Read The Deal - Adolescent AIDS Program
Transcription
Read The Deal - Adolescent AIDS Program
Do It Safe and Get Tested! Protegete y Hazte la Prueba w w w. Ad o l e s c e n t A i d s . o rg • w w w.G e t t i n B u s y. o rg THIS is The Deal… a magazine written for you — young people — about living, loving, thriving, sex, relationships, HIV/AIDS and testing. It’s filled with talk from real teens, soundbites with sound advice from experts and information on ways to protect your health and your future. In this issue: we take five to talk with Miss Universe 2003 Amelia Vega (aka Amelita), a feature quiz answers your questions on romance and safe ways to kick it without riskin’ it, teens holla’ back about what to know before looking for nookie and finally, finally, finally, there’s a resource list at the end of The Deal that you’ll want to check out — it provides essential information on youth-friendly programs and HIV testing and care. 2 We hope you enjoy our fourth and latest issue. Have a comment? Want to ask a question? Send your thoughts to Adolescent AIDS Program, 111 East 210th Street, Bronx, NY 10467 or [email protected]. What does Miss Universe 2003 have a hard time resisting? 4 Reading the signs 5 What’s real: Can you separate fact from fiction? 6 Word! 8 Questions about coming out? Flip to page 10 Don’t Tune Out 12 Getting Serious About Safer Sex? Turn to page 14 Steamy, but Safe 16 Dangerous Daze 17 Condom Dos and Don’ts can be found on page 18 Lo que se debe y no se debe hacer cuando se utilizan condones 20 In Control of Your Birth Control 22 Why You Want to Get Tested is spelled out on page 24 ¿Por qué quieres hacerte la prueba...? 26 Life After Getting Tested 28 What’s Really Good. We’re all over that on page 29 Ask Dr. Donna 30 Know the Numbers 32 Fresh from the Front Lines 33 Crash Course on the Crisis 34 Da 411: Resources 36 3 At age 19, Amelia Vega dreams of becoming a singer, and we’re not just talking the next American Idol. She has recorded a demo and is working on her debut album. But first, Amelia, who hails from the Dominican Republic, will focus on her current job… as Miss Universe 2003. Amelia The Deal Meets Sobrenombre: Amelita. It’s something that my grandmother calls me back in the Dominican Republic. Favorite dessert: (laughs) At the pageant I had a hard time resisting the cake table because my favorite dessert is cheesecake. Proudest personal accomplishment (aside from the Miss Universe pageant): I am proud that I am, at my age, independent and able to make most of my own life decisions, and my parents and family trust me on that. Getting her HIV test On HIV and getting tested: I got tested on June 27, National HIV Testing Day. I did this to show the kids that I wasn’t scared and that they shouldn’t be either. It was a way to let them know that they should get tested, too. Sobre la vida: Cuando se piensa positivo, hay muchas posibilidades de triunfar. 4 Miss Un and Dr. Diverse onna Amelia Vega in 10 years: Professionally I see myself as an internationally recognized singer, contributing with my songs to the creation of a better world. Personally I see myself forming and building a great family based on love and respect with a great companion. Do Libras fall for Leos? Do Sags tend to hook-up with Scorpios? Check out if you and your honey have a cosmic connection. Aries (03/21–04/19) Emphasis on the E’s: Entirely Energetic– Likely Link: Libra Taurus (04/20-05/20) Peaceful and Persistent– Likely Link: Scorpio Gemini (05/21-06/21) Sociable but a lil’ bit Scattered– Likely Link: Sagittarius Cancer (06/22-07/22) Emotional and Protective– Likely Link: Capricorn Leo (07/23-08/22) Impulsive, Creative and Loyal to the Bone– Likely Link: Aquarius Virgo (08/23-09/22) Heavy on the H’s: Honest and Humble– Likely Link: Pisces Libra (09/23-10/23) Fair and Artistic– Likely Link: Aries Scorpio (10/24-11/21) Intense and Private– Likely Link: Taurus Sagittarius (11/22-12/21) Freedom-Loving– Likely Link: Gemini Capricorn (12/22-01/19) Shy, but Ambitious– Likely Link: Cancer Aquarius (01/20-02/18) Non-conformist. An original– Likely Link: Leo Pisces (02/19-03/20) Dreamer and Schemer– Likely Link: Virgo What makes a relationship good? It all comes back to you. Loving and knowing yourself lets you love someone else. Figure out who you are and what you want outside of your relationship. Also, look for a relationship that is balanced; one where your boyfriend or girlfriend feels like an equal partner and you can talk, laugh, and even fight fairly. When you do find your sweetie, still take time for yourself. If you find yourself in a bad relationship, seek support and leave. This can take a lot of courage but you’ve got to recognize that you are the key to your own happiness. It’s amazing how much more attractive, secure, and desirable you feel when 5 you know and respect yourself. 1. B There is not one right time that is best for everyone. Waiting is ok if that’s what you want. Sometimes it’s difficult to separate your partner’s expectations from your own. And, it can get confusing if friends are always talking about sex. Keep it real and check in with yourself and your partner. Don’t let anyone pressure you and make sure you’re comfortable with the situation. You didn’t sleep with that guy from the club, so that means you’re safe, right? Can you contract HIV from giving a blow job? Find out if you know what’s what with this quiz on common myths about playing it safe: 1. How soon is too soon? The right time to have sex is… A After three dates B When you both are ready. It’s OK to wait. C In the afternoon D After one year 2. A B C D A person with an STD/HIV may look like… Rámon. Age 15. Homosexual. Sports Rocawear. Jamie. Age 17. Bisexual. Drummer in his band. Jocelyn. Age 21. Heterosexual. An Afro-Cuban all-star. Any of the above. 