National
Will Log Cabin endorse Romney?
Likely GOP nominee hires gay adviser but can’t outrun hostile primary rhetoric
Mitt Romney swept a series of GOP presidential primaries this week as news surfaced that Newt Gingrich will suspend his campaign on Tuesday.
With Romney poised to wrap up the Republican nomination — and ready to pivot to the general election contest — his campaign announced the appointment of a gay man, Richard Grenell, to serve as national security and foreign policy spokesman.
The developments this week raise questions about whether the Log Cabin Republicans will endorse Romney for president, despite his promise to pursue a federal amendment banning same-sex marriage, among other anti-gay positions he’s articulated during the primary season.
The debate over whether to endorse Romney could prove thorny for Log Cabin. On one hand, the organization is likely to feel pressure from its Republican base to throw its support behind the party’s standard-bearer in the general election. On the other, Romney has backed anti-gay positions during the primary season, including support for a U.S. constitutional amendment banning same-sex marriage throughout the country and a pledge to defend the Defense of Marriage Act in court.
Christian Berle, Log Cabin’s deputy executive director, said the board will make the endorsement decision in advance of the Republican National Convention in Tampa Bay, Fla., this August.
“The endorsement of any candidate is something Log Cabin Republicans takes very seriously, particularly when it comes to a presidential nominee,” Berle said. “Staff and the board of directors will take the next several months to review Gov. Romney’s record and his vision for leading the country. Log Cabin Republicans will maintain its battle focus on building a stronger, more inclusive GOP.”
If history is any guide, then Log Cabin may withhold support for Romney because of his support for the federal amendment. Log Cabin endorsed George W. Bush in 2000. But in 2004, the group created a national stir when it withheld its endorsement of Bush’s re-election due to the president’s support for a constitutional amendment banning same-sex marriage. In a 22-2 vote, the Log Cabin board decided to withhold the endorsement.
Log Cabin’s then-president Patrick Guerriero explained the decision not to endorse Bush in an op-ed piece published in the Los Angeles Times.
“This year, despite our loyalty to the party of Ronald Reagan and Abraham Lincoln, we have decided, after significant discussion, to withhold our endorsement of President Bush,” Guerriero wrote. “It was a difficult choice, but our integrity requires it, and the Republican Party’s future will be stronger because of it.”
Although other concerns were cited, the primary reason for withholding support for Bush was his call for Congress to pass a Federal Marriage Amendment to send to the states for ratification.
“The constitutional amendment would not only ban gay marriage, it would also jeopardize civil unions and domestic partnerships,” Guerriero said. “The president’s support of an unnecessary and discriminatory constitutional amendment ignores the party’s belief in state autonomy and disregards the nation’s reliance on federalism. Using the Constitution as a campaign tool weakens our nation’s founding document and erodes our party’s proud tradition of equality and liberty.”
In many ways, Romney’s views mirror those of Bush in 2004. Romney signed a pledge from the National Organization for Marriage to back a Federal Marriage Amendment, defend the Defense of Marriage Act in court and establish a commission on “religious liberty” to investigate the alleged harassment of same-sex marriage opponents. NOM has endorsed Romney, whose Free & Strong America political action committee donated $10,000 to the organization as it sought passage of California’s Proposition 8.
Log Cabin has an awkward history with Romney. In 2007, Log Cabin ran an ad against Romney in Iowa attacking him for not being conservative enough. It included footage of Romney running for U.S. Senate and expressing pro-choice views and distancing himself from former Presidents Reagan and George H.W. Bush. A message at the end of the ad says it came from Log Cabin, but the Blade reported in 2008 that it was financed by Gill Action Fund.
“For years, he’s fought conservatives and religious extremists,” a female voice in the ad states. “Mitt Romney opposed the gun lobby, even Ronald Reagan. … A record fighting the religious right, a pro-choice record, Massachusetts values: Mitt Romney.”
But despite his support for a federal amendment, Romney’s anti-gay positions aren’t as extreme as other GOP candidates who competed against him for the Republican nomination. In a December interview with the editorial board of the Des Moines Register, Romney said he’s “not planning” on working to reinstate “Don’t Ask, Don’t Tell,” unlike the other candidates such as former U.S. Sen. Rick Santorum. Additionally, Romney said that although he backs a Federal Marriage Amendment, he doubts the political wherewithal exists to pass it.
