDS control in Cuba
    http://www.prairiefirenewspaper.com/2009/02/success-story-of-hiv-and-aids-control-in-cuba

    UndercoverMan saidIt's the church, it's the culture, it's the blame this, it's the blame that but lord have mercy don't put the blame squarely on the shoulders of the individuals involved.

    "A lack of health insurance was also linked to increased risk." WTF?! Not having insurance is what spreads the disease?! icon_lol.gificon_lol.gificon_lol.gif


    The blame game has become very popular in recent years.
  • Posted by a hidden member.
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    Mar 07, 2014 10:46 PM GMT
    There is a price to pay for the gay propaganda campaign that promotes the concept that sex with Poz Men is safe.
  • LJay

    Posts: 11612

    Mar 07, 2014 11:25 PM GMT
    UndercoverMan saidIt's the church, it's the culture, it's the blame this, it's the blame that but lord have mercy don't put the blame squarely on the shoulders of the individuals involved.

    "A lack of health insurance was also linked to increased risk." WTF?! Not having insurance is what spreads the disease?! icon_lol.gificon_lol.gificon_lol.gif


    Also, from above (DestinHarbor?): I doubt the health care system has anything to do with it. If they are poor, the[y] get Medicaid. If not, they can see regular docs.


    People who do not have insurance can't just walk in to a clinic and say that they need treatment. Much of general practitioner's care depends on an ongoing relationship with a patient allowing patterns of behavior or general health to be observed.

    Folks who are not poor enough to qualify for Medicaid may not be able to afford routine doctor visits.

    Not everyone is knowledgeable enough about the medical system to engineer their own care.

    EXAMPLE: A friend and coworker of mine contracted the flu (it turns out to have been swine flu) from his girlfriend. He was obviously sick and I asked him when he was going to the doctor. He said he could not afford it. No way. He was sure it was going to cost hundreds of dollars. I finally persuaded him to go to the office where I go. I found out for him that a basic office visit was about $75 and that he could get advice from the doctor about the situation with his girlfriend/roommate. He went, talked to the doctor and got advice on how to handle the situation and got better. The cost was not easy for him but it was nowhere near what he though it would be. This was a middle class kid with the cultural background to have known better and he had to be practically dragged to get help.

    The initial symptoms of HIV infection are capable of fooling someone into thinking that they "just have the flu." Add in low income, no experience with doctor's service, and enormous social stigma and you have a problem. Don't forget such things as lack of transportation or knowledge of health care facilities.

    The process of qualifying for Medicaid is not so simple that one can just do it without effort. It is also not so easy to handle if you suspect that you have something to hide from family or friends.

    Lacking health insurance is certain to erode one's confidence that care is approachable or affordable.

    The person who has no insurance is often used to steering clear of the health care system and can certainly be affected by allof the horror stories of difficult access and financial ruin that we have all heard.

    Of course there is personal responsibility involved, but we often forget that dealing with disease is not simple for everyone.
  • WrestlerBoy

    Posts: 1903

    Mar 07, 2014 11:26 PM GMT
    Draper saidIt's the grammar. The way it's worded in (1), that's the population, not infections and then it goes on to say in (3), "0.07 percent, one of the lowest in the world", meaning infections in Cuba.

    The success story of HIV and AIDS control in Cuba
    http://www.prairiefirenewspaper.com/2009/02/success-story-of-hiv-and-aids-control-in-cuba

    UndercoverMan saidIt's the church, it's the culture, it's the blame this, it's the blame that but lord have mercy don't put the blame squarely on the shoulders of the individuals involved.

    "A lack of health insurance was also linked to increased risk." WTF?! Not having insurance is what spreads the disease?! icon_lol.gificon_lol.gificon_lol.gif


    The blame game has become very popular in recent years.



    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere."

    There's nothing - at all - wrong with the grammar; try learning how to read a non-relative clause with a comma: "Cuba has the lowest percentage of its POPULATION..." (NON-defining..not "HIV" population) COMMA, a total of..." COMMA, infected...." That is, "it population" not "its HIV population".

  • Posted by a hidden member.
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    Mar 08, 2014 12:20 AM GMT
    WrestlerBoy said
    Draper saidIt's the grammar. The way it's worded in (1), that's the population, not infections and then it goes on to say in (3), "0.07 percent, one of the lowest in the world", meaning infections in Cuba.

    The success story of HIV and AIDS control in Cuba
    http://www.prairiefirenewspaper.com/2009/02/success-story-of-hiv-and-aids-control-in-cuba

    UndercoverMan saidIt's the church, it's the culture, it's the blame this, it's the blame that but lord have mercy don't put the blame squarely on the shoulders of the individuals involved.

    "A lack of health insurance was also linked to increased risk." WTF?! Not having insurance is what spreads the disease?! icon_lol.gificon_lol.gificon_lol.gif


    The blame game has become very popular in recent years.



