Note: statistics were what the referenced pages stated when first referenced, but the CDC revises them, and recent CDC reports also tend to focus more on race and ethnicity than among behavior as a class, while treating the infected as victims as if not being the result of volitional choices to engage in known risky behaviors. Thus, I may sometimes reference archived versions. If a linked page no longer provides sourced material, try it in https://web.archive.org). Also, a back up folder of most images is here. Finally, as this long work is a piecemeal compilation, and listing of data is not all chronological, and distinctions btwn categories must be made, then please forgive any redundancy, disorganization, or seeming minor discrepancies resulting in this.
In 2021, male-to-male sexual contact accounted for 67% (24,107) of all [not just men] new HIV diagnoses in the United States and dependent areas. In the same year, heterosexual contact accounted for 22% (8,059) of all HIV diagnoses. (https://www.cdc.gov/hiv/basics/statistics.html)
(https://www.cdc.gov/hiv/images/basics/statistics/2023/new-hiv-diagnoses-in-the-us-and-dependent-areas-by-transmission-category-2021.png?_=27625)
In 2020, male-to-male sexual contact accounted for 68% of all new HIV diagnoses in the United States and dependent areas. In the same year, heterosexual contact accounted for 22% of all HIV diagnoses.
(https://www.cdc.gov/hiv/images/library/reports/hiv-surveillance/vol-32/cdc-hiv-surveillance-vol32-fig30-1000x856.png?_=05943) (https://www.cdc.gov/hiv/images/group/gender/men/2020/cdc-hiv-men-diagnoses-bar-graph-700x318.png?_=96703)
https://web.archive.org/web/20190807143141im_/https://www.cdc.gov/hiv/images/group/age/youth/Piecharts-03-large.png)
Although only approximately 7%
of adult and adolescent males reported having had male-to-male sexual
contact at some point in their lives, 82%
of HIV infections among [all classes of] males in 2018 were attributed to male-to-male
sexual contact. (CDC: Estimated HIV Incidence and Prevalence in the United States, 2015–2019 P. 7)
https://www.cdc.gov/hiv/images/group/age/youth/cdc-hiv-youth-sex-700x698.png
Similarly, male-to-male sex accounted for more than three-fourths (78 percent) of new HIV infections among men and nearly two-thirds (63 percent) of all new infections in 2010.
(https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/todaysepidemic-508.pdf)
And in 2014:
(https://supremecourt.flcourts.gov/content/download/242689/file/Debaun%2013-2336(2).pdf)
And in 2016, "Gay and bisexual men continue to be most affected by the HIV epidemic in the U.S. At current rates, 1 in 6 MSM will be diagnosed with HIV in their lifetime, including 1 in 2 black MSM, 1 in 4 Latino MSM, and 1 in 11 white MSM." (https://www.hiv.gov/blog/half-of-black-gay-men-and-a-quarter-of-latino-gay-men-projected-to-be-diagnosed-within-their-lifetime/)
In 2019, gay, bisexual, and other men who reported male-to-male sexual contact accounted for 86% of estimated infections among all men. (https://www.cdc.gov/hiv/statistics/overview/in-us/incidence.html)
As well as 80% of all new HIV cases (not just among men) in 2020:
https://www.cdc.gov/hiv/images/library/reports/hiv-surveillance/vol-33/infographics/cdc-hiv-diagnoses-by-gender-infographic-1920x1080.png
In 2019, 70% of all new HIV infections in the U.S. were among homosexual men, and 63% of all people in the US with HIV were homosexual men. (https://www.cdc.gov/nchhstp/newsroom/fact-sheets/hiv/HIV-gay-bisexual-men.html)
https://www.cdc.gov/hiv/images/library/reports/hiv-surveillance/vol-33/Graphics-03.png?_=75165
https://www.cdc.gov/hiv/images/statistics/overview/in-us/HIV-in-the-US_2022-49-large.png?_=61599
(https://www.cdc.gov/nchhstp/newsroom/fact-sheets/hiv/HIV-gay-bisexual-men.html)
"New HIV infections declined 8% from 37,800 in 2015 to 34,800 in 2019, after a period of general stability.
In 2020, 30,635 people received an HIV diagnosis in the U.S. and 6 dependent areas—a 17% decrease from the prior year, likely due to the impact of the COVID-19 pandemic on HIV prevention, testing, and care-related services." (https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics/)
Overall there were 36.801 new HIV diagnoses in the United States and Dependent Areas in 2019 among both men and women, with 23% being among heterosexuals:
(https://files.hiv.gov/s3fs-public/2023-10/hiv-incidence-cdc-large.jpg)
MSM accounted for 70% (22,400) of the 32,100 estimated new HIV infections in 2021 and 86% of estimated infections among all males.d In 2021, as compared to 2017, the annual number of HIV infections among MSM decreased 13.5% overall.
