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Vanessa Cullins

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Time to Start Talking

Posted: 09/15/11 07:00 PM ET

How many negative statistics do we have to read before we get the message? When it comes to practicing safer sex, much work still needs to be done. According to the Centers for Disease Control and Prevention (CDC), as many as 19 million new sexually transmitted infections occur in the U.S. each year. While STIs cross all racial lines, African Americans are disproportionately at risk for such common infections as chlamydia, gonorrhea, herpes, and syphilis. African Americans make up just 13 percent of the U.S. population, yet in 2009 we accounted for approximately half of all new cases of chlamydia and syphilis (48 percent and 52 percent respectively), and some 71 percent of gonorrhea cases. We also experienced more than half of newly diagnosed HIV infections; in fact a report last month from the CDC found a significant increase in the number of new infections of gay and bisexual African-American men between the ages of 13-29.

African-American women must take the first step to protect our health: Talk about sex. I know that can be difficult. Many of us live in communities that consider explicit discussions about sex embarrassing or shameful. Or we may be too worried about what our partners will think or do. Will he think I'm promiscuous? Will he get sex from another woman? Some women have been led to falsely believe there's a shortage of good men out here and feel pressured to please their partners, even when they refuse to use condoms. Some women falsely think they're not at risk.

Think again. The truth is all of us are at risk. The misconception that you have to be promiscuous to get a sexually transmitted infection just isn't true. We have to be just as honest with ourselves about our risks -- and the reasons why. For a number of reasons -- including a lack of affordable health care, men who have multiple sex partners, bisexual men, and the high incarceration rate of African-American men, who are exposed to STIs, including HIV, while in prison -- these infections are much more prevalent in African American communities. If you live in an area where an infection is widespread, your risk of meeting an infected partner is automatically higher -- and protecting yourself takes even more diligence. Untreated infections can not only lead to HIV/AIDS but to infertility, chronic pelvic pain, cervical cancer and other serious conditions.

Remember, you only know your own sexual behaviors and sexual history. And you trust that what your partner tells you about his or hers is true. But until you are feeling supremely trustful, or are in a serious, monogamous relationship, do whatever it takes to protect your health and wellness. When it comes to sex, that means honest discussions about sex, since dialogue and observation of his or her behaviors are the only way to determine trustworthiness. That doesn't mean you have to give up sex to stay safe. But you do have to use protection; there simply is no reason for anyone not to.

These things may not be easy to talk about, but the conversation has to happen. Start by asking your partner if he or she has ever been tested for a STI. Then explain that it's important to you to use protection -- to not only prevent an infection but an unintended pregnancy. Talk about the different kinds of protection, what will work best for the two of you, and then find ways to make using it fun.

You also need to get yourself tested every year. So does your partner. Don't let cost or embarrassment keep you from getting tested. Nowadays, the urine tests are quick, painless and readily available at Planned Parenthood health centers and other community clinics. And don't let fear hold you back. Any sexually transmitted infection can be controlled with medication, and many can be cured completely. Even testing positive is more an opportunity than a curse, both for you and your partner, because if you don't know you're infected, you can't get treated and stay healthy.

You can only protect your health -- and that of your partner -- by taking the first step. Talk.

 
How many negative statistics do we have to read before we get the message? When it comes to practicing safer sex, much work still needs to be done. According to the Centers for Disease Control and Pr...
How many negative statistics do we have to read before we get the message? When it comes to practicing safer sex, much work still needs to be done. According to the Centers for Disease Control and Pr...
 
 
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10:01 AM on 09/18/2011
This is great! Spreading the word on safe sex is of vital importance and teaching young people is essential.
To that end, my son has been involved with an organization which is very encouraging.
Check out Peer Health Exchange. There are offices around the country.

http://www.peerhealthexchange.org/index.html
06:28 PM on 09/17/2011
Abstinence works in theory, not in practice.
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Crystal McCree
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05:17 PM on 09/16/2011
Once someone opens their mouth, talking isn't so hard. My experiences aren't the same as every black person out there, but I know how some of us would rather shut this topic down rather than deal with the truth. One grandmother told me simply that doing what women do in "dirty magazines" can lead to breast cancer (lol). That was sex-ed, and my father's bird & the bees was to not kiss boys - end of discussion because that would open the door to many other problems. Yet, another grandmother exposed me to books that explored all of these topics. It still wasn't enough.

As adults, we should be comfortable enough to say in a new relationship or sexual relationship "have you been tested?". If the other person can't handle that, then screw em. It's your life. I'm tired of us having the highest statistics in these areas, but pretending that "clean" people don't catch anything. I talk to people in my circle about it. My daughter while in Kindergarten was told what sex was by other students! If I ran away from a real talk to her about that, then I probably would have lost her. Let's get with the program and not allow ourselves to die off.
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06:22 AM on 09/16/2011
While you're "talking" about sex, stop having it. I hear it's how babies are made.

When you begin with a foregone conclusion, you're asking for trouble. Don't just talk about sex like it's going to happen anyway. Talk about what sacrifices must be made to get an education, to have a career, to be able to share a rich and meaningful relationship with a spouse before choosing to make a baby together--a baby with a reasonable chance at thriving. Talk about why dropping out, doing drugs and having a criminal record are not the behaviors of a role model, let alone anyone you care to marry.
Or blame others and sign off with dopey emoticons.
Your call.
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Yam716
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09:30 AM on 09/16/2011
I disagree that grown, consenting adults should stop having sex. I think they should just be more responsible when doing so. Advocating safe sex is more reasonable, IMO, than asking the world to stop having sex. I do believe that both sexes have a responsibility to themselves and their community to ensure they don't have an unplanned pregnancy, especially if they are not in a position financially, or can't provide a stable home life, to do so. I do agree with the long, detailed conversation that should happen between couples or parents and their children...starting at a young age.
12:23 PM on 09/18/2011
I agree with the previous poster, Joseph Schmoe. Let's say someone gives you a car and tells you the brakes are faulty. What do you do, practice how to drive it in case the brakes fail? No, do what you can first to get the brakes fixed.

Just like the poster said, start early trying to instill the value of a good education. That in itself will help prevent a lot of other ills.

Just like he said, teach about the critical need to establish yourself financially so that you can provide a stable home so that greater efforts will be made to limit casual and haphazard sexual encounters.

If all else fails, and they simply have to drive the car anyway, teach them how to be safe and preventive.
04:09 PM on 09/16/2011
"When you begin with a foregone conclusion­, you're asking for trouble. Don't just talk about sex like it's going to happen anyway."

You are asking for trouble by thinking people are not going to do something they are hard-wired and designed to do, even at the risk of the death penalty as in certain countries I shall not name.
Any strategy that does not accept this fact is a waste of time. Abstinence anyone?