Achieving Optimal Health Care for Gay Men

By Isaiah Webster III, Senior Manager, Health Equity/Prevention, NASTAD

Cross-posted from

National Gay Men's HIV/AIDS Awareness Day

Source: Centers for Disease Control and Prevention (CDC)

National Gay Men’s HIV/AIDS Awareness Day is September 27. It’s an opportunity to reflect on those we have lost, and focus attention on the fact that HIV still impacts the lives of gay men more than any other group in the United States.

Just like any other social disease, HIV/AIDS takes advantage of those who lack access to information, prevention tools and medical advances that are readily available. The epidemic began as a crisis for all gay men, but in the last 15 years, it has shifted to become a disproportionate burden for certain subgroups of gay men–especially Black and Latino gay men, less affluent gay men, and gay men who live in rural communities. Among young gay men of color, the HIV/AIDS epidemic is as severe as it’s ever been.

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New York: A Look at One State’s Transformative Efforts to Combat the HIV/AIDS Epidemic while Leveraging Health Information Technology and Innovative Solutions

By Sheetal Shah, State Health Information Exchange Cooperative Agreement Program, Project Officer and Larry Jessup, Regional Extension Center Cooperative Agreement Program, Project Officer

Cross-posted from
Larry Jessup, Regional Extension Center Cooperative Agreement Program, Project Officer

Sheetal Shah, State Health Information Exchange Cooperative Agreement Program, Project Officer
To commemorate National HIV Testing Day on June 27th, we wanted to highlight the State of New York’s efforts to fight the HIV/AIDS epidemic when it first emerged, and to celebrate the new and innovative tools the state is exploring to prevent HIV and to test, diagnose, treat, and care for those living with the disease.

In 2010, under the National HIV/AIDS Strategy for the United States, the Obama Administration articulated a simple, yet bold vision: “The United States will become a place where new HIV infections are rare and when they do occur, every person regardless of age, gender, race/ethnicity, sexual orientation, gender identity, or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination.” Continue reading

Monitoring Health Department Supported HIV Testing Programs

By Natalie Cramer, Director, Prevention, NASTAD

2012 National HIV Prevention Inventory Testing Survey ReportLast fall, the National Alliance of State and Territorial AIDS Directors (NASTAD) released the first report of our 2012-2013 National HIV Prevention Inventory on health department HIV testing programs. This report is a follow-up to previous NASTAD reports on rapid HIV testing and testing in health care settings and contributes to our continuing efforts to monitor health department supported HIV testing programs. Findings in this report contribute to the development and prioritization of our technical assistance activities and guide education and advocacy efforts. Continue reading

Early HIV Diagnosis: New Opportunities for State Health Departments

By Liisa Randall, Consultant, NASTAD

National HIV Testing Day 2013Each year on June 27th, we mark National HIV Testing Day (NHTD) as an opportunity to further promote HIV testing as an important HIV prevention tool and as the critical first step to linking individuals living with HIV with medical care and support services that can help them stay healthy and improve their quality of life.

Missing an opportunity to diagnose acute HIV infection has important public health implications. Health departments play an important role in HIV testing in that health department HIV prevention programs conduct more than three million tests each year. During the acute phase of HIV infection, individuals are highly infectious and research has demonstrated that acute infection contributes disproportionately to HIV transmission. Research also suggests that treatment of early HIV infection with antiretroviral therapy (ART) may delay disease progression and may also decrease the severity of acute disease.
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Addressing HIV and Viral Hepatitis Among Native Gay Men and Two Spirit People

By Lynne Greabell, Director of Member Services and Leadership Development, NASTAD

Native HIV/AIDS Awareness Day 2012In conjunction with the seventh annual National Native HIV/AIDS Awareness Day, NASTAD published an issue brief, Native Gay Men and Two Spirit People and HIV/AIDS and Viral Hepatitis Programs and Services. The issue brief, developed by NASTAD’s Native American Networking Group (NANG) and Gay Men’s Health Equity Work Group (GMHEWG), provides specific recommendations for health departments to address HIV and viral hepatitis in Native American communities, consistent with the NASTAD and National Coalition for STD Directors’ joint policy statement “Getting to Zero: Scaling-Up Health Department Strategies for Gay Men/MSM.”

Native gay men and Two Spirit people (i.e., men who have sex with men [MSM] or what we would call male-bodied Two-Spirit individuals) face unique and specific challenges and opportunities related to their health and well-being such as stigma and discrimination due to their sexual orientation and gender status. Yet tribal traditions and connections through Two Spirit and lesbian, gay, bisexual, and transgender (LGBT) networking also can serve as protective factors (e.g., opportunities for cultural pride and education about prevention of disease acquisition) for Native gay men and Two Spirit people. Continue reading