Pubdate: Wed, 16 Aug 2006 Source: Boston Globe (MA) Copyright: 2006 Globe Newspaper Company Contact: http://www.boston.com/globe/ Details: http://www.mapinc.org/media/52 Author: Derrick Z. Jackson, Globe Columnist BE HONEST ABOUT AIDS AND RACE GARY DAFFIN appreciated Julian Bond's words on AIDS. He now waits to see if they reverberate throughout black America. "I don't think the words themselves are new," said Daffin, executive director of Boston's Multicultural AIDS Coalition. "Some people like Maxine Waters [a California congresswoman] have been yelling for years. It does strike me that when I read about black leaders saying it is time to deal with AIDS, it's the same group: Bond, Maxine Waters, Jesse Jackson. "If they can help normalize the discussion by continuing to talk about it, that's great. But the people we are trying to reach are not well off. They're not watching Julian Bond and Jesse Jackson give a speech. We're working from the bottom up. The social networks needing the most help are the ones most ostracized. . . . The speeches will matter only if people start talking about HIV in the privacy of their homes and take ownership of the issue in their homes and amongst family and friends. . . . If we could make the discussion about sexuality more open and honest and informative throughout the black community and have the discussion without the taboos about sex, we would go a long way to dealing with the disease." At the international AIDS conference in Toronto this week, Bond, the NAACP chairman, said, "The story of AIDS in America is mostly one of a failure to lead, and nowhere is this truer than in our black communities." Bond said the failure to lead has helped AIDS become "a black disease." In a statement of support, Jackson added that African-Americans have been "a compliant victim, submitting through inaction." Inaction has been devastating. African-Americans are 12.3 percent of the population, but 61 percent of people under the age of 25 who were diagnosed with HIV/AIDS between 2001 and 2004, according to the Centers for Disease Control. AIDS is now the top national cause of death for African-American women ages 25-34 and is among the top three causes of death for black men 25-54. In Massachusetts, the situation is equally frightening. According to the state Department of Public Health, between 2002 and 2004 only two white females for every 100,000 were diagnosed with HIV. But for Latinas the rate is 40 females per 100,000 (21 times greater), and for black females it is 79 per 100,000 (40 times greater). Black and Latino men in the state are being diagnosed at the terrifying respective rates of 92 and 64 per 100,000. Daffin said there have been local political leaders who have long supported AIDS education and prevention, such as Senator Dianne Wilkerson and Representative Gloria Fox. But broad assumptions that AIDS was a white gay disease created such a general wall of denial that Boston groups like Men of Color Against AIDS struggled to gain acceptance well into the '90s. Daffin said the denial was compounded by a complex web of sexuality and drug use. Those issues are often stigmatized into silence. Many black ministers stridently opposed gay marriage in Massachusetts. "I'm not saying we should force churches to distribute condoms, but I do expect ministers to talk to congregations about taking care of yourselves, getting tested, because you're not much use to your families if you're not here," Daffin said. "The faith community should make it clear who you can go to for help. We can't expect them to be a public health service, but people have looked to the black church for comfort and support. They can do that." Daffin said Bond's words will mean something if African-Americans choose to learn from the struggle of gay men against AIDS. "It wasn't leaders who led the attack on AIDS," Daffin said. "President Reagan never said AIDS until late in his presidency. It was gay people in the streets who took ownership of their own health and lives. They did it by talking openly about what was happening. Knowing your HIV status has been in the forefront for gay men for 25 years. "The same thing hasn't quite happened yet in the black community. But you can see things improving. I wish it happened a long time ago. But we're hardly in a position to say it's too little, too late, because if we say that, we're not going to have much of a community in 50 years. People are being forced to overcome their discomfort and deal honestly with the disease." - --- MAP posted-by: Beth Wehrman