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Irene Monroe

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This Era of Black Women and HIV/AIDS

Posted: 12/02/08 06:14 PM ET

Yesterday was World AIDS Day and Black women are dying of AIDS. And is anyone doing anything about it?

Right here in the nation's capitol, the HIV/AIDS epidemic rivals that of many Third World countries. Washington D.C. affectionately dubbed as "Chocolate City" is approximately 60 percent of people of African descent. And of it's residents one in 20 is thought to have HIV, and 1 in 50 of its residents to have AIDS. Of the 3,269 HIV cases identified between 2001 and 2006 who tested positive nine of 10 were African American.

Are these statistics overwhelming?

"The Washington data is really a microcosm of what we already know: that AIDS in America today is a black disease," said Phil Wilson, founder of the Black AIDS Institute, an HIV/AIDS think tank that focuses exclusively on AIDS among black Americans.

According to the U.S. Centers for Disease Control and Prevention, African Americans account for half of all new HIV cases despite comprising 13 percent of the U.S. population. Equally alarming is that HIV/AIDS is the leading cause of death for African American women between the ages of 25 and 44.

At the "Women and Response to AIDS" panel at the at the 16th International AIDS Conference in Toronto in 2006, Sheila Johnson, founder of the Crump-Johnson Foundation in Washington D.C., pointed out that another at-risk population in the African American community is teenage girls.

Seventeen percent of the U.S. teen population is African American. In 2004, 70 percent of all teens testing HIV-positive were black. One in 10 African American teenage girls test HIV-positive in the nation's capital, the highest percentage in the country among this age group.

When asked why such a high percentage test positive, Johnson said, "As long as girls see themselves as glorified sex objects in hip-hop videos, HIV/AIDS will increase within this population."

These statistics overwhelming?!

But so too is the failure of leadership African Americans have faced since the epidemic began.

And no group of women is as affected by the failure of leadership in this country than women of African descent.

African American women and their struggle against the AIDS epidemic was never so glaringly obvious than in the 2004 vice presidential debate between Dick Cheney and John Edwards.

And the invisibility of my group's plight has less to do with African-American women's agency to combat the epidemic than with how the government, African-American men, the Black Church, and race and gender biases inherent in the problem collude with African-American women's efforts to get help.

Gwen Ifill, an African-American female journalist with PBS' "Washington Week" and moderator of the vice presidential debate, brought the issue of AIDS in the U.S. front and center when she asked the men to comment on its devastating impact on African-American women.

"I want to talk to you about AIDS, and not about AIDS in China or Africa, but AIDS right here in this country, where black women between the ages of 25 and 44 are 13 times more likely to die of the disease than their counterparts. What should the government's role be in helping to end the growth of this epidemic?" Ifill asked.

Vice President Cheney responded to Ifill's question by saying, "Here in the United States, we've made significant progress. I have not heard those numbers with respect to African-American women. I was not aware that it was - that they're in epidemic there."

But Edwards' response wasn't any better. Edwards deflected the question by first going back to answering the previous question. Then with the remaining seconds left, he flubbed his way through.

However, three years later in the June 2007 Democratic Primary Debate at Howard University that focused on African American issues ranging from health care and housing to Katrina relief, the economy and the environment
Black women stood on there feet as they applauded Sen. Hillary Clinton's comment about the impact of HIV/AIDS on African American women.

"Let me just put this in perspective: If HIV-AIDS were the leading cause of death of white women between the ages of 25 and 34 there would be an outraged outcry in this country."

When the color of the epidemic shifted from white to black, the inherent gender bias focused only on the needs of African-American men and rendered women invisible. And when gender became a new lens to track the epidemic, white women were the focus. The invisibility of African-American women in this epidemic has much to do with how the absence of a gendered race analysis makes African-American women invisible to the larger society.

What is also unnerving is that today African American women make up 60 percent of all AIDS cases reported among women, 64 percent of new AIDS cases among women, and are three times the number of new cases reported among white women.

Many African-American women with HIV contracted it from heterosexual sex. And two ways that the virus is contracted heterosexually is through intravenous drug use and African-American men "on the down low." But men living on the DL is not a new phenomenon in the African-American community. Naming it, however, is. And it was J.L. King who became the country's poster boy by exposing the behavior in his best-seller, On The Down Low: A Journey into the Lives of "Straight" Black Men Who Sleep with Men.