People who acquired HIV through heterosexual contact accounted for 22% (7,100) of the 32,100 estimated new HIV infections in 2021. Men reporting heterosexual contact accounted for 6% (2,000) of estimated new HIV infections, while women reporting heterosexual contact accounted for 16% (5,100) of estimated new HIV infections. In 2021, as compared to 2017, the annual number of HIV infections among people who acquired HIV through heterosexual contact decreased 12%.
People who inject drugs accounted for 8% (2,500) of the 32,100 estimated new HIV infections in 2021. Men who inject drugs accounted for 4% (1,400) of estimated new HIV infections, while women who inject drugs accounted for 3% (1,100) of estimated new HIV infections. In 2021, as compared to 2017, the annual number of HIV infections among people who inject drugs increased 4%.
By age group, people aged 13 to 34 accounted for 58% (18,700) of the estimated 32,100 new HIV infections in 2021. In 2021, as compared with 2017, the annual number of HIV infections among persons aged 13 to 34 decreased 18%. According to CDC, no change was detected in persons aged 25–34, 35–44, 45–54, and ≥55 years.
By race/ethnicity, in 2021 Black/African American individuals accounted for 40% (13,000) of the estimated 32,100 new HIV infections,
Hispanic/Latino individuals accounted for 29% (9,300) of new HIV infections, and White individuals accounted for 26% (8,200) of new HIV infections.
In 2021, the highest rates of new HIV infections were among Black/African American persons (37.3),
Hispanic/Latino persons (18.9), and persons of multiple races (17.0).
According to CDC, in 2021, Black/African American persons made up approximately 12% of the population of the United States but accounted for 40% of new HIV infections.
White persons made up 61% of the population of the United States but accounted for 26% of new HIV infections, and Hispanic/Latino persons made up 18% of the population of the United States but accounted for 29% of HIV infections.
By sex at birth, in 2021, people assigned male at birth accounted for 81% (25,900) of the estimated 32,100 new HIV infections, while people assigned female at birth accounted for 24% (6,200) of new HIV infections. According to CDC, the annual number of new HIV infections in 2021, as compared to 2017, decreased among people assigned male at birth but remained stable among people assigned female at birth. In 2021, the rate for people assigned male at birth (18.8) was 4 times the rate for people assigned female at birth (4.4).
Women (people assigned female sex at birth) accounted for 18% (6,666) of the 36,136 new HIV diagnoses in 2021.
Black/African American females accounted for 54% of new HIV diagnoses among people assigned female sex at birth.
White females aged ≥ 13 years accounted for 23% of diagnoses among people assigned female sex at birth.
Hispanic/Latino females aged ≥ 13 years accounted for 18% of diagnoses among people assigned female sex at birth.
At year-end 2021, an estimated 1.2 million people in the United States
[0.4% out of 330 million, versus 0.07% of persons diagnosed with lung cancer, up to 90% of which is caused by smoking, and which is rightly penalized] aged 13 and older had HIV in the U.S., the most recent year for which this information is available.
(https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics/)
Yet less than half of people in the US have even been tested for HIV. (https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/hiv-testing-us-508.pdf)
And about 13% (153,500) of people with HIV in the U.S. don’t know it and so need testing.
Homosexual and bisexual males have accounted for 2 out of every HIV 3 diagnoses in the United States, and which has been a historical trend even when this class only represented approximately
4% of the male population).
For the receptive sodomite the estimated average chance of
contracting HIV can range from 1.38% - about one transmission
occurring for every 71 exposures, male or female - (https://www.medicalnewstoday.com/articles/chances-of-getting-hiv) to
over 20% - equivalent to 1 transmission per 5 exposures via
unprotected sex with an HIV-positive person who has acute HIV infection.. (https://stanfordhealthcare.org/medical-conditions/sexual-and-reproductive-health/hiv-aids/causes/risk-of-exposure.html)
In 2016 the rate of people living with HIV per 100,000 population was 368, with the death rate being 6. Male-to-male
sexual contact made up 82.4% of HIV infections among males in 2017,
while heterosexual contact made up 85.7% of HIV infections among
females. The rate of Black males living with an HIV diagnosis is 5.6
times that of White males. The rate of Black females living with an HIV
diagnosis is 17.6 times that of White females. The rate of
Hispanic/Latino males living with an HIV diagnosis is 2.5 times that of
White males. The rate of Hispanic/Latina females living with an HIV
diagnosis is 4.2 times that of White females. (https://aidsvu.org/local-data/united-states)
The South has the highest number of people living with HIV, but if population size is taken into account, the Northeast has the highest rate of people living with HIV.