Meanwhile, Romney’s decision to hire Grenell, who’s gay and a former Bush administration official, as his national security and foreign policy spokesman, was viewed as a pivot to the political center now that the primary season is ending. Grenell has come under fire for speaking out on Twitter against women, Democratic officials and the Gingriches. Around 800 tweets were reportedly deleted from his account.
Log Cabin threw its support behind Republican presidential nominee John McCain in 2008. In a 2008 Q&A with the Washington Blade, McCain said he’d establish a national AIDS strategy and would welcome a review of a “Don’t Ask, Don’t Tell” — although the lawmaker was the primary opponent of repeal during the 2010 legislative effort. As a U.S. senator, McCain voted against the Federal Marriage Amendment and didn’t run for president supporting the measure.
Many gay Republicans and Log Cabin chapter leaders declined to comment when contacted by the Washington Blade about whether Log Cabin should endorse Romney. In a leaked email dated April 13 obtained by the Blade, Log Cabin’s national staff told its chapter leaders not to speak to the Blade about the endorsement.
“We have been informed that Chris Johnson of the Washington Blade is reaching out to our chapter leaders with questions regarding the potential for Log Cabin Republicans to endorse Mitt Romney,” the email reads. “Please redirect Mr. Johnson to the national staff on this issue. No endorsement decision has been made, and it is in the best interest of our organization to refrain from comment at this time.”
Still, a handful of gay Republicans voiced support for the idea of a Romney endorsement when contacted by the Blade.
Bob Kabel, who’s gay and chair of the D.C. Republican Party, responded favorably when asked if he believes the national gay organization should throw its support behind Romney.
“I do think Log Cabin should endorse Romney,” Kabel said. “Romney has a good track record as governor of Massachusetts on gay issues, including appointing a number of openly gay officials in important positions. Other than on marriage, which we have a strong disagreement about, he is actually quite good on gay issues and, in addition, I think Log Cabin would support him because of his background and proven ability to understand the economy and create jobs. That what’s important to so many people, including gay people.”
Although Kabel touts Romney’s work on gay issues in Massachusetts, many LGBT advocates have criticized him for working to block legalization of same-sex marriage in Massachusetts and resurrecting a 1913 law preventing non-residents from marrying in the Bay State. According to MassEquality, Romney abolished the Governor’s Commission on GLBT Youth and rescinded an executive order prohibiting sexual orientation discrimination in the state workforce. Another Republican, former Gov. William Weld, had put those measures in place.
Jim Driscoll, a gay Nevada-based activist who served on the Presidential Advisory Council on HIV/AIDS during the Bush administration, also called on Log Cabin to endorse Romney. Driscoll is a Romney supporter who donated to his campaign — both in 2008 and 2012 — and supported him during the Nevada caucuses.
“I think they should endorse him,” Driscoll said. “It looks to me as if the only issue there is the marriage amendment. This isn’t something that I’ve followed closely, but it seems to me that there’s very little chance that that marriage amendment can pass. It’s kind of a dead issue. I don’t see that it has any momentum. And I suspect that while [Romney] formally favors it, he’s not going to lift his little finger to do anything to see that it passes.”
Outside groups on the right and left had their own views on whether Log Cabin should get behind Romney.
Jimmy LaSalvia, executive director of the gay conservative group GOProud, refrained from directly saying whether Log Cabin should endorse Romney.
“It’s not for me to opine on whether Log Cabin Republicans should or should not endorse Gov. Romney,” LaSalvia said. “It should be noted, however, that in 2004 they emphatically stated that they could not endorse a candidate who supported a Federal Marriage Amendment, and in 2008 they spent more than $100,000 to run television and radio ads attacking Mitt Romney.”
Jerame Davis, executive director of the National Stonewall Democrats, said “any credible organization” working for the LGBT community “cannot and should not endorse Mitt Romney,” but noted the question of an endorsement will likely be a difficult one for the organization.
