there’s nothing like that three-letter
word HIV that makes people clutch their
imaginary pearls and go oh here we go
again because we’ve been hearing it for
such a long time right 36 years of wrap
it up before you slap it up you know be
careful who you have sex with AIDS kills
you know we’ve just been hearing the
message we got the sexual health talks
we got the sex ed talks right and so
this talk is actually not about that
this talk is to try and look and see why
for some reason with all of the
interventions that we have folks are
still getting HIV now we do know that
HIV is not the death sentence that it
used to be right because we can now put
folks on medication make them virally
suppressed which means they no longer
transmit the virus and they live long
healthy lives just like everybody else
but something is going on and so numbers
don’t lie but they also don’t tell the
whole story but let’s first look at the
numbers the CDC the Centers for Disease
Control decided to look to see what
would be the lifetime risk of a
particular group getting HIV and what we
found was that men who have sex with men
now this doesn’t mean that they’re gay
could just mean that they’re men who
have sex with men so maybe they don’t
tell people they’re gay but they have
sex with men and it also doesn’t
intersect the fact that when they
collected this data I didn’t include
transgender women as their own category
but what we see is that one in six men
who have sex with men will get HIV in
their lifetime if this trend continues
and what we also see is that when we
look at the race and ethnicity of these
men who have sex with men if they’re
african-american it’s one in two that’s
50% and if it’s Hispanic it’s one in
four that’s 25% and so what does this
mean for our communities well when we
take away the men who have sex with men
risk category and we just look at race
and ethnicity we start to see what we
see a lot in this country is that people
of color are disproportionately affected
by all of the things that have to do
with public health and so we started to
see that for African American men if
this trend continues it’s one in twenty
will get HIV in their lifetime
and when we look at African American
women it’s one in forty eight
now this might seem alarming but what’s
more alarming is that you have to look
at the difference between black women
and white women and so what’s going on
here because the numbers don’t lie but
they also don’t tell the whole story so
we’re trying to figure out what is going
on and what can be done about this now
again I told you it wouldn’t be a sexual
health talk because we’ve already heard
the ABCs of prevention and if anybody
remembers the ABCs of prevention they’ve
been around since the dawn of time I’ve
been doing this for a long time and so
the ABCs of prevention go like this a is
for abstinence now abstinence is the
most effective form of prevention right
because the only safe sex is no sex but
that’s also not practical because we’re
biologically designed to procreate and
have sex and it also feels great and
then B is be monogamous now here’s the
thing with be monogamous I can be
monogamous all that I want to be
monogamous but is my partner be
monogamous is your partner being
monogamous right with the advent of
social media Grindr tinder OkCupid the
DMS and the Instagram what we’re finding
is that more and more folks are becoming
monogamous which means that they might
think that they’re in a monogamous
relationship and might not be now that
doesn’t mean I don’t want you guys to be
resigned and cynical about relationships
that’s not what I’m saying but I’m
saying is that history says something
and when I worked in New York City doing
HIV test I saw it all the time I had to
deliver positive HIV results to women
who were married with children for their
whole lives and HUD and were monogamous
and then here they are and so we did a
for abstinence and B for be monogamous
and then C is for condoms condoms
changed the world they’re effective
they’re safe and they work if you use
them the right way they protect from
sexually transmitted diseases and HIV
and even pregnancy but here’s the kicker
you have to
we use them and so when we look at the
data what we see is that only 23.8% of
women actually report using condoms in
their last sexual encounter and for men
it’s only thirty three point seven
percent so that’s leaving 70 80 percent
of our sexually active Americans who
aren’t using condoms but why I mean I
think we kind of know what but what we
hear from the community is that they
feel that condoms suck and this is
interesting I love this graphic because
it has the golden condoms and I always
tell folks when we got when we’re doing
this work in the community is everybody
wants to go to Willy Wonka’s chocolate
factory they just don’t want to use the
golden ticket to get there and it it
interrupt something it interrupts that
moment the free-flowing passion that is
when we start and finish having sex we
have to stop it impacts the feeling we
get that it impacts the erections that
folks get and so they just doesn’t work
with what we’re doing sexually and so
this is easy the harder part is the
second reason why folks don’t use
condoms and it’s because not only is it
subtle it’s also really pervasive
because in today’s society where we are
unwilling to share our facebook profile
passwords or Instagram passwords we
don’t give folks access to our cell
phones or a personal email we’re willing
to have sex without a condom and so what
one of the things that social scientists
do is that we look at the interactions
what are people doing how are they
communicating either verbally or
non-verbally and so what does it mean
when we’re about to have sex and I tell
you go put on a condom or what does it
mean what we’re about to have sex and
you tell me hey you’re gonna put on a
condom right and I heard it already in
the audience it has to do everything
with trust because we live in a society
where we have to protect all of our data
just not ourselves protect your emails
protect your password your PIN number
just don’t protect yourself because
nowadays what we’re seeing is that
people are performing the way that they
trust folks by saying you’re not to work
I trust you I love you we’re monogamous
