In the near future, Zaldivar says, his LA-based group is following up with smaller group discussions and will host more Zoom roundtables in the fall. Lopez adds that needle exchanges and other syringe services, which have proved to be effective HIV prevention methods among injection drug users, are not as helpful in the context of this meth problem because of two reasons: Meth users are educated about clean needles, and their HIV risk arises from sexual activity. Oscar Lopez, the CEO of Poderosos, speaks during the Texas webinar YouTube/Achieving Together What’s more, many Latinos don’t have access to PrEP and HIV treatment, especially those who live in rural areas. No matter how effective the meds are, they’re useless if not taken. That’s because meth use impedes adherence and disrupts the user’s concept of time. But as Cathy Reback, PhD, of Friends Research Institute pointed out in one of the webinars, although PrEP and U=U have helped lower transmission among meth users, these biomedical interventions are not a silver bullet. PrEP is a daily tablet that keeps HIV-negative people from contracting the virus U=U refers to the fact that people with HIV who take meds and maintain an undetectable viral load cannot transmit the virus during condomless sex. We also have powerful prevention tools: PrEP (pre-exposure prophylaxis) and U=U (Undetectable Equals Untransmittable). Much has changed since then-the advent of social media, hookup sites, access to porn-and a new generation needs to be educated. HIV advocates first raised the alarm about meth nearly two decades ago. Guilmar Perdomo, a community organizer with The Wall Las Memorias Project, says he has heard similar stories in community focus groups, with one person describing meth as “the dark side of the rainbow.” These stories, he says, show how important it is to talk about crystal meth. Posters can be personalized and downloaded in English and Spanish at. “It offers a kind of intimacy,” he tells POZ, “and the sex is like a porno come to life in your room.” When it comes to sex, Lopez says, meth removes inhibitions, allowing Latino men to enjoy the gay sex that their machismo-focused culture forbids. For example, they can forget about the discrimination, homelessness, poverty, anxiety, isolation and loneliness that often affect them and can be worsened by COVID-19 shutdowns and an anti-immigrant political climate. What’s more, Lopez explains, meth can offer a needed escape for Latino MSM. What’s the link between meth, HIV and Latino MSM? In short, as the presenters in both discussions made clear, meth use often increases activities more likely to transmit HIV, such as sex with multiple partners and condomless anal sex.
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That webinar was spearheaded by the HIV collaborative Achieving Together along with advocate Oscar Lopez, who is located in the Rio Grande Valley along the Mexico border and is the CEO and founder of Poderosos, a newly launched HIV and Latino advocacy and capacity-building organization. Similar topics arose in the Texas-based webinar “Where There’s Smoke There’s Fire: The Impact of Meth on HIV & Latinx Gay & Bi Men & MSM.” (You can view the in-depth two-hour presentation on YouTube and below.)
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