3. A B C D When your girlfriend asks what protection you use during sex, you say... ”If you’re on top, you can’t get pregnant.” “Condoms.” “Don’t worry baby, I’ll pull out.” “That’s not a problem. I only kick it with people who are clean.” 4. At age 19, how many teens have held off on having sex? A 9 out of 10 B 5 out of 10 C 3 out of 10 D 1 out of 10 6 5. A B C D The Naked Truth: Which of the following is true about condoms? Condoms can prevent pregnancy and HIV/STDs. You can last longer using condoms. A Jimmy Hat can up the ante on the pleasure pot. All of the above. 2 D You’re wildn’ out if you say that you can tell someone has a sexually transmitted disease (STD) based on their hairstyle, sexuality, interests or ethnicity. STDs can have various symptoms, but looks are not one of them. Sometimes STDs have no symptoms at all, so get tested if you are sexually active. Also, pay attention to your own body. If you do notice something different or suspicious, have it checked out. 3 B Show her you care… use a condom. Is her birthday today? Reach for a rubber every time beginning tonight. What about your eight-month anniversary tomorrow? Tell him you want to use condoms all the time starting tomorrow night. Condoms, when used properly, are effective at preventing pregnancy and many STDs including HIV. It is important to remember, though, that some STDs can be passed if the infected area is not covered by the condom. And although it is rare, it is possible to get HIV from giving a blow job. So to be 100% safe, use a condom. 4 B Everyone might be talking about it but not everyone is doing it. Roughly 50% of girls have never had sex and 45% of guys are holding out on gettin’ down. Get creative about ways to be sexy without having sex. Try kissing, masturbating, talking, heavy petting or mutual masturbation, soft touches and cool glances... anything that turns up the heat. 5 D We have a winnah… condoms can make sex better, whether it’s from the feeling of the condom itself or the peace of mind from knowing you’re protected. Styles like Rough Rider (a little extra ribbing) and Pleasure Plus (more room for the men to maneuver) add to the physical sensation, while the knowledge that condoms are effective in preventing pregnancy — and that they are the best method of protection against HIV aside from abstinence — puts the mind at ease, so you can be intimate instead of on edge. 7 Abstinence is… “Free… and my way of not worrying about getting pregnant or STDs.” – Jennifer, Detroit “Having a boyfriend or girlfriend and not having intercourse. Like, I kiss and touch my girl but we don’t have sex.” – Jose, Utica “I have always known that I will wait until I get married. That is just the way it is.” – Anne, Washington DC Virginity is… “A guy loses his virginity when he has sex with a woman.” – Angel, Miami Things are not seem. It may always what they t in is y having sex, bu feel like everybod t to, no e ung people decid . reality half of all yo ng iti abstinence or wa instead choosing ent er ff di ce and sex mean However, abstinen do t t people. Wha things to differen they mean to you? 8 Sex is… “Me, I’m a proud virgin. I’m waiting to have sex until I’ve met the right person and I know I’m ready.” – Tyrone, Los Angeles “If it says sex, it IS sex – anal sex, oral sex, vaginal sex, dry sex… (listing on his fingers) sex, sex, sex and sex.” – Lance, New York “My definition of sex has changed over time. I think the definition is a little hazy because for a while I still considered myself a virgin when I was only having sex with girls.” – Melissa, Chicago For more information on abstinence, sex, and virginity visit www.cfoc.org/teenguide or www.teenwire.org. 9 OK and not only is it an venturous, human ad plore. , ex ing to cit u ex yo is of ty e Sexuali an amazing sid be n ca it t bu y, e, ga n, thing to experienc al. If you are lesbia fe and to keep it re out” during ing om “c ), TQ The key is to be sa GB (L er or questioning nt topics for bisexual, transgend k out these importa ec Ch . ult fic dif ends. adolescence can be ng out and their fri those who are comi * rl Queer Guy… or Gi Global Eye on the uality or your sex ur able with yo You may be comfort the world to for dy rea u yo are t gender identity, bu nt to realize rta po im is it ng out, know? When comi se two the n ence betwee that there is a differ take d an dy rea are u things. Wait until yo whom e cid de to need whatever time you l. tel to you want lag.org erywhere” –www.pf “Gay people are ev out, decision to come When making the ny Ma . ne alo u are not remember that yo st and pa the in t ou me people have co that more will in the you better believe of a community; rt pa e u’r future. Yo includes ly, ful one that, hope and/or family. s nd frie ive ort pp su * 10 * * * * ss may be t. While the proce osure Digging into Discl g part of coming ou gin family: think en ur all yo ch h st wit k mo tal e sitting down to ily is likely to be the for fam be ur ir do yo to the h s wit for ng g re thi Talkin are two l help you prepa sitive thing. There milies and on on hand, this wil Fa ati ts, orm ren inf Pa scary, it can be a po ve the ha d on family members for telling them an dos and don’ts for about your reason ons. Check out the pti um ass d an ns questio G) website. s and Gays (PFLA Friends of Lesbian l the e e coming out will tel tentimes, someon One Step at a Tim Of others. . h ion wit cis wn de ” do g ng g to before sittin not an “all or nothi kin is tal t le ou ab el me lev ort co mf ort to co Deciding l the most and your own comf people who they fee u to build support yo lp he y ma one person or few tep s. y-s ers and friend l discussions