"Cumulative deaths in US through 2002 -- 501,669" due to or with HIV/AIDS. (https://www.factlv.org/timeline.htm)
"Since the beginning of the epidemic, nearly 675,000 people with AIDS in the United States have died, and even today, nearly 13,000 people with AIDS in the United States die each year." (https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/todaysepidemic-508.pdf)
In 2017, 16,358 people with HIV died. (https://www.cdc.gov/nchhstp/newsroom/2020/hiv-related-death-rate-press-release.html)
In 2019 HIV.gov stated (using data from 2017) that "
More than 700,000 American lives have been lost to HIV since 1981." And while these deaths may be related to many causes, yet in death there is the immediate cause, like a heart attack, and then there are the comorbidity causes, such as obesity (and the NIH
stated in 1999,“The estimated number of annual deaths attributable to obesity among US adults is approximately 280,000”), without which the former would likely not occur prematurely.
In 2020, there were 18,489 deaths among adults and adolescents with diagnosed HIV in the US and dependent areas. (https://www.cdc.gov/hiv/statistics/overview/index.html)
In 2021, there were 19,986 deaths among adults and adolescents with diagnosed HIV in the United States and 6 dependent areas. (https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics/)
"About 13% (153,500) of people with HIV in the U.S. don't know it and so need testing." (https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics/)
Ignoring deaths among the undiagnosed, including the early years of the epidemic, and using the rounded number of the figures above (13,000, 16,000, 18,000, and 20,000 = 67,000) of deaths due to, or with HIV/AIDS per year, then this averages out to 16,750 per year x 5 = 83,750.
And when added to the 700,000 figure of deaths due to AIDS which has been cited since at least 2017 and onward without updating (a, b, c, d, e, f, g) then this would mean that as of 2023, the total deaths of Americans that have died so far due to or with HIV/AIDS is close to 800,000. (784,000, rounded)
For while the US death rate of those with HIV had fallen by nearly half from 2010 to 2017, (https://www.cdc.gov/nchhstp/newsroom/2020/hiv-related-death-rate.html) and continues a decline, and with more persons being virally suppressed, yet it remains that the predominate means of HIV transmission is that of male with male sexual relations, (https://www.cdc.gov/hiv/basics/statistics.html) despite decades of attempting to tame them into being "safe."
In 2019, gay and bisexual men (men who have sexual
relations with other men: (MSM)
accounted for 69% (25,552) of the 36,801 new HIV diagnoses and 86% of diagnoses among males in the United States and
6 dependent areas (https://www.cdc.gov/hiv/statistics/overview/ataglance.html, accessed
Mon, 09/20/21
(Fig. 6).
In 2019 in the United States and 6 dependent areas, diagnoses of HIV infection for adolescents and young adults attributed to MMSC (approximately 83%, including 3% MMSC and IDU) and those attributed to heterosexual contact (13%) accounted for approximately 97% of diagnoses in the United States.
Asian female adults and adolescents had the largest percentage (93%) of diagnoses of HIV infection attributed to heterosexual contact, followed by Black/African American (91%), and Hispanic/Latino (87%) female adults and adolescents. In 2019, Black/African American children made up approximately 14% of the population of children but accounted for 57% of diagnoses of HIV infection among children. (https://www.cdc.gov/hiv/library/reports/hiv-surveillance/vol-32/content/special-focus-profiles.html)
In 2019, among all
Black/African American persons, males accounted for 76% of HIV
infections, most of which (82%) were attributed to male-to-male
sexual contact. (https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-supplemental-report-vol-26-1.pdf P. 6)
Although only approximately 7% of adult and adolescent males reported having had male-to-male sexual contact at some point in their lives [9], 81% of HIV infections among males in 2019 were attributed to male-to-male sexual contact (Table 1). (ibid P. 7)
Most (78%) persons living with HIV were male; among those, 75% of infections were attributed to male-to-male sexual contact. The largest percentages of persons with undiagnosed infection were among males with infection attributed to heterosexual contact (16.6%) and among males with infection attributed to male-to-male sexual contact (15.2%) (Table 7).