    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere."

    There's nothing - at all - wrong with the grammar; try learning how to read a non-relative clause with a comma: "Cuba has the lowest percentage of its POPULATION..." (NON-defining..not "HIV" population) COMMA, a total of..." COMMA, infected...." That is, "it population" not "its HIV population".



    I understand the way it was written because I know that Cuba doesn't have over 11 million people with HIV, but some people misinterpreted the numbers due to the way the first sentence was written. It's in the link I provided. Perhaps an easier way: Cuba's population is 11,243,000, and has the lowest percentage of infected people with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere.
  • WrestlerBoy

    Posts: 1903

    Mar 08, 2014 12:38 AM GMT
    "Cuba has the lowest percentage of its population, a total of 11,243,000 people, infected with the Human Immunodeficiency Virus (HIV) in the Western Hemisphere."

    No. You read that as "Cuba has the lowest percentage of people infected with HIV, 11, 243,000, in the Western Hemisphere...", and that simply isn't what the sentence says, or means. But enough of 8th-grade grammar lessons.

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    Mar 08, 2014 1:50 AM GMT
    Six Degrees of Separation. You might recall, this 1993 film was Will Smith‘s big screen debut. In it he plays a gay con artist who suckers rich New Yorkers by pretending to be privileged, private-schooled, and Sidney Poitier’s son. The film was to have included a gay love scene, but after he landed the part (and filming was halfway concluded) Will Smith apparently balked at actually kissing another actor onscreen. They had to use mirrors and trick camera angles to make it appear as if Smith’s character locks lips with another man. Ridiculous, right? Imagine if Heath Ledger and Jake Gyllenhall had filmed half of Brokeback Mountain and then told Ang Lee they weren’t going to do the tent scene?

    I remember interviews with Will Smith explaining his behavior. He said he’d been advised against tarnishing his hetero image by none other than Denzel Washington.
  • Jonny21

    Posts: 199

    Mar 08, 2014 2:31 AM GMT
    I'm honestly not trying to be combative or contrarian, but I question some of the reasons offered above, especially the church (full disclosure: I am not that religious) and the lack of education on the issue.

    The study, which I believe was conducted by Atlanta’s Emory School of Public Health, suggests the following reasons:

    1. Lack of health insurance.
    2. Solely having sexual partners from the black community. ("'Sexual networks' appeared to be the strongest factor increasing risk for black men: African-American MSM have been found to be much more likely to have sex with members of their own race than MSM of other races.").
    3. Unemployment
    4. Incarceration

    Interestingly enough, the study found that "sexual risky behaviour did not contribute [to the higher incidences of contraction] because, as some other studies have found, young black gay men actually have lower rates of unprotected anal sex than white men." See http://www.aidsmap.com/HIV-incidence-at-record-high-in-young-gay-black-men-in-southern-USA/page/2833285/.

    Getting away from race for a second, I think generational indifference in all races may be becoming an issue. I have read mulitple sources within the pass few years that suggest that younger gays are not as fearful of contracting the disease, and thus, engaging in risky behavior. Perhaps because the disease is more manageable now, people don't take it as serious.

    http://www.cnn.com/2013/12/06/health/halkitis-hiv/
  • WrestlerBoy

    Posts: 1903

    Mar 08, 2014 2:40 AM GMT
    StephenOABC saidSix Degrees of Separation. You might recall, this 1993 film was Will Smith‘s big screen debut. In it he plays a gay con artist who suckers rich New Yorkers by pretending to be privileged, private-schooled, and Sidney Poitier’s son. The film was to have included a gay love scene, but after he landed the part (and filming was halfway concluded) Will Smith apparently balked at actually kissing another actor onscreen. They had to use mirrors and trick camera angles to make it appear as if Smith’s character locks lips with another man. Ridiculous, right? Imagine if Heath Ledger and Jake Gyllenhall had filmed half of Brokeback Mountain and then told Ang Lee they weren’t going to do the tent scene?

    I remember interviews with Will Smith explaining his behavior. He said he’d been advised against tarnishing his hetero image by none other than Denzel Washington.


    I have heard this before, and there is simply no two ways around this "shame" for the "black community" because that's what it is, whether they want to hear it or not:

    There was no larger single demographic group in California (besides the out-of-state Mormon money) backing Prop 8 in California...than blacks, and especially black churchgoers.

    But that history goes deeper..and longer. White Jewish GAY kids from the north went to Alabama and Mississippi during the Civil Rights era, to march, and, yes, die, for blacks' civil rights; that debt has only not never been "repaid" by the black community, you'd be hard pressed to find a demographic "block" more anti-gay and anti-semitic than...American blacks.

    I am about as "liberal" as they come; but facts are facts, and as much as I disagreed with an earlier poster's response in this thread (that this is a problem for the "black community" in Atlanta to solve), I am now not sure whether I "hope", "fear", or "know" that that is true.