While homophobic attitudes in the larger African-American community and church contribute to their behavior, African-American men are also not taking responsibility for how their behavior is killing African-American women, and putting the entire community at risk.

But the disparities within the healthcare system also contribute to the disproportionately higher number of HIV cases among African-American women, which directly affects their quality of life and the spread of HIV.

While health disparities in the black community is overwhelming so too is the failure of leadership African Americans have faced since the epidemic began.

However, the disease has also taught us about the various faces - across race, class and gender - who wore and continue to wear the face of this disease.

When The New York Native, a now-defunct gay newspaper, in its May 18, 1981, issue first reported on a virus found in gay men then known as GRID (Gay-Related Immune Deficiency), an editorial noted that "even if the disease first became apparent in gay men, it is not just 'a gay disease.'" And HIV/AIDS, having neither an alliance to nor an affinity for queer sexualities, spread.

But where would the leadership on HIV/AIDS come from?

But let's confront the elephant in the black community, by telling the truth and shaming the devil. The biggest problem that black lawmakers have had to confront concerning the HIV/AIDS crisis in their communities is the political gag order imposed on them by their voting constituency's homophobia and animus toward any discussion of the disease.

Would the leadership on HIV/AIDS come from the black church?

When it comes to the black church and HIV/AIDS, I am always reminded of what my mayor in Cambridge, Mass., Ken Reeves, who is both African American and gay, told The Washington Blade in March, 1998, during a two-day Harvard University HIV/AIDS conference: "African American male ministers over 40 are a tough nut to crack. If we wait for the black church on this, we'll all be dead."

The Black Church continues to play a part in the death of African Americans with AIDS. While its silence on the issue is appalling and unconscionable, so too is its various forms of heterosexualized rituals and pronouncements that denigrate both LGBT people and women. A study by the Pew Forum on Religion and Public Life showed that since 2000, African-American Protestants are less likely than other Protestant groups to believe that LGBT people should have equal rights. And since hot-button issues like gay adoption and marriage equality have become more prominent, support for LGBT rights among African-American Protestants has dipped as low as 40 percent.

Therefore, women with AIDS are as unwelcome in the Black Church as LGBT people. Within Black Nationalist milieus like the Black Church and the Nation of Islam, African-American women with AIDS are also viewed as race traitors. In this patriarchal straightjacket, biological essentialist views are as holy and deified as the Bible itself. And with the belief that women are to multiply and bring forth new life for the perpetuation of the race, women with AIDS lose their status in the community. Often labeled as "loose" for having contracted the virus, she is viewed as not only diseased but also dangerous because her sexual wiles continue to seduce men. A woman with AIDS is a fallen woman, not only for having contracted the disease, but also for having disregarded the policing of sexual behavior by the Black Church.

The feminization of this disease makes many of us AIDS activists and scholars wonder if the same amount of money, concern, communication, and moral outrage that was put into white gay men with the disease will be put into curbing its spread among black women.

The AIDS epidemic among African-American women is also symptomatic of the dialogue we need to have about our bodies and sexuality, which has been choked for centuries by a "politic of silence."

Working in conjunction with the "Politic of silence" is what African-American women historically created as a "culture of dissemblance" and "the politic of respectability," the silence African-American women created around their bodies and sexuality that had been exploited during slavery was viewed as a revolutionary act against the white oppressive gaze.

African-American women are no more promiscuous than white women, however, stereotypes about African-American women's bodies and sexualitities prevent the proper prevention and education needed to stem the tide of HIV/AIDS.

The iconography of black women is predicated on four racist cultural images: the Jezebel, the Sapphire, Aunt Jemima, and Mammy. With the image of the strong black women who can endure anything and "make a way out of no way," her strength is either demonized as being emasculating of black men or impervious to the human condition. The Aunt Jemima and Mammy stereotypes are now conflated into what's called "Big Mamma" in today's present iconography of racist and sexist images of African-American women.

While the Aunt Jemima and Mammy stereotypes are prevalent images that derive from slavery, for centuries both of them have not only been threatening, comforting and nurturing to white culture but also to African-American men. The dominant culture doesn't see and hear African-American voices on this issue because our humanity is distorted and made invisible through a prism of racist and sexist stereotypes. So too is our suffering.