step-b of your family memb Taking those initia me out to the rest co to e cid de u yo for if/when out sex certain emotions ab Circle of Friends ns or questioning, ily tra l, fam ua or ex nd bis n, frie ur bia y, straight, les support to help yo Whether you’re ga have all the nd and offer your to mi in ed s ne thi n’t ep do Ke u l. yo rsa mber and love are unive t coming out. Reme there. comfortable abou share and really be u yo at member feel more wh on s cu Fo . en list to ed ne answers, you just d find out tions answered an n to have your ques tio bsites to ali We Co g. cy .or ca uth vo nal Youth Ad or visit www.nyacyo 12 t. ex 2, 92 Contact the Natio 1-6 -54 ur area. Call 1-800 about services in yo w.glsen.org. w.pflag.org and ww ww e: lud inc t check ou 11 At the 20-year anniversary of the first known AIDS case, headlines like, “The Epidemic is Just Starting,” told the story that there still was much to be done. Here’s what those in the know say: Russell Simmons, (founder, Def Jam/Phat Farm): “Everyone needs to know their HIV status, especially those who are sexually active and/or involved in high-risk behavior. Knowledge is power in any situation, and young people need to know that HIV/AIDS can affect them too. Unfortunately, HIV/AIDS is just as much a part of the hip-hop community as rap, fashion and culture.” Photo by Henry Leutwyler Number of countries that broadcast the 2001 MTV Video Awards Average number of live viewers of the MTV Video Awards in 2001 T-Boz Watkins, (of the platinum selling female music group TLC): “AIDS is the no. 1 killer of African Americans. We have an obligation to ourselves and to our loved ones to be educated about this disease.” Nasir (NAS) Jones (legendary hip-hop artist): “Everybody’s affected by AIDS… I’m sure everybody’s been talking about raising some awareness about what this disease is doing to brothers in Africa. It’s not just Africa, but the whole world.” Number of people living with HIV as of 2001 12 Get Involved Flip to page 25 to find out what YOU can do to get involved. Courtesy of Columbia Records Viacom, considered one of the granddaddies of media companies around the world, joined with the Henry J. Kaiser Family Foundation, a force to be reckoned with in the field of health information and research, to create an unprecedented media campaign aimed at eradicating ignorance about HIV/AIDS. Heavyhitters like BET, MTV, UPN, CBS, Blockbuster and Paramount Pictures helped launch the global campaign to promote AIDS awareness. Visit www. KNOW HIV/AIDS.org for more information. 13 Ringfinger “I love having sex with my girl… and I enjoy sleeping with guys. No matter if it’s my girl or a guy, I use condoms all the time.” — Jayson, Brooklyn Pinky “I wanted to start using condoms after I heard about a friend who got HIV, but we didn’t use them before and I knew he’d ask why. So I told him about something I read on a website — it was talking about sexy ways to put on condoms. He got hard right there and we got it on — safely — after that.” — Amy, Atlanta easy as opening up your palm. Count It’s as off to say, “Don’t put me in ha five ways rm’s wa these y.” You have another hand… let’s use it. Here are 5 more tips for talking with your honey about sex: Middlefinger “Without that test he wasn’t getting any. We were on a break for a half a year and I know I was with someone else. I can’t begin to guess who he was with.” — Jin, Oakland Forefinger “Baby, I get in the mood when I’m relaxed. And you know what? I relax when I’m not worrying about pregnancy, or an STD, or HIV.” — Anthony, Buffalo • Even if your baby likes surprises, this is one thing you don’t want to spring on him or her at the last minute. Plan some down time for you two to really talk about safer sex and getting tested. • The relationship will change and so will your needs to get tested. Have the conversation once… and then have it again… and again… and again, if necessary. • Knowing the locations of your local testing center will make it that much easier for your partner to agree to get tested. Flip to the back of this magazine or log onto www.gettinbusy.org for your neighborhood test center. • You’ve decided that the time isn’t right for you and you want to hold off on having sex. How do you say that to your partner? Here’s one way: “I want to wait.” Here’s another: Thumb “No test… no sex.” — Cristina, Houston “I’m just starting to know you and I really respect what I know so far. I mean, for who you are, not just the way we make each other feel. I want to wait to have sex.” – Jasmine, Ft. Lauderdale 14 15 Keeping “Different strokes for different folks” accurately describes the dating scene these days. hook. the off that’s hook-up the for the flava fresh while staying safe is the trick when looking Single mom seeking Diapers and dating?!? Yes, the two can mesh. The key is not to rush in. Number-one on your list should be making sure you and your baby are settled. When you’re secure on that front, remember that there is no set time when it’s best to get back into the game. It’s all about knowing yourself and finding someone who treats you and your child right. Hooking up online 16 Internet dating and 800#s are blowing up. In a private chat room, you can find your next hook-up, explore your sexuality or seek support for coming out. Whatever the situation, be careful with how much you share, especially when you haven’t met yet. If you decide to do the face-to-face with LIVIN4LUVIN or NUN4NOW, remember that this is like your first date. Since in reality you might not know this person as well as you think you do, make sure you meet in a public place and if it leads to lovin’, always use protection. Whether you’re at a rave in Florida, clubbing in New York