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Posted Tuesday, April 01, 2008 12:30 PM

Black Girls and STDs [Call]

melissa harrislacewell

Marc,

 

A week ago one of our “Down from the Tower” readers sent me the March 12th NYTimes story reporting on the Center for Disease Control’s recent study finding that nearly half of African-American teenagers were infected with at least one sexually transmitted infection as compared to 20 percent of white teens.

Given that you and I are both raising young daughters I decided this is something we have to discuss.

The easy answer for us to lock our girls in their respective rooms until they are 30-years -old. I am happy to help you find a home- schooling tutor. Much as I would like this, I know that eventually young people have to go out into the world.

The second easy answer is to assume this issue is solely about bad choices and poor morals and to believe that we can protect our kids by enforcing abstinence until marriage.  I certainly hope that my daughter makes that choice, but given the difficult and crazy choices teenagers face, I also have to believe there are ways that policy can make a difference.

African American girls are at particular risk for a lifetime of maternal and infant mortality, unintended pregnancies leading to higher abortion rates, and the growing epidemic of HIV/AIDS. Black women are nearly four times more likely to die in childbirth than white women. Black women are 23 times more likely to be infected with HIV/AIDS and 14 times more likely to die from the disease.  The numbers of black girls receiving abstinence-only instruction instead of comprehensive sex education has significantly increased as compared to white girls. This means young black women are not being taught about contraceptive use for preventing pregnancy and protecting against sexually transmitted diseases.

These statistics scare and paralyze me.  But I have a few suggestions of things we can do

1)   Write or call our U.S. Representatives and Senators and demand they make sure women of color have access to health care.

2)   Work aggressively in our public schools and on our campuses to make sure that free condoms are widely and easily accessible.

3)   Contact the Center for Reproductive Rights and get the facts about sexual health. Share the information with all the young women in your life: nieces, daughters and neighbors.

4)Send suggested questions and topics to the cable networks hosting presidential debates and make sure that the racial disparities in reproductive health care are part of any discussion on health care reform.

5)   Write letters to the editor to major newspapers such as the New York Times, Los Angeles Times, Chicago Tribune and Washington Post, demanding more coverage of maternal mortality in the U.S., the growing epidemic of HIV/AIDS among Black women, and how abstinence- only education is affecting black girls.

 

 

 

These seem like small steps, but at least they make me feel empowered in the face of these devastating facts. What do you think we should do?

Melissa

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Member Comments

Posted By: kid5rivers (April 2, 2008 at 9:48 AM)

The core cause lies in the realm of economic fortune, or, rather, economic MISfortune, of "blacks".

Without delving into the cause(s) of/solutions to such malaise, let me, therefore, say that, until and unless "blacks", as a group, elevate to the same economic status as "whites", all efforts to educate them into healthy/healthier lifestyles would remain as futile as spinning top in mud, as we say in Trinidad and Tobago.


Posted By: arabella (April 2, 2008 at 11:29 AM)

This solution is going to sound boring and downright old fashioned but the fact of the matter is our girls seem sexualized too early and there is unnecessary emphasis in the American culture as a whole for girls to fit in by being sexually active,  And this is all the more so in black circles.  we have older men preyingon younger girls, girls having no embarrassment about sharing men, carrying on with cheating husbands and the like.  Young black girls see these things going on around them, sometimes perpetuated by their own mothers, aunts, etc and they are pressured to be sexually active, as if they are losing out on something great.  It's in the music, the looseness with which we tease kids as young as in kindergarten about having boyfriends/girlfriends, etc.

This week in the same NY Times that broke the story on STDs and teens, there is an article about virginity/abstinence being a new form of feminisim practised and discussed on college campuses such as Princeton and Harvard.  That article is really powerful and its basic tenets were something I firmly believe in and practised until I was 28 and met my now husband.  Self-control is so important.  But we have this laissez-faire attitude about sex when in fact we are risking our very lives to have some 30 minute so-called "good time".

Self-control is again, very important and the fruit/rewards of it are even better.  It is so easy to walk away from men who are up to no good because that sexual tie is not hanging around the woman's neck like a noose.  For those who don't have enough self-control, I am at the point where I actually even believe that a girl is still better off with a sex toy than risking a lot of the things that are currently passing off as relationships, which end in heart break, unplanned children, the attendant poverty and everythign else that comes with it. Until we make abstinence cool, maybe even coupled with some sex ed which implicitly still teaches love for one's own body and future enough to forego in the short term, coupled with stricter guidelines toward someof the social norms that are so prevalent in certain circles, we will not make any progress forward. I hate to tell you al that I do not believe this is somethign we can simply write a letter to some govet official to help us resolve. Charity begins at home and is taught in churches and other such institutions.