and so again I promise you this wouldn’t
be a talk about sex ed it’s actually to
talk about a game-changer because see
the CDC did that report and they wrote a
destiny out for us and they said if
things continue the way that they’re
going this is the outcome that we will
have and I say no we can interrupt that
and so we finally designed a thing that
can interrupt it and it’s called prep
and it stands for pre exposure
prophylaxis or pre exposure prevention
in the same way that a woman can take
birth control to prevent an unwanted
pregnancy anyone can take this to
prevent unwanted HIV and it’s more than
92% effective and it’s safe and it’s
effective and folks don’t know about it
and why don’t they know about it we
don’t know what we do know is that it
works and not only does it work to
prevent HIV it works to empower
individuals to no longer have to rely on
another person to do what they need to
do to protect their sexual health I no
longer have to tell you to wear a condom
so that I can protect my sexual health
now this may not seem applicable condom
negotiation might be something that’s
happening in your lives but there’s a
lot of folks especially in this
community that can’t negotiate condom
use because it could be something like
they’re in a domestic violence situation
or culturally they just don’t do that
and in Broward County it’s an issue
because we have the second highest rate
of HIV in the entire country and here
locally black heterosexuals make the
highest priority of population that we
need to start impacting and so how do we
do that
well you’ll wake in your inner sexual
health warrior you find the power to
interrupt this destiny to rewrite the
destiny that the numbers are telling us
that we have to live into and so the
first thing and I cannot stress this
enough we have to talk frankly about sex
it’s happening it has happened since the
dawn of time and it will happen until
the last human being is born on the
planet and it’s happened in the animal
kingdom
but we don’t talk about it and the
moment we don’t talk about something we
take away the ability to impact it to
know the statistics know where you are
ground yourself in your statistics so
you can interrupt them because I don’t
know about you all but when I saw those
CDC numbers I didn’t know that I had a 1
in 25 chance or that some of my friends
had a one in two chance so the moment
you find out where you are locate
yourself in those statistics interrupt
them don’t let somebody else give us our
destiny and how do we do that as we put
all hands on deck because the small
little tiny group of public health
professionals who trust me are not in it
for the money and the glory that are
doing this work it’s not enough we need
all hands on deck we need every single
person that you know have you heard
about prep when you’re at the grocery
store the liquor store the gym with your
friends when you’re hanging out when
you’re doing Netflix and chill ask hey
do you know about prep start to have
these conversations because if we don’t
then we’re already stuck in a future
that we’re living into and we can’t even interrupt it thank you
word HIV that makes people clutch their
imaginary pearls and go oh here we go
again because we’ve been hearing it for
such a long time right 36 years of wrap
it up before you slap it up you know be
careful who you have sex with AIDS kills
you know we’ve just been hearing the
message we got the sexual health talks
we got the sex ed talks right and so
this talk is actually not about that
this talk is to try and look and see why
for some reason with all of the
interventions that we have folks are
still getting HIV now we do know that
HIV is not the death sentence that it
used to be right because we can now put
folks on medication make them virally
suppressed which means they no longer
transmit the virus and they live long
healthy lives just like everybody else
but something is going on and so numbers
don’t lie but they also don’t tell the
whole story but let’s first look at the
numbers the CDC the Centers for Disease
Control decided to look to see what
would be the lifetime risk of a
particular group getting HIV and what we
found was that men who have sex with men
now this doesn’t mean that they’re gay
could just mean that they’re men who
have sex with men so maybe they don’t
tell people they’re gay but they have
sex with men and it also doesn’t
intersect the fact that when they
collected this data I didn’t include
transgender women as their own category
but what we see is that one in six men
who have sex with men will get HIV in
their lifetime if this trend continues
and what we also see is that when we
look at the race and ethnicity of these
men who have sex with men if they’re
african-american it’s one in two that’s
50% and if it’s Hispanic it’s one in
four that’s 25% and so what does this
mean for our communities well when we
take away the men who have sex with men
risk category and we just look at race
and ethnicity we start to see what we
see a lot in this country is that people
of color are disproportionately affected
by all of the things that have to do
with public health and so we started to
see that for African American men if
this trend continues it’s one in twenty
will get HIV in their lifetime
and when we look at African American
women it’s one in forty eight
now this might seem alarming but what’s
more alarming is that you have to look
at the difference between black women
and white women and so what’s going on
here because the numbers don’t lie but
they also don’t tell the whole story so
we’re trying to figure out what is going
on and what can be done about this now
again I told you it wouldn’t be a sexual
health talk because we’ve already heard
the ABCs of prevention and if anybody
remembers the ABCs of prevention they’ve
been around since the dawn of time I’ve
been doing this for a long time and so
the ABCs of prevention go like this a is
for abstinence now abstinence is the
most effective form of prevention right
because the only safe sex is no sex but
that’s also not practical because we’re
biologically designed to procreate and
have sex and it also feels great and
then B is be monogamous now here’s the
thing with be monogamous I can be
monogamous all that I want to be