or flying high in the Midwest, know this: aside from all of the legal consequences that come with under age drinking and using illegal drugs, mixing drugs and/or alcohol with sex is far more explosive than the soda and pop rocks you blended as a kid. Mixes like crysta l meth with Viagra and drinks like Thug Passion can influence decisions about how far you go, and whether you practice safer sex, not to mention that they can seriously dama ge your health. To help you party safely, check this out: QuHow esareti on you getting home? QuAree yosutlooikinog n to hook up? ThIf e De aling, they someon e is driv out, always take ad l ThBeefore yoDuehea sho uldn . ’t be o!) drinking rls to u (gi condoms with yo the house, grab ve lea u yo re fo Be your keys, cash, — s itie ss the nece s. om cell and cond or high. You can all take turns and change up weekends to be the designated driver or save som e money to take a cab or the bus . QuReales tion ly, what could happen if I tweak once or toke twice? ThExpe e rimeDe al ntation is connected to and often expe cted QuD estion o you only pa rty on weeke nds? ThJuest becaD e a use you’l re not going se ven days a w out eek doesn’t mean you can’t ge t hooked or hurt. Drug and alcohol addi They can mes ctions are real. s up your ni ght, relationships and your futu your re. with being young. By the same toke connected to and often expected with n, dangers are taking drugs, no matter if we’re talkin g occasional use or more. Drugs can be laced with other chem icals or drugs, they can be habit-form ing and the price you pay can be very steep. It may include major health problems like liver, heart, and lung damage, issues with your skin and teeth, depression and serio usly unsafe sexual choices. If you or someone you know could be addicted you can find help by visit ing these websites: www.freevibe.com OR www.checkyo urself.com. 17 * * Dressing up when you’re going down. * * Know When to Use It or Lose It • Is the condom latex or polyurethane? If so, then carry on… • Polyurethane is good if you’re allergic to latex. • Don’t use lambskin condoms. They don’t protect against HIV or STDs. • Check the date. Has it expired? That would make it a no-go… • Has it kept its cool? Heat can dry out condoms; so don’t keep them in your pocket, wallet or near a heater. • Does it look sketchy? Check for tears from fingernails or teeth. • Does it fit? Condoms come in a variety of flavors, textures, colors and most importantly… sizes. Condoms can be either too small or too big. Find the size that’s right for you. Private Practice 18 If you’ve never used a condom, practice when you’re alone; girls can practice putting a condom on a banana or their fingers. • Put on the condom as soon as the penis gets hard. This means before any vaginal, anal or oral sex. • Make sure the condom is right side out. It should roll down easily. • Pinch the tip of the condom between your fingers, leaving space at the tip of the condom for the cum. • Roll the condom down as far as it will go (to the base of the penis near the balls). • Smooth out air bubbles. Air bubbles can lead to breakage and decrease sensation. • Withdraw before the penis gets soft. Hold the condom tight against the base of the penis — you don’t want it to slip off! Use a dry, flavored condom for oral sex to reduce your risk of HIV and other STDs. For oral-vaginal or oral-anal sex, you can use a dental dam. Don’t have a dam handy? Make your own by cutting open a condom or use plastic wrap and lay it flat over the vagina or anus. Only use a condom once — don’t reuse the condom. Use a condom every time no matter who you’re with. You get the idea one condom = one sexual act. No exceptions. The Treasure Chest Here’s the low down on lubes: they offer moisture for a dry condom — which brings you one step closer to through the roof — and they reduce the risk of a condom breaking. Unlike lubes, some steamy bedroom additions don’t work with condoms and will weaken them. The important thing is to know which are ok to use. Latex Enemy Latex Friendly (Don’t use with condoms) (OK to use with condoms) • Anything oil-based, like massage oil, edible oils, mineral oil, baby oil • Water-based lubes, like K-Y Jelly or Astroglide • Any lotions or Vaseline (petroleum jelly) • Ice (Remember, water is friendly; oil is your enemy.) • Peanut butter or chocolate sauce • Honey 19 * * Cómo ponerte el gorrito cuando vayas a divertirte allá abajo * * Como saber si debes usarlo o botarlo • ¿El condón es de látex o de poliuretano? Si lo es, entonces continúa... • El poliuretano está bien si eres alérgico al látex. • No utilices condones fabricados con piel de cordero. No te protegerán contra el VIH ni contra las enfermedades de transmisión sexual (ETS). • Verifica la fecha. Si esta vencido no lo uses… • ¿Ha sido mantenido en temperaturas frescas? Los ambientes cálidos y el calor pueden secar los condones; por lo tanto, no los guardes en el bolsillo ni en la billetera, ni los pongas cerca del calefactor. • ¿Te parece que está dañado? Asegúrate de que no tenga rotos que le hayas hecho con las uñas o los dientes. • ¿Te queda bien? Los condones se fabrican de varios sabores, consistencias, colores y lo que es más importante... tamaños. Los condones pueden quedarte demasiado pequeños o demasiado grandes. Busca la talla que te quede bien. Practica en privado Si nunca has usado condones, practica cuando estés solo; las mujeres pueden practicar colocándole un condón a una banana o en los dedos. • Colócate el condón tan pronto se te endurezca el pene. Esto quiere decir antes de que tengas cualquier tipo de relación vaginal, anal u oral. • Asegúrate de que el condón tenga los bordes por fuera. Debería poder deslizarse sin dificultad. • Agarra con los dedos la punta del condón, dejando suficiente espacio en la punta para el semen. • Desenrolla el condón hacia abajo hasta donde puedas (hasta la base del pene, cerca a los testículos). • Alisa las burbujas de aire. Las burbujas de aire pueden causar roturas y disminuirte la sensación. • Retírate antes de que el pene se te ablande. Sujeta firmemente el condón en la base del pene — ¡no vas a querer que se te salga! 