Connect with us

Opinions

Sexual abuse may explain high HIV rates in gay men

We must address trauma that undermines self-esteem, good judgment

Published

on

AIDS, red ribbon, gay news, AIRS, gay news, Washington Blade
World AIDS Day, AIDS movement, 90/90/90, AIDS, red ribbon, gay news, AIRS, gay news, Washington Blade

September 27 is National Gay Men’s HIV Awareness Day.

We’d been messing around since I was about 10 years old. I figured sex with him and his three younger brothers next door was just a part of our friendship, along with our hikes to Bluff Point, on Long Island Sound, and neighborhood kickball, baseball, football, and foursquare games.

Besides, I enjoyed it a lot. I never felt consciously traumatized.

It would take a 2005 HIV diagnosis to open my mind to how my experience of childhood sexual abuse, and the multiple traumas I experienced throughout my life, undermined my self-esteem and good judgment and put me in the way of the same lethal microbe that killed so many of my friends.

The American Academy of Experts in Traumatic Stress (AAETS) says that 30 percent of all male children are molested in some way. There is a well-documented correlation between sexual abuse and later promiscuity. PTSD, depression, poor self-esteem, dissociative disorders, and anxiety are among the other effects of CSA. Sexual abuse survivors often equate sexual desirability with self-worth—and use sex as an analgesic to blunt the edge of shame that is another insidious effect of CSA.

I know these things, not only from reading about them in the research literature, but because they have played out in my own life—and in the lives of so many gay men.

Behavioral scientists have wrung their hands for more than three decades trying to understand why gay men seem so disproportionately vulnerable to HIV. Recent research makes it abundantly clear that trauma, specifically from CSA, is almost certainly the long-overlooked answer.

Consider: Harvard researchers have found that up to 46 percent of gay and bisexual men who report condomless anal sex—the principal act by which HIV is transmitted between men—were sexually abused as boys.

“That is a huge number,” said Conall O’Cleirigh, a staff clinical psychologist in the psychiatry department at Massachusetts General Hospital and an assistant professor of psychiatry at Harvard. His research on gay men has found that the same mental health issues that can put someone at risk for HIV can also prevent someone living with the virus from adhering to his treatment.

In a national study of 1,552 black gay and bisexual men, O’Cleirigh and his colleagues found that men who experienced CSA—or physical or emotional abuse, or stalking, or being pressured or forced to have sex—when they were younger than 12 years old had more than three male partners in the past six months. The men who had been forced or pressured to have sex as boys were likely to have receptive anal sex.

In another study of 162 men with CSA histories, participants reporting sexual abuse by family members were 2.6 times more likely to abuse alcohol, twice as likely to have a substance use disorder, and 2.7 times more likely to report a sexually transmitted infection in the past year. Not only that, but men whose abuser penetrated them were more likely to have PTSD, recent HIV sexual risk behavior, and a greater number of casual sexual partners. Physical injury and intense fear increased the odds for PTSD even more.

“Having that history is repeatedly associated in every sample of gay men with increased likelihood of being HIV-positive,” said O’Cleirigh. He said that since CSA is “very, very common in gay and bisexual men” it appears to be one of the most significant vulnerabilities that accounts for the disproportionately high rate of HIV among gay men.

Prevention educators long have wanted to believe that handing out condoms, or, more recently, the HIV medication Truvada used as pre-exposure prophylaxis to prevent HIV infection, should suffice for men at the highest risk who engage in unprotected anal sex with partners of unknown HIV status. But increasing rates of new HIV infection among gay men—the only U.S. population with increasing, rather than declining, rates—are proof that condoms and PrEP alone aren’t enough.

The only way to arrest the spread of HIV among gay men is to address the trauma that undermines their self-esteem and good judgment.

An effective risk-reduction/health-promotion intervention that addresses the effects of childhood sexual abuse could help make gay male survivors more conscious of what they are doing and where it’s coming from in their psyche. It could also finally reduce the “hardcore” of gay men beyond the reach of more traditional prevention efforts.

At Boston’s Fenway Health, O’Cleirigh helped recruit the nearly 5,000 gay and bisexual men who participated in Project Thrive, an intervention aimed at helping gay men who experienced CSA to increase their coping skills and ability to be more present in—rather than dissociating from (a common effect of CSA)—their immediate situation, and provide specific skills to evaluate and reassess these situations.

“Treatments [counseling and therapy] are geared toward giving the men a more realistic sense of the world,” said O’Cleirigh, which is an important ingredient of resilience. “As we say to our clients, we can’t change the fact that you were abused, but you can change.”

