Preventing AIDS among Black Gay Men and Black Gay and Heterosexual Male Intravenous Drug Users

Social Work ◽  
1992 ◽  
AIDS Care ◽  
1995 ◽  
Vol 7 (3) ◽  
pp. 307-320 ◽  
Author(s):  
D. Johnston ◽  
R. Stall ◽  
K. Smith

Author(s):  
Kylo-Patrick R. Hart

Representations of AIDS in film and television have differed throughout the world. Accordingly, this article focuses primarily on such representations in North America, with a particular emphasis on US media offerings and occasional references to related examples from other English-speaking countries. In the early 1980s, what eventually became known as AIDS (acquired immune deficiency syndrome) was initially labeled GRID (gay-related immune deficiency). As a result, the earliest representations of AIDS in television news programs focused almost exclusively on gay men, and shortly thereafter intravenous drug users, as “guilty villains” in the emergent AIDS crisis, with a visual emphasis on emaciated individuals covered with Kaposi’s sarcoma lesions. By 1985, independent films and documentaries pertaining to AIDS started to emerge, along with the NBC network’s first made-for-television movie about AIDS, An Early Frost. In 1987, AIDS began entering the plots of various prime-time television series. Most of these offerings continued to perpetuate understandings of AIDS as a gay disease, even into the early 1990s. As the decade of the 1980s gave way to the 1990s, the phenomenon of AIDS was increasingly being regarded as two distinct yet interrelated epidemics: HIV and AIDS. Some film and television offerings began shifting their focus away from gay men and intravenous drug users with AIDS toward children with AIDS and healthy individuals with “at-risk bodies” that required ongoing protection. In 1993, Hollywood’s first all-star movie about AIDS, Philadelphia, flipped the script by foregrounding Kaposi’s sarcoma lesions to generate substantial compassion, rather than cultural contempt, for a gay man with AIDS. The film’s contents, viewed by a wider general public than preceding works, effectively challenged AIDS discrimination. During the first half of the 1990s, a small number of noteworthy AIDS metaphor movies were made and released, and self-representation in AIDS documentaries became more common. In large part due to the availability of lifesaving antiretrovirals, which resulted in a cultural shift from large numbers of individuals dying from AIDS to large numbers living with HIV, representations of HIV/AIDS in film and television decreased substantially during the second half of the 1990s and throughout the first decade of the new millennium. Since then, there has been a growing representational interest in exploring the early history of AIDS, in offerings such as How to Survive a Plague (2012), Dallas Buyers Club (2013), and The Normal Heart (2014).


1989 ◽  
Vol 19 (1) ◽  
pp. 57-73 ◽  
Author(s):  
Ron Stall ◽  
David G. Ostrow

This paper describes a sizeable subgroup of the AIDS caseload that has not been widely studied, that is, men with histories of both male homosexual activity and intravenous drug use. In this paper we identify differences and similarities between gay intravenous drug users and gay men with different histories of drug use; examine the relationship between HIV seropositivity and different patterns of drug use; and estimate whether gay intravenous drug users are more likely than other gay men to be a source of continued HIV transmission.


1993 ◽  
Vol 163 (5) ◽  
pp. 651-659 ◽  
Author(s):  
Costanzo Gala ◽  
Andrea Pergami ◽  
Jose Catalan ◽  
Federico Durbano ◽  
Massimo Musicco ◽  
...  

The aim of this study was to establish the prevalence of current and past psychiatric morbidity in HIV seropositive asymptomatic subjects belonging to three transmission categories (gay men, intravenous drug users, and heterosexuals) compared with that found in HIV seronegative controls from the same groups. A cross-sectional, controlled study including 279 seropositive subjects belonging to groups II and III defined by the Center for Disease Control (94 gay men, 157 intravenous drug users, and 28 heterosexuals) and 159 seronegative subjects (38 gay men, 91 intravenous drug users, and 30 heterosexuals) is reported. Outcome measures included standardised, self-report questionnaires and a semistructured interview to assess current psychopathological status and past psychiatric history. In addition, a psychiatric diagnosis according to DSM-III-R criteria Axis I and II was made in the seropositive subjects. Results showed that these subjects differed very little from the controls and that overall levels of psychiatric disturbances in both groups were low and similar to those found in other life-threatening illnesses. Furthermore, intravenous drug users, regardless of HIV serological status, had the highest levels of psychological morbidity. Psychosocial distress was associated with previous and current lifestyle, independently of HIV status.


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