20 Utiliza un condón seco o con sabor durante el sexo oral para reducir el riesgo de contraer el VIH u otras ETS. Para el sexo oral, sea vaginal o anal, puedes utilizar una represa dental. ¿No tienes una represa a mano? Hazla tú mismo cortando un condón o usando papel de plástico para envolver y extiéndelo sobre la vagina o el ano. Usa el condón una sola vez — no lo vuelvas a usar. Usa condones cada vez que tengas sexo, no importa con quién sea. Ya entiendes lo que te quiero decir... un condón = un acto sexual. Sin excepciones. Productos Personales Esto es lo que tienes que saber sobre los lubricantes: humedecen al condón cuando está reseco — lo que te acerca un poco más al punto de exitación máxima — y reducen el riesgo de que el condón se te rompa. A diferencia de los lubricantes, algunas cositas eróticas de que usas en la habitación no funcionan con los condones y los volverá menos eficaces. Lo importante es saber cuál es aceptable. Los enemigos del látex No le hacen daño el látex (no los uses con los condones) (sí los puedes usar con los condones) • Cualquier cosa a base de aceite, como aceites para masajes, aceites comestibles, aceite mineral, aceite para bebés • Lubricantes a base de agua, como el K-Y o el Astroglide. • Cualquier tipo de loción o vaselina • Hielo. Recuerda lo que es tu enemigo, pero el agua es tu amigo. • Mantequilla de maní o salsa de chocolate • Miel 21 Question: What can a condom combat that The Patch won’t prevent? Answer: STDs and HIV. The difference between contraception and prevention is important to keep in mind when choosing birth control. Barrier Methods offer contraception and STD protection: OK to fly solo 22 For example: The Male Condom — latex or polyurethane The Female Condom What’s sweet: Protects against the transmission of STDs and HIV Effective at preventing pregnancy Don’t have to go to a doctor to get it What’s weak: Forget to bring condoms and you have to hold off on having sex Pregnancy Protection but still Risk of Infection: The diaphragm and cervical cap prevent pregnancy but do not protect against HIV. Both are inserted into the vagina before sex. What Doesn't Work: NONE of the following “methods” are considered effective as birth control or for preventing HIV or STDs. • Pulling out • Jumping up and down • Spermicides alone • Peeing after sex • Douching • Thinking your partner looks clean • Having sex during your period • Loving your partner Contraception: Requires a co-pilot (Use with a condom to protect yourself) Did we Mention Emergency Contraception (EC)? For example: The pill The shot (given monthly or every 3 months at a doctor’s office) The patch (worn on your skin and changed every week) The ring (you insert into your vagina and change it every 3 weeks) • Take within 3 days of unprotected sex to reduce your risk of an unwanted pregnancy. What’s sweet: These hormonal methods are very effective at preventing pregnancy What’s weak: Do not protect against STDs or HIV Costly Gotta have regular check-ups with the doctor You have to take them even when not having sex • This is NOT to be used as a regular method of birth control and is not considered a method of abortion. • Available at neighborhood clinics nationwide. Call 888-NOT-2-LATE for a location near you. 23 It’s FREE r town in the back of al youth clinic, look up you testing. To find your loc IDS or Spanish HIV 2-A -34 free r 00 offe [1-8 e ics tlin clin Many neighborhood CDC National AIDS Ho the call or rg, sy.o nbu w.getti the magazine, log onto ww 1-800-344-7432]. Knowing your HIV status gives you power. If you learn that you’re HIV-positive, there are treatments you can take and support services available to you. The earlier it’s caught the better. If you’re negative, finding out can be a relief. As an added bonus, you will learn about how to stay negative. Get tested with your partner so you’ll both know wassup. It’s Painless Basic steps to get tested: ACTS two ways to test for HIV Don’t sweat it. Check out blem. Scared of blood? pro od. a t blo No ut s? abo dle out nee of Afraid those who bug le for the needle-shy or antibodies that are availab s. r mouth for 2 minute wand that you leave in you • Oral test: sponge on a can e sample. days. In some cases you • Urine test: tests a urin t, will yield results in 2–7 tes od blo nal itio trad ples, like the • The oral and urine sam back to pick up results. ne and in others you go get results over the pho It’s Easy s). That’s right, no (approximately 20 minute r results while you wait you r results during get you you out lets t find tes you id n New in 2004, the rap a drop of blood and the get to k stic er fing a will use coming back. The tester the same visit. 24 But most importantly… IT’S POWER Ask to get tested. Check out how to keep you and your partner safe. Take the time to pick up your results. No return visit; no results. Step up and re-test, if your tester recommends it. Two things to keep in mind Two things to keep in mind when testing for HIV. 1: Young people can get HIV tests on their own. You don’t need your parent’s permission… but it is always great if they are involved. 