Thursday, July 17, 2008

HIV Complacency


“The HIV and AIDS education prevention message is not being delivered to youth in a way that motivates them to change behaviors.”

– Edward Gray, Ed.D., commenting on the rise of HIV infection rates among young people

Qaadir has friends who are gay… so does Wesley. But when it comes to HIV, the virus that causes AIDS, many kids don’t seem concerned.

“Most kids my age, they don’t think HIV is a serious problem,” says Wesley, 14.

“There’s medicines for this disease and…for this disease…for that one, and they’re not thinking if they catch this it might be a lifelong thing,” adds 15-year-old Qaadir.

In fact, according to the Centers for Disease Control, after years of decline, the number of AIDS cases among people ages 15 to 24 has risen 15 percent in the last five years.

“It’s a very alarming trend,” says Dr. Edward Gray, professor of counseling.

As medications have allowed people with HIV to live longer, healthier lives, the image kids have of the virus isn’t someone dying, but instead, someone who appearsto be living a healthy, normal life.

“The story now about AIDS is that it’s a trip to the doctor and it’s medication,” says Gray, “Whereas 20 years ago, the story of AIDS was going to funerals.”

Gray says parents need to help their children understand that the AIDS virus is still incurable and deadly, and that those who live with it face a daily struggle.

“Most people don’t want to take needles, and most people don’t want to be regimented that every three hours they’re popping a dozen pills,” says Gray, “I mean people [with AIDS] take cocktails of pills, it’s not just one thing. And just that kind of burden might grab their attention.”

Qaadir agrees. “I mean, you don’t want to wake up every morning and if you cough have to go to the doctor because you might be, you know, ready to pass out from whatever disease.”

Tips for Parents

Recent reports show that nearly half of high school students are or have been sexually active. Unfortunately, with sexual activity comes an increase in Sexually Transmitted Diseases (STDs). That’s why it is extremely important to talk to your kids about being sexually responsible – before they engage in sex. Consider the following statistics provided by The Alan Guttmacher Institute:

Every year three million sexually active teens – about one-in-four – acquire an STD.
A single act of unprotected sex with an infected partner puts a teenage woman at a one percent risk of acquiring HIV, a 30 percent risk of getting genital herpes, and a 50 percent chance of contracting gonorrhea.

Chlamydia is more common among teens than among older men and women. In some testing situations, 10 to 29 percent of sexually active teenage women and 10 percent of teenage men were found to have Chlamydia.

Teens have higher rates of gonorrhea than sexually active men and women aged 20 to 44.
Talking to your child about sex and sexually transmitted diseases may not be something you look forward to, but it could be the most important step in protecting your child from risky sexual behavior. Studies show that teenagers who feel highly connected to their parents are far more likely to delay sexual activity than their peers. Before approaching this sensitive topic, consider the following tips developed by Peer to Peer: Stop, Think, Be Safe!

Start early – Research shows that younger children seek their parent's advice more than adolescents, who tend to depend more on their friends and the media. Take advantage of the opportunity to talk with your young children about sexual health. Discussing dating, relationships, STDs and HIV can make a lasting impression. And it gives you a chance to provide your children with accurate information that reflects your personal values and principles. The quality of parent-child relationships has an important influence on adolescents' sexual behaviors.
Initiate conversations with your child – Don't wait for your children to ask you about sex, HIV or STDs. Although you can hope that your children come to you with their questions and concerns, it may not happen. Use everyday opportunities to talk about issues related sexual health. For example, news stories, music, television shows or movies are great starters for bringing up health topics. If your family is watching a television show where the teenagers are promiscuous or a teen is pregnant, ask your kids what they thought of the program when it’s over. Ask if they agree with the behavior or decisions of the teenagers in the show. Just a few questions can start a valuable conversation.

Talk WITH your child, not AT your child – Make sure you listen to your children the way you want your children to listen to you. Try to ask questions that will encourage them to share specific information about feelings, decisions and actions. Try to understand exactly what your kids are saying. It is important for your kids to feel that they have been heard. Try not to be judgmental. Let your kids know that you value their opinions, even when they differ from your own.

Create an open environment – Research shows that kids who feel their parents speak openly about sex and listen to them carefully are less likely to engage in high-risk behaviors, compared to teenagers who do not feel they can talk with their parents about sex. Adolescents who report a sense of connection to their parents, family and school, and who have a higher grade point average, are more likely than other teens to wait to engage in intercourse. Teens who report previous discussions of sexuality with parents are seven times more likely to feel able to communicate with a partner about HIV/AIDS than those who have not had such discussions. An open family environment not only reduces sexual risk-taking behaviors, it also gives teenagers a safe place to ask questions and get accurate information. As parents, be available, honest and attentive. Praise your children for coming to you to talk about sex, which will teach them that you are always available for information or advice.

Be prepared and practice – It isn't necessarily easy to talk about sex with your kids. In fact, it can be extremely difficult for some parents. Don't be afraid to practice. You can practice in front of a mirror, with your spouse or partner, or with friends. Your ability to speak comfortably about sexual health will make your children more comfortable asking questions and discussing sensitive issues.

Be honest: It's okay to say, "I don't know" – When your children trust and value your opinion, they will be more likely to come to you with their questions and concerns. It’s also important to know that you do not need to be a sexual health expert. It's okay if you don't know all the answers to all of your children's questions. It’s okay and honest to say, "I don't know." In fact, if you don't know the answer to a question, you can search for the correct information together.
Communicate your values – In addition to talking to your children about the biological facts of sex, it's important that they also learn that sexual relationships involve emotions, caring and responsibility. Parents need to share their values and principles about sex. Although your children may not adopt these values as their own, they are an important source of information as your children develop their own set of values about sexuality.

References
Centers for Disease Control and Prevention
Peer to Peer: Stop, Think, Be Safe!
U.S. Department of Health & Human Services
Campaign for our Children, Inc.