There are two types of discussions about HIV that take place in the gen-pop of Black communities. One, how Magic Johnson holds the cure or about the type of person who contracts this virus. Two is the rhetoric that this is a disease one contracts when dealing with a gay man or when gay. Neither dialogues are helpful in educating communities on HIV.
You'll hear many experts and advocates say that HIV is no longer a death sentence and while this is true, I imagine that none of us are flying a Goodyear blimp in the blue skies that says "come for me." No one asks for HIV. No one. Which makes it all the more important that we stay educated on the topic in a way that is sex positive.
Because despite the 14 million people who had to die due to the government's ignorance and bias throughout the 80s and well into the 90s, there always seems to be a new headline about an influx of HIV diagnosis in one black-ish community or another and part of me feels that has a lot to do with the way we've continuously stigmatized it. This can be easy to do when there isn't proper sex education within many communities. We're having too many of the wrong discussions and not enough of the right ones.
But I've never been one to sit around demanding change while refusing to be part of the solution, so let's chat! Let's debunk what you believe to be true about HIV and get the 411 on preventative measures, plus what a diagnosis means.
Human immunodeficiency virus is what those three often bolded letters stand for in the acronym HIV. According to Dr. Cedrina Calder, it hurts the immune system "by attacking specific cells. The virus affects the body's natural ability to fight infection." She warns, "If the virus is left untreated, the illness can progress to a condition called Acquired Immunodeficiency Syndrome or AIDS."
HIV can be detected by your gynecologist or urologist using one of the three methods: Nucleic Acid Test, Antigen test, or an Antibody test. Rapid and home tests are normally antibody tests that can be conducted with an oral swab or a blood sample. For those with a healthy suspicion of home test, like myself, Dr. Calder says they are 92 percent sensitive. In other words, it will be effective for about 92 percent of those who use it. The nucleic acid test is a more thorough test that doctors may opt for if you test positive.
Is There A Cure For HIV?
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The origin of HIV has been a mystery for the most part. While the CDC suggests that it may have been present in Africa since the late 1800s, it didn't knowingly make its way to the United States until the late 1970s. When it first ravaged communities, it was thought to only be a disease that affected the gay community -- the name given to it during that time was Gay-Related Immune Deficiency (GRID).
It took thousands of people dying annually and a decade of activism from groups such as ACT UP for the Government to intervene and pass policy for FDA approved medications for the infection.
As it stands there is no cure for HIV, there are only treatments. These treatments have become increasingly more effective, increased life expectancy, and decreased the likelihood of HIV progressing to AIDS. As previously mentioned, these treatments make it possible to live a healthy life with an equally healthy sex life after being infected through consistency and maintaining a low detectability rate, making it more difficult to transmit the virus.
Exposure to HIV
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It can't be stressed enough how important it is to be tested regularly for HIV. Your annual visit can suffice unless you engage in "risky" sexual behaviors, and then it is recommended that you get tested more frequently.
Risky sexual behavior doesn't necessarily mean engaging in sex with multiple partners but can simply mean you engage in anal sex regularly. According to Dr. Calder, those who participate in anal sex or are the proclaimed "bottom" are at greater risk due to how easy it is for the infection to pass through rectal tissue. This has to do with the lack of lubrication provided in the area, as well as the fact that the tissue there has a lot of blood vessels.
It's worth noting that HIV cannot be detected immediately after exposure and while it often takes anywhere from least three to 12 weeks, there are some cases where the antibodies take longer to detect.
That said, should you be exposed to HIV unknowingly (this might occur in the case of sexual assault), you have a 72-hour window to get to your doctor for PEP or Post-exposure Prophylaxis. If this occurs over a weekend or any given day where you cannot be seen by your physician, it is critical that you get to the ER to begin treatment.
Living with HIV is more than possible with technological advances, but it does require a shift in your lifestyle. In fact, Dr. Calder reminds us that although there is no guarantee that HIV won't develop into AIDs, with early and proper treatment along with a healthy lifestyle you can "significantly decrease the chance of the infection progressing into AIDs." She further elaborated that this healthy lifestyle might look like limiting alcohol and drug intake, fitness, and a generally clean diet.
HIV Today: Proactive PrEParation
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If you are HIV-negative but currently engage or plan on engaging in sex with an HIV-positive partner, then Pre-Exposure Prophylaxis (or PrEP) is a pill regimented daily that helps to prevent the transmission of HIV. For those engaging in vaginal sex, the pill takes up to three weeks to work.
PrEP solely protects against HIV and it's not recommended that couples stop using condoms or other forms of birth control in lieu of taking PrEP. Furthermore, we know that there is no form of contraception that's 100 percent effective outside a laboratory but it can be 90 percent effective at reducing the risk of transmission through sex.
According to PrEP, the pill is also viable option for women who wish to become pregnant with their partner who is positive.