Posted By: gwsturgill (April 2, 2008 at 2:18 PM)

About the std infection rate among black teens and in your article regarding black girls. You reference this information from the CDC.

CDC please explain the not so recent clump of cases of SYPHILLIS of white teenagers in Georgia, supposely in an upper middle-class surburb.

I feel as people of color we have to be very careful of the satistics which been provided by a one-sided health care system.

HIV/AIDS is another area which the satistics may be slanted. This infection is an 'equal opportunity' killer which has infected as many if not more of them on the same level. I have personally known their death to be listed under another heading such as Cancer when it was AIDS.

Reminds me of the  of stats of "out of wedlock" births percentages. This country has never published the adoption statistics , I wonder why? Would it reveal the who really has the highest numbers of illigetimate births. Please don't explain these figures are not available because of "privacy". As Mark Twain once said something to the effect - 'damn lies and statistics.'

One more thing please, the CDC should be concentrating on the high(est) rate of birth defects caused by the generational inbreeding that occurs among the Mormons in Utah.

Thank You

LGWS / NC


Posted By: A. Baraka Scott (April 2, 2008 at 2:19 PM)

Public policy initiatives must occupy the second tier in this effort after serious community/ social activism.  Since when did black children run the house?  The community needs to take the lead on this issue and tell our children what we expect from them.  These are children we are talking about, people who don't pay bills or feed themselves.  I know about peer pressure and the power of a *** crazed media, but allowing a generation to literally wither on a vine is not an option.  

Call black entertainers out on this issue, they can't hide behind artistic license while hyper-sexuality is peddled to our kids.  I distinctly remember when the "native tongue" rappers were the rage and the effect they had on the speech, dress and attitudes of young people; likewise with the subsequent "gangster rap" and the "shiny suit" eras.  

EVERY African-American professional (blue and white collared) should be engaged in some sort of mentoring program to get at our youth including the ones who don't have someone at home to school them.  When a community pulls together with common cause there is nothing that they can't accomplish; look at the Pyramids...  

Lets all agree that our children are our most valuable resource and we won't allow them to wander off like stray cats or feral dogs.  

Each one, reach and teach...        


Posted By: gwsturgill (April 2, 2008 at 2:38 PM)

P.S.

I would also like to make another comment and perhaps a Mathmatician can clarify;

How can Blacks have the highest rate of of Illigetimate births and the higher rate of abortions, the highest rate of STD's when we are just 13% of the population? I just can't  seem to reason it out and I would like an honest answer from an honest agency. Please don't recommend the Census Bureau.

Thank You

LGWS / NC


Posted By: Cobb (April 2, 2008 at 4:17 PM)

What do I think we should do? I think we should refrain from entertaining the hope that US representatives in Congress, public school pharmacies, third party sex educationists, broadcasters or debaters will ever care enough to raise our children for us.

So long as black families don't raise black families, then black 'families' will always be rabble at best and wards of the state otherwise.

Just say no. And if you think that's laughable it only means your 'no' is laughable. So without so much as that moral authority, why should anyone else's children be subject to the powers of government or others by proxy on your say so?


Posted By: kid5rivers (April 2, 2008 at 11:51 PM)

gwsturgill!

Re: your second comment? The key word is "rate".


Posted By: AM (April 4, 2008 at 7:30 PM)

I would suggest

1. Instilling in young women the idea that your body is your temple and that you need to take care of it. This means, don't have sex with someone unless you know where that someone's private parts has been. If you can't ask that question, then perhaps you shouldn't be having sex with that...

2. Getting comprehensive sexuality education for all our children. Our government has wasted $1billion of our tax dollars on abstinence only which is filled with lies and sexual stereotypes e.g. girls that wear tank tops deserve to get harassed and that you can get HIV from tears.

3. Universal Health care and reproductive rights

Hillary's plan would cover everyone for $2700/new person. Obama would do it for $4200.

Hillary worked to get emergency contraception over the counter to prevent pregnancies and STDs.

Hillary co-sponsored legislation to keep contraceptive equity laws intact. (meaning if people cover viagra, they need to cover birth control pills. Currently, some insurances only cover Viagra and not birth control)

The next president needs to be someone who takes action and works for the people rather than just talk.