2: With all methods of HIV testing, it is important to know that your privacy is protected. Parents, friends, school, work… none of them have to know about your busines s, whatever the result might read. Talk to your tester if you have more questions about confidentiality or the test. 25 Es Gratis nes de tu zona busca el a localizar la clínica de jóve pruebas del VIH gratis. Par cen directa de CDC National a ofre líne ad la a unid a com llam o tu Muchas clínicas en visita www.gettinbusy.org, sta, revi la de s atra de te par nombre de tu cuidad en la ). español al 1-800-344-7432 AIDS (1-800-342-AIDS o en No Duele rmate acerca gre? No te preocupes. Info a. ¿Le tienes miedo a la san ven sangre. blem ndo pro cua n hay uea No ? friq nes se ccio do a las inyecciones o que ¿Le tienes miedo a las inye mie en tien le que as son a aquellas per minutos. de estas dos pruebas par pones en la boca por 2 onja en una varita que te esp una e) Sur Ora da ma • Prueba bucal: (lla muestra de orín. en 2 a da Calypte) analiza una tradicional, se obtendrán • Prueba de orina: (llama que el examen de sangre l rlos. igua al oge a, rec a orin ar de y res al reg estras buc fono y en otros tienes que telé por • Los resultados de las mu dos ulta res los puedes obtener 7 días. En algunos casos Es Fácil s (aproximadamente en ultados mientras espera res los r ene obt e a de sangre mit per eba rápida te dedo para sacarte una got Estrenada en 2004, la pru enfermera te pinchará un La ar. res reg que es tien a. 20 minutos). Así es, no rso de la misma consult resultados en el transcu y vas a enterarte de los 26 Pero lo que es más importante… Te Da Poder Cuando sabes tu condición con respecto al VIH obtienes poder. Si te enteras de que eres seropositivo, existen tratamientos y servicios de apoyo parati. Entre más temprano lo detectes, pues mucho mejor. Si resulta que no tienes el VIH, enterarte puede ser un alivio. Y como ventaja adicional, aprenderás a continuar siendo negativo al VIH. Hazte la prueba con tu pareja para que ambos sepan mantenerse negativo. Pasos fundamentales para hacerte la prueba Pide que te hagan la prueba Toma las cosas con calma durante el “período de espera” Dedícale un tiempo a recoger los resultados. Si no regresa s, no tendrás los resultados. Asegúrate y repite la prueba, si así te lo recomienda la enfermera. Dos cosas que debes recordar Dos cosas que debes recordar cuando te hagas la prueba del VIH. 1: Los jóvenes pueden hacerse ellos mismos la prueba del VIH. No necesitas permiso de tus padres… pero siempre es mucho mejor si ellos participan. 2: Es importante saber que tu privacidad siempre estará protegida, no importa cuál sea el método que se utilice para hacerte la prueba. Los padres, la escuela, el colegio , el trabajo… nadie tiene que enterarse de tus asuntos, cualquiera que sea el resultado. Habla con la enfermera si tienes más preguntas sobre la confidencialidad o sobre la prueba. 27 Whether it’s putting down rhymes or picking up the latest beats, it’s important to find ways to make like Mary J. and strive for “no more drama, no more pain.” Do you kick back to relax? Or, does running, jumping and riding sound more like one fine day to you? Here are some suggestions for takin’ it easy: For some people, a negative HIV test result is a wake-up call and a chance to get things right… “I got tested after I had sex with my boyfriend and we didn’t use a condom… whatever, it’s a story. But, the results from my second test just came back negative, so I’m pretty sure that I’m ok. I’m lucky and I know that. During the time when I was stressing out about the result, I realized that I don’t want to be sitting back, just relying on luck to make sure I don’t get anything. I’m going to use a condom when I have sex and I’m going to be active about preventing HIV.” – Kevin, Denver For others, life goes on, but is changed forever… “I cried when I found out — I did. It was a combination of being scared and being mad at myself because I knew that I could have prevented it. So I cried and then the counselor — she was so supportive — totally comforted me. In a weird way I almost was glad that she’s the one who told me. It felt OK to talk about it with someone who didn’t know me before but sees this all the time and could take my hand and walk me through what I do next — because I couldn’t even think straight. When I went to my doctor, I found out that I couldn’t wait to start treatment, so after I got over the initial shock I began taking my pills. Five pills a day. So now, here I am. I’m LIVING with HIV.” — Tricia, Philly 28 Whether your HIV test results are positive or negative, the important thing to remember is that you’re not alone. Support groups and individual counseling can get you the help you need. Your testing and treatment site can refer you to a counselor, if you need one. Additional resources can be found at the end of this magazine or at www.AdolescentAIDS.org. * * * * * * * * * * * * Music Playing video games Riding a bike Poetry Shopping Talking with a friend Laughing Dancing Writing Movies Playing Ball Running For some people, minimizing stress and anxiety can be done by eating healthy and taking better care of their bodies. If you struggle with your weight, you’re not alone. Use these tips to avoid feeling badly from eating badly: • Skipping meals deprives your body of much-needed energy and can slow down your metabolism. Pass on pressing C4 at the vending machine for the candy bar and hit A1 for the baked potato chips instead. • Exercise — even 15 minutes a day — can do your body good. Think you don’t have that kind of time to spare? Try this: Instead of taking the bus a few blocks to your friend’s place, lace up your new kicks and hike it. • Love the skin you’re in! Focus on your music, poetry, school, relationships, whatever it takes to help you realize that being healthy is important, but there’s more to you than an obsession with weight. Sometimes