The percentages of persons living with diagnosed HIV infection in 2019, compared with 2015, increased among males with HIV infection attributed to male-to-male sexual contact and females with infection attributed to heterosexual contact, but remained stable among all other transmission categories (Table 8)
(ibid P. 8)
In 2005, 28.7% of HIV-negative men reported sex without a condom, rising to 32.8% in 2008, 34.7% in 2011 and 40.5% in 2014. The overall trend was similar for HIV-positive men: in 2005, 34.2% reported sex without a condom, rising to 37.3% in 2008, 39.8% in 2011 and 44.5% in 2014. (https://www.aidsmap.com/news/may-2016/american-gay-mens-use-condoms-has-been-falling-decade-regardless-serosorting-or-prep)
Meanwhile, Worldwide, 77.3 million people have contracted HIV and 35.4 million have died of AIDS-related illnesses since the beginning of the pandemic in 1981 (https://health.usnews.com/conditions/hiv-aids/articles/hiv-statistics)
In Africa, although it has often been cited as showing HIV being mainly due to heterosexual relations, HIV/AIDS stats in Africa have a troubled history, (https://abrahamson.medill.northwestern.edu/WWW/IALJS/Malan_AidsInAfrica_RollingStone_22Nov2001.pdf, while a 2019 scholarly study reported that,
"The results of the present study reveal the following: HIV prevalence is significantly higher in the populations of men who have sex with men than in men in the general population and, more specifically, in men in sub-Saharan Africa.
In the 2015 UNAIDS (Joint United Nations Program on HIV/AIDS) report, studies in sub-Saharan Africa found prevalence rates of HIV infection ranging from 6 to 37%
among MSM
As the observed prevalence rate of HIV in the general population was between 0.1 and 19%, the prevalence rate among men who have sex with men (MSM) was often 13 to 17 times higher."
"In 2015, according to the progress reports on the global AIDS (Acquired Immune Deficiency Syndrome) response, the highest prevalence rates of HIV infection among MSM were as follows: 19% in central and western Africa; 15% in southern and eastern Africa; 12% in Latin America; 11% in the Asia-Pacific region; and 8% in central and western Europe and North America."
(https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/s12889-019-8000-x.pdf)
As regards STD's and other conditions, as well as as well as suicides in the US among MSM and lesbians and "transgendered" persons:
Overall, the practice pf sodomy has (historically) resulted in a greatly increased incidence of other infectious diseases and effects besides HIV, from Meningitis to premature death. Which diseases includes Chlamydia, Gonorrhea, Hepatitis A and B, HPV, Syphilis, HIV to Meningitis and body dysmorphia and eating disorders and recently Monkey pox. Gay, bisexual, and other men who have sex with men have accounted for 83% of primary and secondary syphilis cases where sex of sex partner was known in the United States. Gay, bisexual, and other men who have sex with men have been found to be 17 times more likely to get anal cancer than heterosexual men. (https://www.cdc.gov/mmwr/volumes/71/wr/mm7138a1.htm)
Vanderbilt University Medical Center states: Men who have sex with men and gay men are at increased risk for certain types of chronic diseases, cancers, and mental health problems… #1: HIV/AIDS. #2: Anal Papilloma #3: Hepatitis #4: Substance Use #5: Depression and Anxiety #6: Sexually Transmitted Diseases (STDs) #7: Prostate, Testicular, and Colon Cancer #8: Alcohol #9: Tobacco #10: Body image problems and obesity. (https://www.vumc.org/lgbtq/key-health-concerns-msm-men-who-have-sex-men)
Anal cancer is particularly one of the diseases that is far more prevalent among MSM than other population groups, being diagnosed in about 2 people out of every 100,000 people in the general population. In contrast, it is estimated that MSMs that are not infected with HIV are 20 times more likely to be diagnosed with anal cancer. HPV is present in approximately 65% of HIV negative MSMs and 95% of MSMs who are HIV positive. Anal cancer is caused by the same strains of HPV (Human Papillomavirus) that cause cervical cancer in women. (https://cancer-network.org/cancer-information/gay-men-and-cancer/anal-cancer-hiv-and-gaybisexual-men)
Related to this is that,
The risk of becoming infected with HIV during condomless anal sex is 10 to 20 times greater than condomless vaginal sex. Because the rectal lining is only one-cell thick, the virus can more easily reach immune cells to infect. (https://www.mtnstopshiv.org/news/rectal-microbicides-fact-sheet)
Also, multiple studies [2017] have found a rise in unprotected sex among men who have sex with men. (https://europepmc.org/article/med/32332483)
Also reported, "People living with HIV in Canada had eight times the risk of Alzheimer’s disease and other non-AIDS-related dementia as their HIV-negative counterparts, and they were diagnosed 12.5 years earlier [which in part may be due to more medical attention], according to an analysis published in BMJ Open.