“Log Cabin is in a very precarious situation when it comes to endorsing Mitt Romney,” Davis said. “On the one hand, if they do endorse Romney, they are sending a clear signal to the rest of the LGBT community that being partisan hacks is more important than standing up for LGBT equality. On the other hand, if they don’t endorse Romney they become largely irrelevant in the debate about who will be the next president. Not only would this give their rivals, GOProud, an opening to out flank them on the right, but it would also be problematic for their executive director, who happens to sit on the RNC finance committee.”
Former Log Cabin leaders were reluctant to weigh in on whether the organization should endorse Romney. Guerriero, who after leaving Log Cabin served as head of Gill Action Fund, didn’t respond to multiple requests for comment. He’s now a partner at Civitas Public Affairs Group.
Patrick Sammon, who headed Log Cabin during its decision to endorse McCain and is now a filmmaker, declined to comment.
But Rich Tafel, who founded the organization and led it from 1993 to 2003, said in an email to the Blade that the organization, “will probably endorse Mitt Romney.”
“Mitt is a moderate, which is [why] he’s had a tough time this primary,” Tafel said. “He has a history of supporting gays and appointing them, which makes him unique among the GOP candidates. He has a 45 percent chance of winning so LCR has a responsibility to ensure it has a role with him should he win. He’ll need to move back to the middle to win this.”
The White House
As house Democrats release Epstein photos, Garcia continues to demand DOJ transparency
Blade this week sat down with gay House Oversight Committee ranking member
Democrats on the House Oversight Committee have released new photos from Jeffrey Epstein’s email and computer records, including images highlighting the relationship between President Donald Trump and the convicted sex offender.
Epstein, a wealthy financier, was found guilty of procuring a child for prostitution and sex trafficking, serving a 13-month prison sentence in 2008. At the time of his death in prison under mysterious circumstances, he was facing charges of sex trafficking and conspiracy to traffic minors.
Among those pictured in Epstein’s digital files are Trump, former President Bill Clinton, former Trump adviser Steve Bannon, actor and director Woody Allen, economist Larry Summers, lawyer Alan Dershowitz, entrepreneurs Richard Branson and Bill Gates, and Andrew Mountbatten-Windsor.
One photo shows Trump alongside Epstein and a woman at a Victoria’s Secret party in New York in 1997. American media outlets have published the image, while Getty Images identified the woman as model Ingrid Seynhaeve.
Oversight Committee Democrats are reviewing the full set of photos and plan to release additional images to the public in the coming days and weeks, emphasizing their commitment to protecting survivors’ identities.
With just a week left for the Justice Department to publish all files related to Epstein following the passage of the Epstein Files Transparency Act, which requires the Justice Department to release most records connected to Epstein investigations, the Washington Blade sat down with U.S. Rep. Robert Garcia (D-Calif.), the ranking member on the Oversight Committee to discuss the current push the release of more documents.
Garcia highlighted the committee’s commitment to transparency and accountability.

“We’ve said anything that we get we’re going to put out. We don’t care who is in the files … if you’ve harmed women and girls, then we’ve got to hold you accountable.”
He noted ongoing questions surrounding Trump’s relationship with Epstein, given their long history and the apparent break in friendship once Trump assumed public office.
“There’s been a lot of questions about … Donald Trump and Jeffrey Epstein. They were best friends for 10 years … met women there and girls.”
Prior to Trump’s presidency, it was widely reported that the two were friends who visited each other’s properties regularly. Additional reporting shows they socialized frequently throughout the 1990s and early 2000s, attending parties at Trump’s Mar-a-Lago resort in Florida and Epstein’s residences. Flight logs from an associate’s trial indicate Trump flew on Epstein’s private jet multiple times, and Epstein claimed Trump first had sex with his future wife, Melania Knauss, aboard the jet.
“We’ve provided evidence … [that leads to] questions about what the relationship was like between Donald Trump and Jeffrey Epstein.”
Garcia stressed the need for answers regarding the White House’s role in withholding information, questioning the sudden change in attitude toward releasing the files given Trump’s campaign promises.
“Why is the White House trying to cover this up? So if he’s not covering for himself … he’s covering up for his rich friends,” Garcia said. “Why the cover up? Who are you hiding for? I think that’s the question.”