professional help is the best way to work through the pressure or depression that a lot of people feel. For more information on what to do if you or a friend is seeking help, go to http://www.findtreatment.samsha.gov/facility locatordoc.htm. 29 I just found out I am HIV positive. What do I do? Who do I tell? – Jeff, Cleveland Jeff, your number one priority should be to seek care with a doctor or program you trust. Your doctor will help you get the treatment you need and can connect you with service providers, such as counselors, who will support you and talk with you about your concerns and emotions. This may help as you prepare to tell your family, friends, any sex partners, and other people in your life. Medically, the first thing will be talking to your doctor or nurse practitioner about your health. You will get a physical exam and blood tests, to show how HIV has affected your health. The two main tests look at T-cells, which measure your body's immune system, and viral load, which measures the amount of HIV in your blood. These tests will help you and your doctor decide if you should start taking medicines or if you are healthy enough to wait. Either way, you will need to get regular checkups. These days, there are new HIV medicines which are strong and easier to take. However, like almost every medicine they can have side effects. This can take a while to adjust to, so be patient and take care. Donna Futterman, MD, takes care of teens with HIV at the Adolescent AIDS/Risk Evaluation Program at Children’s Hospital at Montefiore in the Bronx, NY. If you have a question for the next issue, send it to her at Adolescent AIDS Program, 111 East 210th Street, Bronx, NY 10467 or [email protected]. 30 I think my girlfriend is cheating on me, but my friends keep telling me she’s whipped and would never be with another guy. How can I get the truth? — William, New Orleans First, ask yourself if this is jealousy or are there clear signs of cheating? The best way to get the truth is to ask her. You might not like what you hear, but it’s more important to know the truth so you can get on with your life. Next, protect yourself emotionally and physically. If you are intimate with your girlfriend, always — without any exceptions — wear a condom. The biggest heartbreak would be to find out that she’s cheating on you and she’s passing along an STD. Even if your girlfriend is being faithful, there’s no guarantee that everyone else you’ve both been with in the past was STD-free. What about a vaccine for HIV? Is there one available? – Corey, Springfield Doctors have learned a lot about HIV since it was discovered, but many believe that a safe and effective AIDS vaccine is still many years away. HIV is a complex virus that the body’s immune system is unable to fight off completely. Unlike other infections, like chicken pox, where you recover and become immune, this does not happen with HIV. There is now a lot of research going on to find a vaccine. Got Trials? The Adolescent Trials Network (ATN) conducts research to find better treatment, preventive vaccines for HIV and develops programs to keep youth safe and uninfected. The ATN program called Connect to Protect partners with youth, community organizations and leaders to learn the best ways to connect youth with prevention and care. Visit www.atnonline.org, www.adolescentaids.org or www.pedhivaids.org. 31 * If you think you’re not at risk for HIV, the virus that causes AIDS, think again. Here’s a snapshot of infection rates: For me the pain was subtle. It was when he talked, saying that I was lucky to be going with someone like him; someone older. It was the way he told me that I should be happy to be sleeping with him — with or without a condom. He has good qualities too, don’t get me wrong. I mean, I didn’t have black eyes or bruises. Nah — it wasn’t like that. But you asked why I left. All that noise got to be too much. My girlfriend kept saying it was verbal abuse. That was when I walked away. Peace. — Shanté, Newark When asked “Why did your last relationship end?” Find out more about dating violence: www.teenrelationships.org or call 1-800- SAFEYOUTH. 32 U.S. in the y eople ever ung p IV o y H o Tw with fected are in every day. f o r u ho HIV Each year 40,000 new U.S. Half of infections occur in the ages of 13–24. them are between the One q u posit arter of p iv e The w e still do ople who no ar ay to know t know th e HIV e is to get te ir status. sted. 33 All Around The World • Six in 60 seconds: Count to 60. Six people ages 18–25 around the world were just infected with HIV in addition to the 42 million people who are already infected. • AIDS orphans 1 child every 14 seconds. Some experts fear that by 2010 there will be 40 million children orphaned by AIDS. • About 1 million infants are born every year with HIV. In the developed world the transmission of HIV from mother to child has been virtually eliminated with medications that are not yet available in other countries. * On December 1, 2003, Beyoncé and Oprah (no last names needed) appeared in Africa to raise global awareness of HIV/AIDS. These two women witnessed the effects of HIV/AIDS in countries hit hard by the epidemic; countries where many are infected and do not share the same access to treatment known in the U.S. However, the disease is entirely preventable and activists are not giving up hope. Check out these programs, targeting relief in the most heavily-hit sections of the world and learn about how you can take action. loveLife As many as 50% of young people in South Africa could become infected with HIV. This is a higher rate than anywhere else in the world. Lovelife is a youth centered program teaching young people how to prevent HIV and motivating them