They also had higher rates of several other age-related chronic conditions....Antiretroviral treatment has been associated with kidney damage and cardiovascular disease, and viral hepatitis and alcohol use—both common among HIV-positive people—can cause liver disease." (https://www.poz.com/article/people-hiv-diagnosed-dementia-13-years-earlier)
Even when their disease is well controlled, people with HIV can develop aging-related conditions such as cardiovascular disease, certain cancers, kidney and liver disease, osteoporosis, and cognitive impairment decades ahead of their HIV-negative counterparts, and
their life expectancy is significantly reduced.)
And a new study shows evidence that "HIV-positive people are at an increased risk of age-related diseases such as some cancers, frailty, osteoporosis, kidney disease, and neurocognitive disease. Researchers think that it is the HIV itself that accelerates the aging process by 14 years, rather than medications used to treat it." (https://www.hivplusmag.com/treatment/2015/03/25/study-people-hiv-age-14-years-faster)
Moreover, while (2020) one "life expectancy study has shown that HIV-positive people who start antiretroviral therapy (ART) promptly and have good access to medical care live as long as their HIV-negative peers," yet "the researchers found that HIV-positive people were living with additional health problems for many of those years – on average, they had major co-morbidities 16 years earlier than HIV-negative people." (https://web.archive.org/web/20220625103005/https://www.aidsmap.com/news/mar-2020/yes-same-life-expectancy-hiv-negative-people-far-fewer-years-good-health)
A 2021 study of comparison of dementia incidence and prevalence between individuals (90% male) after age 50 with and without HIV infection in primary care from 2000 to 2016 found that HIV was associated with an 80% increase in dementia diagnosis overall compared with HIV-negative people. (https://www.poz.com/article/even-modern-era-people-hiv-increased-risk-dementia; https://journals.lww.com/aidsonline/Abstract/2022/03010/Comparison_of_dementia_incidence_and_prevalence.13.aspx
In the 2015 U.S. Transgender Survey, 82% of respondents ever considered and 40% ever attempted suicide; 48% of respondents considered and 7% attempted suicide during the past year (https://www.cdc.gov/mmwr/volumes/73/su/su7301a7.htm).
In a Danish study of "6,657,456 Danish-born individuals who were at least 15 years old and lived in Denmark from January 1980 through December 2021," in which "3,759 (52.5% assigned male at birth) were identified as transgender at a median age of 22," "there were 92 suicide attempts, 12 suicides, and 245 suicide-unrelated deaths among this group." "Among over 6.6 million individuals, standardized suicide attempt rates per 100,000 person-years were 498 for those who were transgender compared with 71 per 100,000 person-years for those who were not transgender."
"Transgender individuals also had higher rates of mortality not related to suicide (aIRR 1.9, 95% CI 1.6-2.2) and higher rates of all-cause mortality (aIRR 2.0, 95% CI 1.7-2.4) compared with non-transgender individuals." (https://www.medpagetoday.com/)
The NHBS-Trans conducted by CDC during June 2019–February 2020 which included 1,608 transgender women in seven urban areas in the United States found that "Among transgender women in the sample (N = 1,608), many were aged <40 years (59.5%), were Hispanic or Latina (Hispanic) (40.0%) or Black or African American (Black) (35.4%), lived at or below the Federal poverty level (62.7%), were ever incarcerated (58.1%; 17.2% during the past 12 months), and had experienced homelessness during the past 12 months (41.6%)"
"Most were currently taking gender-affirming hormonal therapy (71.5%) and wanted gender-affirming surgery but had not received procedures (52.2%); 41.0% tested positive for HIV. During the past 12 months, 59.7% experienced certain forms of violence and harassment: 53.4% reported gender-based verbal abuse or harassment, 26.6% reported gender-based physical abuse or harassment, 15.3% reported being physically abused or harassed by an intimate partner, and 14.8% reported sexual violence (not mutually exclusive). Among all participants, 75.2% reported high social support from significant others, 69.4% from friends, and 46.8% from family." (https://www.cdc.gov/mmwr/volumes/73/su/su7301a7.htm)
"Transgender women [worldwide] are 49 times more likely to have HIV than other adults of reproductive age." (https://www.who.int/hiv/topics/transgender/en/)
Transgender women have a higher risk of venous thromboembolism, stroke and meningioma compared to cisgender men and cisgender women. Compared to cisgender men, transgender women have a higher risk of breast cancer and transgender women > 50 years old have a higher risk of fractures.