4. Talk to your daughters and sons - "no glove, no love."

5. Get on school boards and get comprehensive sex ed and condoms in your schools.

6. tell your friends

=)


Posted By: hendleysmith (April 6, 2008 at 4:43 PM)

I don't see anything on your list about what parents can do directly with their children.  Sexual helath education begins at home and we wouldn't need to reach out to our social institutions and government agencies if we were up front and frank with our children, first.  I'm anxious to know how people work with their children to end this public health nightmare.


Posted By: black women health stats « guerrilla mama medicine (April 17, 2008 at 4:20 PM)

PingBack from http://guerrillamamamedicine.wordpress.com/2008/04/17/black-women-health-stats/


Posted By: spiker (April 28, 2008 at 3:38 AM)

"The numbers of black girls receiving abstinence-only instruction instead of comprehensive sex education has significantly increased as compared to white girls."

Do you have a citation for this!?!?!

If true, who made this choice, the white or black establishment?


Posted By: spiker (April 28, 2008 at 3:41 AM)

I think the father's of young boys need to be included in the problem.  I think you'd find a different attitude of these fathers if they were held financially liable for the children their boys have.

They might start locking up the boys and tossing the misogynistic rap music out the window.


Posted By: spiker (April 28, 2008 at 3:45 AM)

Maybe you should ask Jeremiah Wright why he simulated a sex act in the pulpit when he said Bill Clinton did blacks like he did Monica Lewinsky.

But you keep on turning a blind eye to the problem of a church that would blame white men for HIV/AIDS and then have its pastor simulate sex in church in front of so many teenage girls.  I wonder what kind of message that sends?  To me it is pathetic and unbecoming a Christian.  It is indefensible period.


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Posted By: cmathprof (August 8, 2008 at 5:38 PM)

Unfortunately, most people are ignorant of the true facts. The National Institute of Health conducted a study which shows the opposite from what mass media reports. Here are some of the findings from their study:

researchers are reporting a stabilization of the HIV rate

among Blacks (CDC, 2003b) as well as decreases in HIV risk behaviors, increases in HIV

related knowledge, and increases in HIV testing rates (CDC, 2004a).

However, similar progress has not been reported among Whites.

The most recent national Youth

Risk Behavior Surveillance (YRBS) report, which provides information on 15,214 adolescents

in grades 9- 12, offers numerous examples of higher risk behaviors among White adolescent

girls as compared to Black adolescent girls (CDC, 2004b). For example, regarding substance

use behaviors by racial category, YRBS reports that rates of current alcohol use, lifetime and

current cocaine use, and lifetime heroin use were higher for White adolescent girls than for

Black adolescent girls, including the use of these substances before sex (CDC, 2004b).

Again, according to the 2003 national YRBS, the prevalence of current sexual activity was higher for White adolescent girls than for Black adolescent girls (CDC, 2004b). The survey also shows that White adolescent girls were less likely to report using a condom during last sexual intercourse episode than the Black adolescent girls in the sample. Similarly, an earlier study by Hines and Graves (1998) also found lower rates of condom use among Whites than Blacks in their sample.

White adolescent girls in the study had greater number of total sex partners in the last year and

a greater number of partners who injected drugs than Black girls. White adolescent girls also

reported, in the past 3 months, that they had more vaginal sex with a latex condom, more vaginal

sex without a latex condom, and more episodes of oral sex (giving and receiving). There were

no racial differences in the self-report of unprotected anal sex. White girls also reported more

alcohol use before sex than Black adolescent girls, but there was no difference in the self-report

of drug use before sex, or in engaging in sex for money or drugs. Black and White girls did

not differ in the number of men with whom they had sex over the last 3 months or in their self-report of having a steady partner in the past 3 months. There were no risk behaviors in which

Blacks had higher frequencies than the White adolescent girls in the sample.

Despite their more frequent participation in HIV-related risk behaviors, White adolescent girls

were significantly less likely to get tested for HIV than Black girls. Less than half (42%) of

White girls had been tested for HIV as compared to almost two-thirds of Black girls (67%).

This discrepancy between risk behavior and HIV testing may result in

significant under reporting of HIV incidence and prevalence in the U.S. population of White

adolescent girls.

If you don't believe me or want to read the article for yourself, here is the link:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2430923

Have a nice day!