Healed gay men protect themselves and their partners, and take their meds if they are positive.

The message for this National Gay Men’s HIV-AIDS Awareness Day should be that helping gay survivors of childhood sexual abuse to heal from trauma can profoundly reshape the way they think and make choices about sex—and about their health.

This is how new HIV infections among the “hardcore” will stop, and the surest way for those of us living with the virus to stay healthy.

 

John-Manuel Andriote is a Connecticut-based writer.

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

Opinions

Team Rayceen’s hiatus is officially over

Reflecting on a dark year while looking forward to 2026

Published

on

By

(Washington Blade photo by Michael Key)

In 2026, many will analyze the last 12 years because Mayor Bowser’s administration will conclude at the end of her current third term. My focus on this time frame is that as of 2026, Team Rayceen Productions will have existed for a dozen years. We have been through six primary elections, five pivotal production faux pas, four personnel problems, three presidents, two presidential impeachments, and a pandemic — and we’re still here. 

Although our mantra is that we are For the People, TRP (Team Rayceen Productions) is essentially a one-man band. While Rayceen Pendarvis is a renowned emcee and revered community leader, and TRP has talented co-hosts and cherished volunteers, administratively and creatively, from invoices and graphics to selecting guests for interviews or performers for events, I run the show. This can be daunting, as it is for the numerous volunteers and staff members with many community groups and local LGBTQ organizations that take on multiple responsibilities while struggling with limited funding, resources, and institutional support. 

After my sense of disappointment (but not shock or surprise) at the results of the 2024 presidential election, I abandoned my dreams and plans for TRP under a Harris administration and activated Plan B: stepping back from my creative duties and letting the annual TRP winter hiatus continue indefinitely. I correctly predicted that events would be cancelled, funding would become unavailable, and that overall, 2025 would be bleak. 

Halting work on the Team Rayceen YouTube channel caused me to realize that this one aspect of my responsibilities was essentially an unpaid full-time job, especially during election years, due to our numerous candidate interviews. I was producer, director, editor, and booking agent; I did everything except interview guests on camera. Those five years of creating videos and live streams were exhausting. With that not happening, I had the unfamiliar experience of having free time in 2025. Within 10 months, I read more books than I had in the past 10 years. 

Throughout the year, I continued my duties not only as TRP administrator and archivist, I also remained Rayceen’s de facto manager, agent, publicist, and speechwriter. By summer, somewhat reluctantly, I had resumed some of my TRP creative duties when collaborations with Arena Stage were offered. In the autumn, TRP also returned for Art All Night Shaw and organized an LGBTQ town hall. 

Moving forward, I have decided to recalibrate my TRP roles. Our hiatus is officially over, and now we are prioritizing collaborations and supporting other organizations. I am calling it the Team Rayceen Agenda for Community Engagement, the acronym being T.R.A.C.E., our outline of priorities for the New Year. 

These are our current priorities within the LGBTQ community: 

• Increasing and improving communication and collaboration among LGBTQ organizations and groups, including those that are new and smaller 

• Honoring LGBTQ elders 

• Increasing and strengthening intergenerational bonds among LGBTQ people 

• Welcoming and engaging with local LGBTQ community members who are new to their identities, the geographic region, or adulthood 

• Creating databases for booking local LGBTQ performers, DJs, and photographers 

We hope to partner with an array of organizations for these agenda items: 

• Increasing voter registration, education, and participation 

• Informing voters about the candidates, as well as proposed legislation and ballot measures, including via community listening sessions and candidate debates, forums, and interviews 

• Creating events that are inclusive and foster LGBTQ allyship and finding ways to cultivate allyship, with an emphasis on trans people 

• Organizing efforts to unify various demographic groups, including Black and API communities, and creating opportunities to dialogue, socialize, and collaborate 

• Creating new local awards that honor and acknowledge elders, young people, performers, content creators, and event organizers 

My advocacy for Rayceen Pendarvis will also continue:

• More hosting and emcee bookings 

• Acting roles and cameo appearances in films, TV series, web series, commercials, and music videos 

• Music recording opportunities as a featured or backing vocalist 

 (If interested in anything listed above, please email us.)

I have hope that these things are achievable and that if we can bring the right people together, action could happen soon. I think people in the region are ready for change: not only is The National LGBTQ Task Force’s Creating Change Conference in D.C. this year, but the board of Capital Pride Alliance (CPA) has new leadership; capable people have become staff members at CPA, the Mayor’s Office of LGBTQ Affairs, and elsewhere; and qualified people are running for positions to lead or represent D.C. residents, in races that are open or competitive. 

