Thursday, December 2, 2010
'Don't Ask, Don't Tell' Is Bad Health Policy
via Medical News, by Michael Smith
The military "don't ask, don't tell" policy for gay, lesbian, and bisexual service members is not only a constitutional and legal issue -- it also has serious health implications, an epidemiologist claims.
The policy often means that sexually transmitted infections go undiagnosed and service members and their partners are untreated, Kenneth Katz, MD, of San Diego State University, wrote in a Perspective piece published online by the New England Journal of Medicine.
And messages aimed at preventing HIV and other sexually transmitted diseases -- and tailored for gay, lesbian, and bisexual service members -- are not transmitted, Katz argued.
"In very real ways," Katz wrote, the policy threatens the health of service members as well as the community at large, and may even have an impact on the ability of the service as a whole to respond to combat missions.
Katz cited the case of a gay serviceman who came to his municipal STD clinic in San Diego County complaining of rectal pain and discharge. The diagnosis was rectal gonorrhea, which was treated according to CDC guidelines with an intramuscular injection of 125 mg of ceftriaxone (Rocephin) along with one gram of oral azithromycin (Zithromax) for empirical treatment of chlamydia.
But, Katz noted, the man had had ready access -- for free -- to military clinics.
He said he chose the municipal clinic because he would have felt uncomfortable discussing his sexual behavior with a military doctor.
Katz reported that, in 2002, nearly one in 10 clients of a gay men's health clinic in San Diego were sailors on active duty, which is consistent with his own experience.
But there are an estimated 66,000 gays, lesbians, and bisexuals in the military, or about 2.2% of the total, he noted. "How many of them have no access to nonmilitary medical care?" Katz wrote. "How many simply don't seek it?"
Read the rest.
select key words
2007 National HIV Prevention Conference 2009 National LGBTI Health Summit 2011 LGBTI Health Summit 2012 Gay Men's Health Summit 2012 International AIDS Conference abstinence only ACT Up activism advocacy Africa african-american aging issues AIDS AIDS Foundation of Chicago anal cancer anal carcinoma anal health anal sex andrew's anus athlete ball scene bareback porn barebacking bathhouses bears big bold and beautiful Bisexual Bisexual Health Summit bisexuality black gay men black msm blood ban blood donor body image bottom Brian Mustanski BUTT Center on Halsted Charles Stephens Chicago Chicago Black Gay Men's Caucus Chicago Task Force on LGBT Substance Use and Abuse Chris Bartlett chubby chaser circumcision civil rights civil union Coaching with Jake communication community organizing condoms Congress crystal meth dating dating and mating with alan irgang David Halperin David Munar depression disclosure discrimination domestic violence don't ask don't tell douche downlow Dr. James Holsinger Dr. Jesus Ramirez-Valles Dr. Rafael Diaz Dr. Ron Stall drag queen Ed Negron emotional health ENDA Eric Rofes exercise Feast of Fun Feel the love... female condom fitness Friday is for Faeries FTM gay culture gay identity gay latino gay male sex gay marriage gay men gay men of color gay men's health Gay Men's Health Summit 2010 gay pride gay rights gay rugby gay sex gay youth gender harm reduction hate crime HCV health care health care reform health insurance hepatitis C HIV HIV care HIV drugs HIV negative HIV positive HIV prevention HIV stigma HIV strategic plan HIV testing hiv vaccine HIV/AIDS homophobia homosexuality hottie hotties how are you healthy? Howard Brown Health Center HPV human rights humor hunk Illinois IML immigration International AIDS Conference international mr. leather internet intimacy IRMA Jim Pickett leather community leathersex Leon Liberman LGBT LGBT adoption LGBT culture LGBT health LGBT rights LGBT seniors LGBT youth LGBTI community LGBTI culture LGBTI health LGBTI rights LGBTI spirituality LGV LifeLube LifeLube forum LifeLube poll LifeLube subscription lifelube survey Lorenzo Herrera y Lozano love lube lubricant Lymphogranuloma Venereum masturbation mental health microbicides middle Monday Morning Perk-Up MRSA MSM music National AIDS Strategy National Gay Men's Health Summit negotiated safety nutrition One Fey's Tale oral sex Peter Pointers physical health Pistol Pete pleasure PnP podcast policy politics poppers porn post-exposure prophylaxis PrEP President Barack Obama Presidential Campaign prevention Project CRYSP prostate prostate cancer public health public sex venues queer identity racism Radical Faerie recovery rectal microbicides relationships religion research safe sex semen Senator Barack Obama sero-adaptation sero-sorting seroguessing sex sexual abuse sexual addiction sexual health sexual orientation Sister Glo Sisters of Perpetual Indulgence smoking social marketing spirituality STD stigma stonewall riots substance abuse treatment substance use suicide super-bug superinfection Susan Kingston Swiss declaration syphilis Ted Kerr Test Positive Aware Network testicle self-examination testicular cancer testing The "Work-In" The 2009 Gay Men's Health Agenda Tony Valenzuela top Trans and Intersex Association trans group blog Trans Gynecology Access Program transgender transgender day of remembrance transgendered transmen transphobia transsexual Trevor Hoppe universal health care unsafe sex vaccines video violence viral load Who's That Queer Woof Wednesday writers yoga You Tube youtube