The Ryan White Care Act AIDS Drug Assistance Program has been around since 1990 and helps low-income people afford medications. And now, with the inclusion of Obama Care and the Affordable Care Act, these medications are more accessible than ever. At this juncture, Medicaid and most insurances cover the cost of the PrEP pill, but if you don't have access to those programs, there are organizations you can reach out to for financial assistance.
However, as Dr. Calder points out, it's these type of socioeconomic disparities that have continuously made HIV an epidemic amongst those who identify at the intersection of black, gay, and male.
It must be said that by perpetuating stereotypes, the groups impacted by any disease only become pushed further into the margins, making it more difficult to take preventative measures. Thus, why it's so important for us to have these discussions and create a safe space for people to address genuine concerns, correct misinformation, and further expound upon the dialogue.
Featured image by Getty Images.
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The pair often says they’re two sides of the same coin. Skylar is an Aquarius. She attended art school, paints, and loves poetry. She’s more than happy to let the couple’s management firm and agency, Kensington Grey, handle their admin work. And, she loves to sleep in. Temi, on the other hand, wakes up early. He’s a Virgo. He loves a to-do list and regularly checks in on the couple’s brand partnerships spreadsheet to make sure everything is on track.
Because his storytelling was steeped in his love of technology, he didn’t always think of himself as a creative person. “Where I [am] the dreamer who wants to pluck things out of the sky and spend all day with my head in the clouds, Temi [is] so good at grounding me and helping me figure out how to make things make sense on paper. We just work together in such a complimentary way,” Skylar says.
It’s been more than six years since Brooklyn-based couple Temi and Skylar started dating, and nearly four since they cemented their working relationship. On TikTok and Instagram, the couple’s travel, fashion, and home content regularly rack up hundreds of thousands of views. They’ve worked with brands such as Coach, Aesop, Away, and Liquid IV, bringing their vibrant perspectives to every campaign they execute. Still, nearly two years since both Temi and Skylar committed to full-time content creation and creative directing, the couple says their romantic connection remains their priority.
“We told each other we would much rather go back to full-time jobs and preserve our relationship than to be full-time freelancers, barely getting a night's rest [and] barely kissing each other because we're so busy shooting,” Skylar says.
Working from home can make it hard to separate work from personal life for any entrepreneur. It can be even more challenging when your business partner is also your lover. Temi and Skylar had already used couples therapy as a tool to help them effectively communicate with one another. When they ran into challenges while working together, their therapist helped them set physical boundaries to help combat the issues.
"We told each other we would much rather go back to full-time jobs and preserve our relationship than to be full-time freelancers, barely getting a night's rest [and] barely kissing each other because we're so busy shooting."
“It actually took us doing very specific physical things to create boundaries between work and play in our relationship,” Skylar says. “So, for instance, we will only have conversations about work when we're out of bed or we're at the table or in the office. Initially, when we started, we had to light a candle to say that, 'Okay, this is a space where we're connecting, we’re not talking about work.' We needed really hard boundaries at the top. And then it became a little bit more organic.”
The boundaries have been crucial to implement, especially because the couple began working together so naturally. When the pair first met, Skylar was NY-based a social strategist for BuzzFeed and was using content creation to drive business to her lingerie company. She was shooting her own content. Temi was working for Microsoft in D.C. He’d recently traded in his DJing equipment for a camera. “I've always loved taking pictures,” he says. “Even when I was a kid, my African mother would wake me up at 3:00 a.m. [during a] party, and be like, 'Come take the family picture.'”
Growing up, Temi says he watched his parents support each other and be the true definition of partners. He knew he wanted the same for his own relationship. But, the couple also wanted to make sure they were being financially responsible. The pair didn’t quit their traditional jobs until they’d saved up two years' worth of their cost of living. And, Temi received his Master of Business Administration from New York University with the knowledge that it could either help him advance in his corporate career or be applicable to his business with Skylar.
Temi and SkylarCj Hart @hartbreakToday, they say their working relationship is more of a “quiet dance.” They still implement some of the boundaries they learned in therapy, but they also lean into their natural strengths and deep love for one another. When we speak, Temi has planned a date for the couple to see Princess Mononoke in 4K IMAX and added it to their Notion so they can factor it into their busy schedules. “I fully plan to date for the rest of my life,” he says.
Skylar says the couple doesn’t just wait for date nights to check in with one another, though. This often happens in the mornings, after Temi has made her peppermint tea and poured himself a cup of coffee. When they ask each other how they slept, she says, it’s not just a “nicety.” It’s a genuine question meant to foster connection.
“A lot of it happens during the day in the midst of work. We'll stop and we'll hug. Or we’ll slow dance in the kitchen,” she says. “Sometimes it's hard to set a whole date night when you have 7,000 things going on. So, we must grasp these moments and check in when we can. And I think it's become so organic to us that I actually didn't even realize how often we do it. But all day long, we're like, 'Are you good? I felt like your energy shifted,' because we're best friends, we just know. We just feel it happen.”
What’s better than being in love? Building wealth while doing it. Watch Making Cents here for real stories of couples who make money moves together.
Featured image by Cj Hart @hartbreak