He confirmed that Trump is definitively in the Epstein files, though the extent remains unknown, but will be uncovered soon.
“We know that Trump’s in them. Yeah, he’s been told. We know that Trump’s in them in some way. As far as the extent of it … we don’t know.”
Garcia emphasized accountability for all powerful figures implicated, regardless of financial status, political party, or personal connections.
“All these powerful men that are walking around right now … after abusing, in some cases, 14‑ and 15‑year‑old girls, they have to be held accountable,” he said. “There has to be justice for those survivors and the American public deserves the truth about who was involved in that.”
He added that while he is the ranking member, he will ensure the oversight committee will use all available political tools, including subpoenas — potentially even for the president.
“We want to subpoena anyone that we can … everyone’s kind of on the table.”
He also emphasized accountability for all powerful figures implicated, regardless of financial status, political party, or relationship with the president.
“For me, they’re about justice and doing the right thing,” Garcia said. “This is about women who … were girls and children when they were being abused, trafficked, in some cases, raped. And these women deserve justice.”
“The survivors are strong.”
Deputy White House Press Secretary Abigail Jackson issued a statement regarding the release the photos, echoing previous comments from Republicans on the timing and framing of the photos by the Oversight Committee.
“Once again, House Democrats are selectively releasing cherry-picked photos with random redactions to try and create a false narrative,” Jackson said.
“The Democrat hoax against President Trump has been repeatedly debunked and the Trump administration has done more for Epstein’s victims than Democrats ever have by repeatedly calling for transparency, releasing thousands of pages of documents, and calling for further investigations into Epstein’s Democrat friends,”
In a press release on Friday, Garcia called for immediate DOJ action:
“It is time to end this White House cover-up and bring justice to the survivors of Jeffrey Epstein and his powerful friends. These disturbing photos raise even more questions about Epstein and his relationships with some of the most powerful men in the world. We will not rest until the American people get the truth. The Department of Justice must release all the files, NOW.”





(Photo courtesy of the U.S. House Oversight Committee)
The White House
White House deadnames highest-ranking transgender official
Rachel Levine’s portrait altered at HHS
Admiral Rachel Levine — the first transgender person ever confirmed by the U.S. Senate and the highest-ranking trans official in American history — had her official portrait in the Humphrey Building altered, with staff replacing her correct name with her deadname, the name she has not used since 2011.
NPR first reported the change, and an HHS spokesperson confirmed to the outlet that Levine’s portrait had recently been altered. A digital photograph obtained by NPR shows Levine’s former (male) name typed on a placard beneath the portrait, placed under the glass of the frame.
Levine served as a four-star admiral in the U.S. Public Health Service Commissioned Corps under the Biden-Harris administration and was appointed the 17th assistant secretary for health.
During her tenure, Levine oversaw the Commissioned Corps and helped lead national public-health initiatives, including the federal COVID-19 response and vaccination strategy; efforts to address rising syphilis infection rates; HIV/AIDS prevention and treatment programs; and strategies to combat the opioid epidemic, particularly through expanded harm-reduction approaches for the communities most affected.
The Trump-Vance administration’s decision to publicly deadname Levine is widely viewed within the trans community as demeaning and disrespectful. The move comes amid a series of federal policy reversals targeting LGBTQ Americans, particularly trans youth seeking gender-affirming care.
Those actions include: weakening workplace protections for LGBTQ employees; limiting restroom access; downgrading gender-identity discrimination cases; pressuring hospitals to end gender-affirming care; cutting HIV research and prevention funding; removing LGBTQ crisis resources; restricting access to trans-inclusive medical policies for veterans and young people; supporting trans sports bans and threatening funding for teams that include trans athletes; and forcing schools and universities to eliminate DEI and LGBTQ offices, inclusive curricula, gender-neutral bathrooms, and books or training materials addressing LGBTQ issues.