(https://pubmed.ncbi.nlm.nih.gov/32757514/)
Negative health results from treatment and surgery in transgendering itself are reported from research:
In addition, LGBTQ and transgender persons medically serious attempts at suicide are 4 times more likely among LGBTQ youth than other young people. (https://save.org/about-suicide/suicide-facts/)
LGBQ young people are more than twice as likely to feel suicidal, and over four times as likely to attempt suicide, compared to heterosexual youth (Kann 2016)
In a 2016-2017 survey from the Human Rights Campaign Foundation, 28 percent of LGBTQ youth — including 40 percent of transgender youth — said they felt depressed most or all of the time during the previous 30 days, compared to only 12 percent of non-LGBTQ youth (HRC Foundation 2017: https://suicidepreventionlifeline.org/wp-content/uploads/2017/07/LGBTQ_MentalHealth_OnePager.pdf)
A large study also found that of 10,270 transgender patients identified, approximately 58% of transgender patients had at least one DSM-5 diagnosis compared with 13.6% of cisgender patients, indicating transgenders had about 4.5 times higher rate of psychiatric illness than straight persons. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830528/)
Psychiatric disorders were more prevalent among homosexually active people compared with heterosexually active people. Homosexual men had a higher 12-month prevalence of mood disorders and anxiety disorders than heterosexual men. Homosexual women had a higher 12-month prevalence of substance use disorders than heterosexual women. (https://jamanetwork.com/journals/jamapsychiatry/fullarticle/481699)
The suicide attempt rate among transgender persons ranges from 32% to 50% across surveyed countries. Fifty percent of transgender persons in Australia have attempted suicide at least once in their lives.[12] In England, 48% of the transgender young people had attempted suicide at least once in their lives.[13] The prevalence of suicide remains high among transgender persons irrespective of disclosing their transgender status to others and undergoing sex reassignment surgery.[8] (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178031)
"41% of trans adults said they had attempted suicide, in one study. The same study found that 61% of trans people who were victims of physical assault had attempted suicide." (https://save.org/about-suicide/suicide-facts/)
(Note that compassion toward such is to be shown, while the high suicide rate among LGBTQ persons is blamed on societal rejection, yet in the West it is actually those who oppose homosexual relations that face the most widespread persecution, and minorities such as evangelical Christians face great persecution worldwide without being suicidal.)
Based upon a review of 40 studies that involved a total of roughly 185,000 adults with HIV or AIDS (PLWHA -- People Living With HIV/AIDS), "suicide risk is 100 times higher among such patients," and with "person attempting suicide for every two who think about it. And among every 13 who do attempt it, one ends up losing their life." (https://www.usnews.com/news/health-news/articles/2021-07-06/people-with-hiv-have-much-higher-risk-for-suicide)
In 2017 almost 35% of high school students who identified as transgender reported attempting suicide in the last 12 months (versus 9.% of straights), and almost 44% considered attempting it. Transgender students were much more likely to have ever had engaged in sexual relations than were cisgender (straight) females (43.1% versus 33.2%), and with more persons, while almost 15% reported their first act was before age 13 years vs. 1.5% for straights.
Approximately 41% of transgender people attempt suicide at least once in their lives compared to the rate of 5% in the general population. [122] https://www.cambridge.org/core/journals/european-psychiatry/article/risk-factors-for-suicide-in-the-transgender-community/3AE67FF7615DDB5452A9672F9DF11714 March 2020
Almost 23% of transgender students reported they had experienced sexual dating violence, with approx. 26% reporting it has being physical. In addition, 70% reported lifetime alcohol, use, Ecstasy 31.6% cocaine 27.2%, heroin 26.1%, methamphetamines 24.9%, and prescription opioid misuse 35.9% respectively. https://www.cdc.gov/mmwr/volumes/68/wr/mm6803a3.htm?s_cid=mm6803a3_w&_ga=2.187304552.190159804.1675607478-738421497.1675607478
Also relevant, disputed (https://www.insidehighered.com/news/2023/03/20/journal-places-warning-flawed-abuse-homosexuality-study) research by Jessica Jones Steed and Donald I. Templer reported in 2010 that a study by Tomeo, Tem- pler, Anderson, and Kotler [1] found that,
56% of gay men in contrast to 7% of heterosexual men, and 22% of lesbian women in contrast to 1% of heterosexual women, had reported homosexual molestation. Previous research also reported a history of molestation in gay men and lesbians [2-6]. The Tomeo et al. [1] research went beyond the previous research in that they used specific criteria of molestation by requesting the gender and age of the perpetrator and by the determination of both current sexual preference and that before the molestation. They found that 32% of gay men and 38% of the lesbians reported they were not homosexual before the homosexual molestation.