For those reasons, I feel that perhaps D.C., including its LGBTQ community, is not going to be a kakistocracy, plutocracy, oligarchy, and/or gerontocracy. I am less certain about the federal government. We shall see how much beyond 12 years TRP lasts and how much beyond 250 years the USA lasts, if indeed, during this fascist regime, the latter currently exists in any meaningful way. 

I’ve been through nearly 12 years of Team Rayceen Productions. This includes organizing numerous special events, such as two Black History Month programs and two town hall discussions. We convened three online At-Large Councilmember Candidate Forums in 2020. We produced Rayceen’s Reading Room for D.C. Public Library for four consecutive years. We produced four variety shows for Artomatic. We have been involved with both Silver Pride and the defunct OutWrite LGBTQ Literary Festival for five years. We have assisted with District of Pride for six years. We produced seven Art All Night programs and partnered with Story District for seven years of the annual Out/Spoken event. We produced the final eight seasons of “The Ask Rayceen Show” (2012-2021) and 10 social mixers (Rayceen, Fix Me Up!). We created multiple live stream series and more than 900 YouTube videos. All without a big financier. C’est la vie. 

Most remarkably, I got through all of last year, and I’m still here.


Zar is the mononymous founder of Team Rayceen Productions, community advocate, consultant, songwriter, and lifelong resident of the Capital region.

Continue Reading

Opinions

Support the Blade as mainstream media bend the knee for Trump

From CBS to Washington Post, MAGA taking over messaging

Published

on

We knew it would be bad. I’m referring, of course, to 2025 and the unthinkable return of Donald Trump to the White House. 

We just didn’t know how bad. The takeover of D.C. police. ICE raids and agents shooting defenseless citizens in the face. The cruel attacks on trans Americans. A compliant and complicit right-wing Supreme Court and GOP rubberstamping all the criminality and madness.

Much of that was outlined in Project 2025 and was predictable. But what has proven surprising is the speed with which major companies, powerful billionaires, and media conglomerates have hopped on board the authoritarian train and kissed Trump’s ring. Tech giants like Apple and Meta and media companies like CBS and the Washington Post have folded like cheap tents, caving to MAGA pressure and enabling Trump’s evil agenda.

The guardrails collapsed in 2025. Congress has ceded its role as a formerly co-equal branch of government. Once trusted media outlets have betrayed their audiences’ trust and morphed into propaganda arms of the White House. As a lifelong journalist, this is perhaps the most shocking and disappointing development of the past year.

The Washington Post, which adopted the ominous tagline of “Democracy Dies in Darkness,” killed its endorsement of Kamala Harris in the final days of the 2024 campaign. Same thing at the Los Angeles Times. More recently, CBS’s vaunted “60 Minutes” spiked a story critical of Trump’s immigration policies under the direction of new editor-in-chief Bari Weiss, a Trump toady and the antithesis of a journalist. 

Concurrently, media companies large and small are fighting to survive. Government grants have been rescinded and the Corporation for Public Broadcasting, responsible for funding NPR and PBS, announced plans to dissolve. The Pittsburgh Post-Gazette, a nearly century-old Pulitzer Prize-winning institution, announced this week it will close on May 3. The Washington Post has lost scores of talented journalists, including prominent LGBTQ voices like Jonathan Capehart. The Baltimore Sun was acquired by the same family that owns right-wing Sinclair Broadcasting, ending a nearly 190-year tradition of award-winning, independent journalism.

It is not a coincidence that Trump’s attacks on democracy, traditions, and norms are happening while the media industry collapses. News deserts are everywhere now. In 2024, 127 newspapers closed, leaving 55 million Americans with limited or no access to local news, according to a report by Medill.

There’s a reason the media are called the “Fourth Estate.” Journalism was considered so critical to the health of our democracy that the Founding Fathers spelled it out in the First Amendment. Democracy and our Constitution cannot survive without a free and robust press.

That’s why I felt compelled to write this appeal directly to our readers. For nearly 57 years, the Blade has told the stories of LGBTQ Washington, documenting all the triumphs and heartbreaks and writing the first draft of our own history. Today, we remain hard at work, including inside the White House. This week, we have a reporter on the ground in Colombia, covering the stories of queer Venezuelan migrants amid the crisis there; another reporter will be inside the Supreme Court for next week’s trans-related cases; on Sunday, we have a reporter on the red carpet at the Golden Globes ready to interview the stars of “Heated Rivalry.”