monogamous but is my partner be
monogamous is your partner being
monogamous right with the advent of
social media Grindr tinder OkCupid the
DMS and the Instagram what we’re finding
is that more and more folks are becoming
monogamous which means that they might
think that they’re in a monogamous
relationship and might not be now that
doesn’t mean I don’t want you guys to be
resigned and cynical about relationships
that’s not what I’m saying but I’m
saying is that history says something
and when I worked in New York City doing
HIV test I saw it all the time I had to
deliver positive HIV results to women
who were married with children for their
whole lives and HUD and were monogamous
and then here they are and so we did a
for abstinence and B for be monogamous
and then C is for condoms condoms
changed the world they’re effective
they’re safe and they work if you use
them the right way they protect from
sexually transmitted diseases and HIV
and even pregnancy but here’s the kicker
you have to
we use them and so when we look at the
data what we see is that only 23.8% of
women actually report using condoms in
their last sexual encounter and for men
it’s only thirty three point seven
percent so that’s leaving 70 80 percent
of our sexually active Americans who
aren’t using condoms but why I mean I
think we kind of know what but what we
hear from the community is that they
feel that condoms suck and this is
interesting I love this graphic because
it has the golden condoms and I always
tell folks when we got when we’re doing
this work in the community is everybody
wants to go to Willy Wonka’s chocolate
factory they just don’t want to use the
golden ticket to get there and it it
interrupt something it interrupts that
moment the free-flowing passion that is
when we start and finish having sex we
have to stop it impacts the feeling we
get that it impacts the erections that
folks get and so they just doesn’t work
with what we’re doing sexually and so
this is easy the harder part is the
second reason why folks don’t use
condoms and it’s because not only is it
subtle it’s also really pervasive
because in today’s society where we are
unwilling to share our facebook profile
passwords or Instagram passwords we
don’t give folks access to our cell
phones or a personal email we’re willing
to have sex without a condom and so what
one of the things that social scientists
do is that we look at the interactions
what are people doing how are they
communicating either verbally or
non-verbally and so what does it mean
when we’re about to have sex and I tell
you go put on a condom or what does it
mean what we’re about to have sex and
you tell me hey you’re gonna put on a
condom right and I heard it already in
the audience it has to do everything
with trust because we live in a society
where we have to protect all of our data
just not ourselves protect your emails
protect your password your PIN number
just don’t protect yourself because
nowadays what we’re seeing is that
people are performing the way that they
trust folks by saying you’re not to work
I trust you I love you we’re monogamous
and so again I promise you this wouldn’t
be a talk about sex ed it’s actually to
talk about a game-changer because see
the CDC did that report and they wrote a
destiny out for us and they said if
things continue the way that they’re
going this is the outcome that we will
have and I say no we can interrupt that
and so we finally designed a thing that
can interrupt it and it’s called prep
and it stands for pre exposure
prophylaxis or pre exposure prevention
in the same way that a woman can take
birth control to prevent an unwanted
pregnancy anyone can take this to
prevent unwanted HIV and it’s more than
92% effective and it’s safe and it’s
effective and folks don’t know about it
and why don’t they know about it we
don’t know what we do know is that it
works and not only does it work to
prevent HIV it works to empower
individuals to no longer have to rely on
another person to do what they need to
do to protect their sexual health I no
longer have to tell you to wear a condom
so that I can protect my sexual health
now this may not seem applicable condom
negotiation might be something that’s
happening in your lives but there’s a
lot of folks especially in this
community that can’t negotiate condom
use because it could be something like
they’re in a domestic violence situation
or culturally they just don’t do that
and in Broward County it’s an issue
because we have the second highest rate
of HIV in the entire country and here
locally black heterosexuals make the
highest priority of population that we
need to start impacting and so how do we
do that
well you’ll wake in your inner sexual
health warrior you find the power to
interrupt this destiny to rewrite the
destiny that the numbers are telling us
that we have to live into and so the
first thing and I cannot stress this
enough we have to talk frankly about sex
it’s happening it has happened since the
dawn of time and it will happen until
the last human being is born on the
planet and it’s happened in the animal
kingdom
but we don’t talk about it and the
moment we don’t talk about something we
take away the ability to impact it to
know the statistics know where you are
ground yourself in your statistics so
you can interrupt them because I don’t
know about you all but when I saw those
CDC numbers I didn’t know that I had a 1
in 25 chance or that some of my friends
had a one in two chance so the moment
you find out where you are locate
yourself in those statistics interrupt
them don’t let somebody else give us our
destiny and how do we do that as we put
all hands on deck because the small
little tiny group of public health
professionals who trust me are not in it
for the money and the glory that are
doing this work it’s not enough we need
all hands on deck we need every single
person that you know have you heard
about prep when you’re at the grocery
store the liquor store the gym with your
friends when you’re hanging out when
you’re doing Netflix and chill ask hey
do you know about prep start to have
these conversations because if we don’t
then we’re already stuck in a future
that we’re living into and we can’t even interrupt it thank you
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