The Trump–Vance administration has also expanded federal censorship by removing LGBTQ language from surveys, agency websites, Smithsonian materials, and human-rights reports; blocking Pride recognitions; creating federal communications that misgender trans women; imposing passport and travel barriers for trans Americans; lifting protections for trans service members; limiting benefits and care for LGBTQ veterans; and pressuring states, universities, and hospitals to end trans-inclusive policies under threat of losing federal research, education, or Medicaid funds. The administration has additionally deported LGBTQ asylum seekers to unsafe conditions, removed LGBTQ issues from global human-rights reporting, and escalated anti-trans rhetoric at public events.
These actions stand in stark contrast to Levine’s public-health record. As assistant secretary for health, she worked to expand LGBTQ+ health data collection, promote equitable vaccine distribution, strengthen national health-equity initiatives, and reduce care disparities experienced by historically underserved communities, including LGBTQ populations. Within HHS, she led councils and task forces dedicated to reducing structural barriers to care and improving community outcomes.
Before joining the federal government, Levine oversaw health and safety for nearly 13 million residents as Pennsylvania’s physician general from 2015–2017 and as Pennsylvania secretary of health from 2018–2021.

Asked by NPR about the alteration of her official portrait, Levine responded that it had been an honor to serve as assistant secretary for health, adding: “I’m not going to comment on this type of petty action.”
Health
The harsh truth about HIV phobia in gay dating
HIV and stigma remain baked into queer dating culture
Uncloseted Media published this article on Dec. 9.
This story was produced with the support of MISTR, a telehealth platform offering free online access to PrEP, DoxyPEP, STI testing, Hepatitis C testing and treatment and long-term HIV care across the U.S. MISTR did not have any editorial input into the content of this story.
By SAM DONNDELINGER | In his room, 19-year-old Cody Nester toggles between Grindr profiles on his phone.
As he senses chemistry with a match, he knows he has to flag something that could be a deal breaker.
“Did you see on my profile that I’m HIV positive?” he writes.
The reply arrives instantly.
“You’re disgusting. I don’t know why you’re on here.” Seconds later, the profile disappears, suggesting Nester is blocked.
“He went out of his way to say that. People could at least be more aware, ask questions, and understand the reality [of living with HIV] instead of attacking us,” Nester told Uncloseted Media.
“I would say 95 percent of people respond that way,” says Nester, who lives in Hollywood, Fla., and works at a Mexican restaurant. “The entire conversation is going fine. They’re down to meet up and then right when I mention [HIV], it’s always, ‘Oh no, never mind.’”
Some other messages he’s received include:
“You’ll never get anything in your life.”
“Why don’t you die?”
“Why are you on here?”
More often, it’s silence, a cold “No” or a sudden block.
“It’s like you’re a white fish in a school of black fish,” he says. “You’re immediately the odd one out.”
Even though Nester’s undetectable status makes it impossible for him to transmit HIV to partners during sex, he experiences stigma around HIV, something which nearly 90 percent of Americans agree still exists, according to a 2022 GLAAD report. And a survey shared in 2019 found that 64 percent of respondents would feel uncomfortable having sex with someone living with HIV, even on effective treatment. The emotional cost of this stigma is a significant barrier to intimacy and can result in a loss of self-esteem, fear of disclosure and suicidal thoughts.
What the science says — and why it doesn’t seem to matter
“The fear comes from antiquated ideas around HIV,” says Xavier A. Erguera, senior clinical research coordinator at University of California, San Francisco,’s Division of HIV, Infectious Diseases & Global Medicine. “A lot of people who are newly diagnosed still fear it’s a death sentence. Even though we have medications now to treat it effectively, and it’s basically a chronic condition, people haven’t caught up.”
Since 1996, antiretroviral therapies have developed to where they can suppress the virus to levels so low that it is undetectable in the blood, and thus not able to be transmitted to sexual partners. This is known as Undetectable = Untransmittable, or U=U. According to a Centers for Disease Control and Prevention report from 2024, 65 percent of HIV-positive cases are virally suppressed.
Another line of defense is pre-exposure prophylaxis (PrEP), which reduces the risk of acquiring HIV from sexual intercourse by roughly 99 percent when taken as prescribed. Approved by the Food and Drug Administration in 2012, the medication launched as a once-a-day pill and was hailed as a breakthrough as it transformed the sex lives of gay men, which had been shaped by decades of fear about HIV complications and about where AIDS came from.