Steed and Templer went further, engaging in a study consisting of 280 non-clinical adults from gay, lesbian, and bisexual organizations in Central California, in which 49.6% of males reported being gay and 50.4% reported being bisexual.
Of both gay/bisexual men and lesbian/bisexual women, females reported 57.3% being lesbians and 42.7% being bisexual. It found that 42 (30.7%) of the 137 males, 59 (41.3%) of the 143 females, and 101 (36.1%) of the total number of participants reported experiencing childhood/adolescent molestation. A high rate of molestation of homosexual persons has also been reported by other authors [2-4, 11, 12]
Of the male participants who reported homosexual molestation, 80.0% of the perpetrators were said to be homosexual, 4% heterosexual, and 16% of unknown orientation. Of the female participants who reported homosexual molestation, 94.4% of the perpetrators were said to be homosexual, none heterosexual, and 5.6% of unknown orientation.
Seventeen (67.4%) of the participants who were homosexually molested, in contrast to 26 (45.6%) of those who were heterosexually molested, said the molestation had an impact on their sexual orientation. (https://openpsychologyjournal.com/contents/volumes/V3/TOPSYJ-3-36/TOPSYJ-3-36.pdf)
According to a different study in the November 2009 issue of the International Journal of Child Abuse & Neglect, about 20 percent of men who have sex with men are sexually abused as children, a rate similar to that found among heterosexual women. The difference is that 80 percent of gay and bisexual men, compared to 20 percent of heterosexual women, who are sexually abused report experiencing "severe" abuse, often involving violence. Both men and women who are abused as children tend to engage in what researchers define as "high-risk" behavior as adults, which includes unprotected sexual encounters. (https://today.oregonstate.edu/archives/2008/dec/high-rates-childhood-sexual-abuse-contributing-factor-spread-hiv)
Also as regards violence,
https://www.cdc.gov/std/statistics/2021/syndemic-infographic-2023.pdf)
The United States is expected to spend more than $26 billion annually on HIV. (https://www.healthline.com/health/hiv-aids/facts-statistics-infographic)
(cdc-hiv-wad-2022-hiv-affects-everyone-medium4678.png)
The CDC estimates indicate about 20 percent of the U.S. population – approximately one in five people in the U.S. – had an STI on any given day in 2018, and STIs acquired that year will cost the American healthcare system nearly $16 billion in healthcare costs alone. (https://www.cdc.gov/std/statistics/prevalence-2020-at-a-glance.htm)
"STIs and their
complications amount to about $16 billion annually in direct medical
costs. HIV imposes the largest financial burden, costing $12.6
billion in direct medical costs, followed by HPV at $1.7 billion,
chlamydia at $156.7 million, gonorrhea at $162.1 million, and
syphilis at $39.9 million." (https://cdn.americanprogress.org/wp-content/uploads/2014/10/STI-brief.pdf)
And based upon a lifetime from 2015 to 2020 (study published in 4-21) then NIH research stated:
"We estimated an average lifetime HIV-related medical cost for a person
with HIV of $420,285 (2019 US$) discounted (3%) and $1,079,999
undiscounted for a median 3-year diagnosis delay and 3% base dropout
rate. Our discounted cost estimate was $490,045 in our most favorable
scenario and $326,411 in our least favorable scenario."
And as reported Mar 27, 2023,
Medicaid is the largest source of insurance coverage for people with HIV in the United States, covering an estimated 40% of the nonelderly adults with HIV, compared to just 15% of the nonelderly adult population overall...Medicaid accounted for 45% of all federal HIV spending in FY221 and it is the largest source of public spending for HIV care in the U.S. In FY22, the federal government spent an estimated $13 billion on Medicaid services for people with HIV...Medicaid enrollment among people with HIV has grown over time (https://www.kff.org/hivaids/issue-brief/medicaid-and-people-with-hiv/)
Before the Affordable Care Act, most individuals living with HIV were ineligible for Medicaid unless they had very low incomes, or were deemed permanently disabled due to an AIDS diagnosis. Starting in 2014, under the Affordable Care Act, states can receive federal Medicaid payments to provide coverage for the lowest income adults in their states, without regard to disability, parental status, or most other categorical limitations. (https://www.medicaid.gov/about-us/program-history/medicaid-50th-anniversary/entry/47641)
Costs associated with engaging in sodomy also can include those for pre-exposure prophylaxis (PrEP) [which was] at more than $1,700 for 30 tablets (https://mosaicscience.com/story/hiv-prep-truvada-prevention-sti-std-lgbtqi-gay-condom-pride/).
