AEGiS-UPI: Researcher: men in Africa often ignored in AIDS prevention United Press InternationalImportant note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.
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Researcher: men in Africa often ignored in AIDS prevention

United Press International - Thursday, 13 July 2000
Michael Smith, UPI Science News


DURBAN, South Africa, July 13 (UPI) -- It's a woman's world when it comes to AIDS in Africa, while the role of men in spreading the epidemic is almost totally ignored, the head of South Africa's Medical Research Council said Thursday.

William Makgoba told the 13th International AIDS conference that research on how to prevent transmission has focused on women, leaving out young men and boys.

"Everybody wants to give female condoms and wants to teach young girls how to have safe sex, but nobody focuses on young men and young boys from the time when they get socialized," Makgoba said later.

Men are "a population that suffers from AIDS and they are a population that spreads AIDS," he said, "something that is often less recognized and advocated in public."

"We don't see any presentations (at AIDS conferences) that are actually focusing on men, how they behave, how they make decisions, how they deal with the fact that they are part of this epidemic," Makgoba said.

"But we see lots of papers here about women."

Makgoba's complaint is the exact opposite of the situation in the United States, said Robert Janssen of the Centers for Disease Control (CDC) in Atlanta.

"There have been lots of complaints that research in the U.S. has focused on men," he said. "It's because the epidemic started here in gay men and the majority of the cases remain among men."

The CDC started the so-called HER study -- standing for HIV Epidemiological Research Study -- in the early 1990s, he said, to focus on American women with HIV.

Peter Piot, the director of the United Nations AIDS program (UNAIDS), said earlier this year that a key to turning the tide of the AIDS is changing male attitudes toward sex and women.

"The time is ripe to start seeing men not as some kind of problem, but as part of the solution," Piot said.

"All over the world, men tend to have more sex partners than women, including more extramarital partners," he said. That increases the risk they'll contract HIV and pass it on, he said.

The risk is also compounded by the secrecy, stigma and shame surrounding HIV, which may prevent people from admitting they have become infected. Infected men may not seek medical help, even if they know they are HIV-positive.

As well, he said, "too often, it is seen as unmanly to worry about avoiding drug-related risks, or to bother with condoms," something that undermines AIDS prevention efforts.
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