“Internal logic doesn’t reflect what we know scientifically,” says Kim Koester, associate professor in the Department of Medicine at UCSF. “I was very optimistic when PrEP came out. The drug works, so why wouldn’t everyone use it?”
Even with PrEP use on the rise, less than 600,000 Americans used it in 2024, and Koester says skepticism and judgments about taking the drug persist.
“The phobia is pervasive,” Koester told Uncloseted Media. “People believe that others get the disease because of their lifestyle. … PrEP was supposed to be the antidote to the threat of HIV, reduce the anxiety, and make you more open to who you are and the sex you want. It’s supposed to be liberating. It is part of the answer. But it’s not enough. We don’t have enough people using PrEP for it to make the dent in the stigma we need.”
According to a 2023 study of seven informants living with HIV, public stigma stems from problematic views from society that those living with HIV are “a dangerous transmission source,” “disgraceful” and “violators of social and religious norms who have committed deviant behavior.”
Laramie Smith, assistant professor of Global Public Health at the University of California, San Diego, says this stigma is unwarranted and fueled by misunderstanding:
“With today’s treatments, it shouldn’t be a life-altering identity shift. It should be no different than, ‘I have diabetes.’ If you’re virally suppressed, it shouldn’t matter whether you’re friends with someone, whether you’re sleeping with someone — the science shows us that.”
How HIV phobia shows up online
Nester, who contracted HIV last year from a Grindr hook-up who insisted he was negative, says he is just starting to accept his diagnosis. “I didn’t go back on the apps for a long time after that. It messed with my mental health … realizing I’d have to take medication for the rest of my life.”
Since he started dating again this year, returning to apps like Grindr and Sniffies, he has faced a new normal. He tries to do everything “right” and disclose his status early. Even on his Grindr profile, he identifies as “poz,” slang for HIV-positive.
Still, he says most people ghost him once they find out. “The second I bring it up, it’s ‘No,’” says Nester. “The amount of discrimination you get … it’s always the same pattern. … People don’t know, and they don’t want to know. It messes with you.”
This discrimination may be fueled by a deprioritization of HIV awareness programs across the country. Earlier this month, the U.S. State Department did not commemorate World AIDS Day for the first time in 37 years. HIV prevention programs have been slashed, especially in conservative districts, and only 25 states and D.C. require both HIV and sex education. In many states, health curricula often lag behind current science and omit teaching about PrEP, gay sex and concepts like U=U. Research shows that Gen Z is currently the least educated generation about HIV.
“I could go all day explaining HIV, but people don’t want to listen,” says Nester, who is part of Gen Z. “People don’t want to learn about it; they just want to avoid it.”
HIV anxiety and public stigma shaped by history
Even in more progressive areas, stigma still exists. Damian Jack, a 45-year-old from Brooklyn, remembers sitting in an exam room in 2009 as a doctor explained how low his T-cell count was, which is a hallmark of HIV infection.
“I started hysterically crying,” he told Uncloseted Media. “HIV meant death. That’s what I thought.”
In 1981, when Jack was 1 year old, the first reports of a mysterious and deadly immune deficiency syndrome, which would later be named AIDS, appeared in the U.S. Growing up, Jack saw countless terrifying images of men on their deathbeds with Kaposi sarcoma, the purple lesions the media once called “gay cancer.” Public misinformation and fearmongering spread ideas that AIDS was a disease that “only gay men and drug users get.” And politicians often equated it with homosexuality and moral failure, calling it a “gay plague.” It wasn’t until September 1985, four years after the crisis began and thousands had died, that President Ronald Reagan first publicly mentioned AIDS.
Decades later, the emotional residue of that era and the shame associated with the virus lingers.
Hours after learning of his diagnosis, Jack faced his first encounter with rejection. He already had a date planned that night, and his doctor and friends encouraged him to go.
They had a great time until the date asked him: “Are you negative or positive?”
He told the truth.
“It was just understood there wouldn’t be a second date,” says Jack. “I remember thinking, ‘This is how dating is going to be now.’ I felt so anxious telling guys. It followed me everywhere. I don’t think that anxiety ever truly goes away.”
The emotional impact of HIV stigma
For those who are HIV-negative, experts say that “stigma’s whole design is to ‘other.’”