We do a lot with a little. As major companies pull back on their support of the LGBTQ community, including their advertising in the Blade, we turn to our readers. We have never charged a dime to read the Blade in print or online. Our work remains a free and trusted resource. As we navigate these challenges, we ask that you join us. If you have the resources, please consider making a donation or purchasing a membership. If not, please subscribe to our free email newsletter. To join, visit washingtonblade.com and click on “Fund LGBTQ Journalism” in the top right navigation. 

Our community is known for its resilience. At the Blade, we’ve weathered the AIDS epidemic, financial crises, and a global pandemic. We are committed to our mission and will never bend to a wannabe dictator the way so many mainstream media outlets have done. The queer press is still here and with your help we will survive these unprecedented attacks on democracy and emerge stronger than before. Thank you for reading the Blade and for considering making a donation to support our work.


Kevin Naff is editor of the Washington Blade. Reach him at [email protected].

Continue Reading

Opinions

Time has run out for the regime in Venezuela

American forces seized Nicolás Maduro, wife on Jan. 3

Published

on

Ousted Venezuelan President Nicolás Maduro in 2024. (Photo courtesy of Maduro's Instagram page)

Time has run out for the regime in Venezuela.

I am fully aware that we are living through complex and critical days, not only for my country but also for the entire region. However, the capture of Nicolás Maduro has renewed hope and strengthened my conviction that we must remain firm in our cause, with the certainty that the valid reward will be to see Venezuela free from those who continue to cling illegitimately to power.

In light of this new reality, I adopt a clear, direct, and unequivocal position:

I demand the immediate release of all political prisoners.

I demand that all persons arbitrarily detained for political reasons be returned to their families immediately, without delay or conditions.

According to Foro Penal, as of Jan. 5, 2026, there are 806 political prisoners in Venezuela, including 105 women, 175 military personnel, and one adolescent, and a total of 18,623 arbitrary arrests documented since 2014. The same report documents 17 people who have died while in State custody and 875 civilians prosecuted before military courts, clearly evidencing the use of the judicial and security apparatus as instruments of political persecution. In parallel, the humanitarian system estimates that 7.9 million people in Venezuela require urgent assistance, further aggravating the impact of repression on daily life.

Behind these figures are shattered lives, separated families, and destroyed life projects. Students, activists, human rights defenders, political leaders, and members of the armed forces remain imprisoned without judicial guarantees, without due process, and without justice.

Since the capture of Nicolás Maduro, repression has not ceased. On the contrary, more than ten journalists have been arbitrarily detained, while others have been harassed, imprisoned, or mistreated for carrying out their duty to inform. Today, journalism in Venezuela has become a heroic and high-risk act.

This situation is further aggravated by a new attack on fundamental freedoms: an illegitimate decree of “external state of emergency”, whose purpose is to legalize state terrorism, expand the scope of repression, and deepen the criminalization of dissent and freedom of expression.

The destruction of freedoms cannot and must not be normalized, either by society or by the international community.

I do not forget the atrocities committed against people deprived of their liberty: systematic violations of due process, torture, cruel, inhuman, and degrading treatment, denial of medical care, and prolonged isolation.

These practices have been widely documented and denounced and are currently under investigation by international justice mechanisms.

In this regard, the United Nations Independent International Fact-Finding Mission on Venezuela has repeatedly expressed grave concern over the persistence of serious human rights violations, including the use of torture, enforced isolation, and the responsibility of State security forces in systematic abuses, as reflected in its statements and reports issued on Jan. 3, 2026, and throughout 2025.

From my unwavering commitment to human rights, I issue a firm and urgent call to Venezuelan citizens and to all people in the free and democratic world to stand together in defense of human dignity.

All political prisoners must be released now.

All torture and detention centers must be closed.

I am convinced that there can be no genuine democratic transition without the immediate release of political prisoners, the submission to justice of those responsible for arbitrary detentions, and the establishment of accountability mechanisms, guarantees of non-repetition, and full reparation for victims and their families. This is the only viable path toward a proper transition to democracy in Venezuela.

Today, more than ever, I stand in solidarity, inside and outside Venezuela, with the victims and their families.

This is a moment of definition, not of silence or hesitation.

I assume, together with millions of Venezuelans, that we are co-responsible for our collective reality and for the new Venezuela that we are called to rebuild.

Dignity, freedom, and justice cannot wait.

Freedom for Venezuela.

Juan Carlos Viloria Doria is president of the Global Alliance for Human Rights and vice president of Venezolanos en Barranquilla, an NGO based in Barranquilla, Colombia.

Continue Reading

Popular