Though the numbers are not available for chez nous yet, it's plausible that Quebec will see a similar rise. Egging HIV along is the emergence of crystal meth amongst the circuit party scene, surging condom fatigue resulting in "barebacking" (anal sex without protection) and a marginal group of people known as "bug chasers" who willingly seek out infected partners for the purpose of infecting themselves. Conversely there are "gift givers," those who willingly share the virus with uninfected partners.
Séro Zéro development and communications agent Kathy Tremblay says, "In Montreal we can't say that we have a crisis [with crystal meth]... But that doesn't mean that we won't."
The dangers stem from the hardcore hypersexual effects of crystal meth, which when coupled with intensely lowered inhibitions can lead men to have sex with multiple partners for hours longer and with less discomfort, and give little thought to protection. Though crystal is being blamed for new infections amongst the community, as HIV is becoming less stigmatized due to a whole host of promising new treatment
"From what we know, barebacking is something that is there in Montreal as well," says Tremblay, "but it's in a minority of the gay population. And this idea of people trying to get HIV, it's still a minority of this minority."
The obvious question remains: Why would people willingly infect themselves with HIV or be so blasé about the virus that they are indifferent when it comes to protection? One theory, says Tremblay, is that some people think, "It's going to be done [anyway], so I don't have to worry about it any more."
According to Palm Springs PhD and psychologist J.M. Evosevich, who administers a staff of 150 health care workers, "Psychologically, some of it has to do with low self-esteem, some of it is self-loathing behaviour and being sex addicted... the sex is more important than the consequences."
"With gay men in particular, a lot of [sex] is about soothing themselves, the anxiety around who they are, what they are." The psychology behind bug chasing is complicated, but Evosevich cites the desire to belong to a group as a factor, since "a lot of people rally around HIV and so it has a lot of social networking and support, projects and organizations." What also comes into play is attention-seeking behaviour and a desire for the intimacy that condoms interrupt. "They want to have that flow [of bodily fluids] happening because it makes them feel connected somehow."
Perpetuating the culture of AIDS apathy are those in the under-30 crowd who were not old enough to remember the trauma of the epidemic that rocked the gay community in the '80s, says AIDS sufferer and activist Louis-Michel Taillefer, who is communications director for the Farha Foundation. "It's the younger ones who have this very kind of off idea about HIV and AIDS because they think since there is medication, you take one or three pills a day and you're fine for the rest of your life, which is very far from the truth."
His own life is proof of this. "The biggest thing is that I have to remember to take 17 pills a day." For as much as Taillefer insists that "there are no advantages to getting HIV," he is still aware that people seek out the disease. He knows as many as five different people who have approached an HIV-positive friend of his here in Montreal for the purposes of infecting themselves.
Taillefer argues that being bombarded by pharmaceutical ads that depict life as almost "too normal" with HIV confuses the issue. "Some advocacy groups have begun telling the different pharmaceutical companies to stop making ads with these beautiful, sculpted male models for HIV drugs." Taillefer insists that, more than anything, people need to be informed and educated about HIV transmission, but sadly Quebec's education system is not on board.
Staggering results came from the Public Health Agency of Canada 2003 report entitled "The Canadian Youth, Sexual Health and HIV/AIDS Study (CYSHHAS)," which compared the attitudes of youth towards HIV/AIDS in 1989 to those in 2002. "Two-thirds of grade 7 students and half of grade 9 students do not know that there is no cure for HIV/AIDS. Students in 2002 generally exhibited lower levels of sexual knowledge than those who participated in the 1989 CYAS [study]." Sex education for the most part has been formally cut out of the curriculum in Quebec as of this school year, and its teaching is up to the discretion of the individual schools and their employees.
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