to take control. Check out for yourself what teens in South Africa have to say about preventing and living with HIV. www.lovelife.org.za M2M2B: Mothers to Mothers-to-Be M2M2B helps to keep moms and their children healthy by connecting newly diagnosed HIV positive pregnant women with other mothers who are HIV-positive in Cape Town, South Africa. www.m2m2b.org Kicoshep A program based in Nairobi, Kenya, in one of the country’s poorest and most affected neighborhoods. Kicoshep focuses on neighborhood initiatives, like uniting a community to build a youth center and a school for orphans. www.kicoshep.org Nelson Mandela, the first president of a free, post-apartheid South Africa, a Nobel Prize winner and world renowned activist, is committed to fighting HIV worldwide. Get involved! Find out how you can do more globally at www.pandemicfacingaids.org and www.UNAIDS.org and in your own neighborhood at www.idealist.org and www.volunteermatch.org. 34 Painting by Blanchar 35 Find a Test Site, Find More Information National Resources Adolescent AIDS Program 718-882-0232 www.AdolescentAIDS.org www.GettinBusy.org AIDS Alliance for Children, Youth and Families 888-917-AIDS www.aids-alliance.org Adolescent Trials Network www.atnonline.org LIFEbeat, the music industry fights AIDS 800-AIDS-411 www.lifebeat.org Advocates for Youth 202-419-3420 www.advocatesforyouth.org 36 CDC National AIDS Hotline 800-342-2437 (English) 800-344-7432 (Spanish) 800-243-7889 (TTY) www.hivtest.org ▲ = Connect to Protect Site National Association of People with AIDS Ryan White Youth Conference 202-898-0414 www.napwa.org National Minority AIDS Council 202-483-6622 www.nmac.org see page 31 States Alabama Birmingham Adolescent Health Center 205-939-9400 California Los Angeles National Network for Youth 202-783-7949 www.nn4youth.org Risk Reduction Program, Children’s Hospital Los Angeles ▲ 888-25-YOUTH National Pediatric and Family HIV Resource Center 800-362-0071 www.pedhivaids.org Los Angeles Get Tested! Hotline: 800-758-0880 National Youth Advocacy Coalition (for LGBTQ youth) 800-541-6922 www.nyacyouth.org USC Portals into Care 323-226-5068 Planned Parenthood 800-230-PLAN www.teenwire.org Family Care Network 510-428-3178 California Youth Crisis Hotline 800-426-4263 Oakland San Francisco Jacksonville Illinois Massachusetts Larkin Street Youth Center 415-673-0911 Rainbow Center for Women, Adolescents, Children and Families 904-244-2120 Chicago, IL Boston Adolescent Medicine at the CORE Center ▲ 312-572-4742 The Boston HAPPENS Program ▲ 617-355-8127 UCSF Connect to Protect Bay Area ▲ 415-476-9622 Miami AIDS Health Project 415-502-TEST U. M. Adolescent Trials Unit ▲ 305-243-3442 Connecticut Hartford CYFAN Program 888-294-2722 District of Columbia Latino Health Institute 617-350-6900 ACTS, Gettin’ Busy Miami 877-HIV-TEEN New Orleans Statewide Tampa Drop-In Center 504-948-6701 AIDS Action Line 800-235-2331 N.O. Adolescent Trials Unit ▲ 504-988-6887 Michigan Maryland Horizon’s Project 313-745-4213 C2P Tampa Bay ▲ 813-259-8800 YES, Gettin’ Busy Tampa Bay 866-3-TEST-YES Metro TeenAIDS 202-543-9355 DC Get Tested! Hotline 202-HIV-TEST Atlanta San Diego Ft. Lauderdale UCSD Youth HIV Program ▲ 619-405-4680 The POWER Youth Project ▲ 954-728-1080 Justice Resource Institute 617-457-8140 Louisiana Children’s National Medical Center Adolecent Clinic ▲ 202-884-5389 Florida Howard Brown Health Center 773-388-1600 Georgia Adolescent Clinic, Children’s Hospital 404-616-4640 Baltimore STAR TRACK at the University of Maryland ▲ 410-706-6000 Statewide MD State Department AIDS Administration 410-767-5227 Detroit Missouri St. Louis Project ARK 314-535-7275 New Jersey Newark STOP/START Program 800-375-9482 37 Published by the Adolescent AIDS Program Children’s Hospital at Montefiore Medical Center 111 East 210th Street, Bronx, NY 10467 (718) 882-0232 www.AdolescentAIDS.org New York For a testing site in New York City, call 718-881-TEST New York State, call 800-962-5065 Bronx Mt. Sinai Adolescent Health Center ▲ 212-423-2971 Project Stay, NY Presbyterian Hospital 166th ST 212-342-3201 Yonkers/Westchester/Putnam/ Rockland Iniciativa Comunitaria 787-250-8629 Edited by Donna Futterman, MD, Adolescent AIDS Program and Susan Wolfson, SENSEI Masterful Health Communications Teen HEAT Clinic, Westchester Medical Center 914-493-1360 Latin American Center for STD 787-754-8118 Written by Sara Satinsky and Sarah Oetgen, SENSEI Health and Melissa Laurie, Adolescent AIDS Program Tennessee Designed by Adam Selbst, SENSEI Health Memphis Thanks to partners LIFEbeat and AIDS Alliance for Children, Youth and Families. Special thanks to The Royal S. Marks Foundation, Fund for the City of New York for funding support. Ohio Adolescent AIDS/REP Program, Children’s Hospital at Montefiore ▲ 718-882-0023 Albany Cleveland CHEER 518-463-6824 MetroHealth Medical Center 216-778-2222 Bronx AIDS Services 718-295-5605 YES 888-510-FACT Pennsylvania Brooklyn Buffalo Project HEAT 718-467-4446 PACT Program 716-878-7908 Manhattan Rochester GMHC 800-AIDS-NYC Threshold, University of Rochester Medical Center 585-454-7530 Hetrick Martin Institute for Gay and Lesbian Youth 212-674-2600 38 Philadelphia The Children’s Hospital of Philadelphia Adolescent HIV Initiatives ▲ 215-590-1154 The Attic Youth Center 215-545-4331 Community AIDS Hotline 800-985-AIDS Friends For Life 901-278-2437 Texas Dallas Youth Angle 214-521-5191 Harlingen Valley AIDS Council 800-840-3629 Houston Syracuse Puerto Rico Houston Regional HIV/AIDS Resource Group 713-526-1016 Syracuse Community Health Center, Teen Program 315-234-TEEN San Juan Washington CONCRA Youth Initiative 787-753-9443 Seattle Proyecto GAMMA ▲ 787-759-9595 Orion Center 206-622-5555 LOCAL INFORMATION HERE Adolescent AIDS Program