“The ‘us versus them’ creates that false sense of safety when it comes to HIV,” says Smith. “If I can believe that someone did something to deserve their diagnosis, and I’m not that [kind of person], then I’m safe.”
This othering is painful and can lead to shame, fear and isolation, and it is linked to a higher risk of depression and anxiety.
“If I’m undesirable, and that’s what those messages are communicating, that threatens your sense of safety, your sense of belonging and the fundamental desire we all have to be loved,” Smith says. “And that starts to reinforce the thinking that ‘I am not worthy. This virus that I have means that I’m not lovable. I am not safe showing up among other men.’”
“I pretend it doesn’t hurt, but some things do sting a little bit,” Nester says. “You start thinking, ‘Am I really that disgusting? Am I really that singled out?’”
When public stigma turns inward
“Internalized stigma is what occurs when applying the stereotypes about who gets HIV, the prejudice, the negative feelings, onto yourself,” says Smith.
In 2024, 38 percent of people living with HIV reported internalized stigma. And studies show that it can predict hopelessness and lower quality of life, even when people are engaged in care or virally suppressed.
Internalized stigma can also affect how people practice safe sex and communicate about the virus. A 2019 survey of men who have sex with men found that individuals who perceived greater community-level stigma were less likely to be aware of — and use — safer-sex functions available on dating apps, such as HIV-status disclosure fields, as well as sexual health information and resources.
“[HIV phobia] is probably the most intense, subvert bigotry I think you could experience,” Joseph Monroe Jr., a 48-year-old living in the Bronx, told Uncloseted Media.
On dating apps, men have messaged him things like, “You look like you’ve got that thing” and “Go ahead and infect someone else.”
Monroe has also dealt with misinformed people who rudely opine about how he contracted the virus: “Who fucked you? That’s how you got it, right?” people will say to him.
“You end up internalizing all these stereotypes about who gets HIV — that you were promiscuous, that you didn’t care about yourself, that you did something wrong,” says Smith. “You carry that in, and then you have to relearn: ‘No, I didn’t. This is just a health condition.’”
What HIV acceptance looks like and raising awareness
For those living with HIV, acceptance feels far away.
“You’re living under this threat of HIV and the threat that others find you threatening. It inhabits you socially and sexually,” Koester says. “People are hunkering down. Not putting themselves out there and having a mediocre quality of life. To have a sense of empowerment, you have to be legitimate and seen in the world and it’s hard to do that with the stigma that exists.”
Researchers say the path forward lies as much in conversation as in medicine.
Koester says she talks about HIV and PrEP anywhere she can, including in salons, cafes and restaurants. “Whenever I get into a cab with someone, I’m going to bring up HIV so the driver gets accustomed to hearing about it. … We have a long way to go in terms of exposure and awareness and every little bit helps.”
Part of this lies in increasing awareness through targeted marketing campaigns. PrEP is still profoundly misunderstood outside major urban centers, with uneven uptake among minority groups and usage gaps in the Bible Belt. And a 2022 U.S. survey found that 54.5 percent of people living with HIV didn’t know what U=U meant, and less than half of Americans agree that people living with HIV who are on proper medications cannot transmit the virus.
While eradicating stigma is slow, there is hope for acceptance.
Years after Jack’s diagnosis, in 2021, he told a man he was on a third date with that he was HIV-positive but undetectable. His date’s reply was almost casual:
“Oh — is that it? I thought you were going to say you had a boyfriend or something. I’m on PrEP. You’re fine.”
“It felt so good to hear him say that and accept me,” says Jack. “I was like, ‘This is my person. You’re my person.’” One year later, they got married.
Back in Florida, 19-year-old Cody Nester isn’t feeling this acceptance. He still scrolls past profiles that read “Only negative guys” and tries to ignore the hateful messages.
“It still hurts, but I know it’s coming from fear,” he says. “I wasn’t too informed about HIV before I got it. … When I got it, I really jumped into the rabbit hole and began to learn. I really do think [HIV and stigma] is because people are not knowledgeable. … When people don’t know details, they tend to get scared.”
Additional reporting by Nandika Chatterjee.