The cost for PrEP medication was about 2,000 a month, and which "Most
health insurance plans, including Medicaid, cover."
(https://www.plannedparenthood.org/learn/stds-hiv-safer-sex/hiv-aids/prep)
Under the Affordable Care Act, PrEP must be free under almost all health insurance plans. (https://www.cdc.gov/hiv/basics/prep/paying-for-prep/index.html) The rule says insurers must not charge copays, coinsurance or deductible payments for the quarterly clinic visits and lab tests required to maintain a PrEP prescription. (https://www.nbcnews.com/nbc-out/out-health-and-wellness/prep-hiv-prevention-pill-must-now-totally-free-almost-insurance-plans-rcna1470)
For any Medicaid insured HIV-negative adult 18 years of age or older
patients, lab testing and prescription medication costs are 100%
covered. (https://www.louisianahealthhub.org/teleprep/)
In 2017, around 61,300 people were actively taking PrEP.
(https://www.avert.org/professionals/hiv-around-world/western-central-europe-north-america/usa) with the rate of PrEP users per 100,000 population in 2018 being 68. (https://aidsvu.org/local-data/united-states)
A few states have their own drug assistance programs that cover out-of-pocket expenses for PrEP. Some will also cover the costs of doctor visits and lab tests. Requirements to qualify for these programs differ by state. (https://www.talktomira.com/post/how-much-is-prep-how-to-get-it-for-free-truvana-descovy)
"Despite biomedical advances in human immunodeficiency virus (HIV) prevention with antiretroviral pre‐exposure prophylaxis (PrEP), the burden of HIV among men who have sex with men (MSM) remains high [1]. MSM are a high‐priority risk group for PrEP use based on their behavioral and biological risk factors [2, 3]."
[Between 2017 and 2019] "of 3508 sexually active, HIV‐negative MSM, 34% met indications [condition that leads to the recommendation] for PrEP. The proportion with current PrEP use was 32% among MSM meeting indications and 11% among those without indications."
"PrEP is a key part of HIV strategy globally. In the United States, PrEP is available through multiple mechanisms including national and state health insurance programs covering health care costs for those with low income, private insurance plans, programs for those without health insurance and copay assistance from the drug manufacturer or US states [5, 6]." (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8488229/#:~:text=Results,11%25%20among%20those%20without%20indications)
The
Ready, Set, PrEP program makes PrEP medication available at no cost for qualifying recipients who lack prescription drug coverage, and are tested for HIV with a negative result, and have a prescription for PrEP.
(https://www.getyourprep.com/)
EDIT: "the federal government has announced that almost all health insurers must cover the HIV prevention pill, known as PrEP, or pre-exposure prophylaxis, with no cost sharing — including for the drug itself and, crucially, for clinic visits and lab tests...This means...Truvada or Descovy, the two approved forms of PrEP, should now be totally free for almost all insured individuals....when taken daily, the tablet reduces men’s risk of contracting the virus from sex with other men by more than 99 percent...PrEP use remains largely limited to white gay and bisexual men... (https://www.nbcnews.com/nbc-out/out-health-and-wellness/prep-hiv-prevention-pill-must-now-totally-free-almost-insurance-plans-rcna1470)
A one-month supply of Truvada or Descovy costs around
$2,000. Add in $15,000 a year for the lab tests and doctor visits you'll
need to get your prescription. Generic versions of PrEP pills are
available and less expensive. They cost about $60 a month. The Affordable Care Act requires most private insurance plans to cover the full cost of PrEP medications, plus lab tests and clinic visits, although not all of them do. PrEP is also covered under Medicare, Medicaid, and the Veterans Administration (VA).Apretude is $3,700 per shot, or more than $22,000 a year. There is no generic form of the injection.(https://www.webmd.com/hiv-aids/prep-choose-medication)
All of the above raises raises private insurance rates and or taxes for all who pay them.
Based on 2022 inflation-adjusted dollars, the US government spent $314 million potentially related to TDF-FTC for PrEP development, including $143 million directly linked to development and clinical testing. (https://www.ajmc.com/view/us-government-spent-far-more-on-costly-hiv-prep-development-than-previously-thought)
Such
are just part of the financial and societal costs that affect every
one to varying degrees due to man disobeying God's program, in which
sexual union is only between male and female in marriage. And which
provides the stable safe environment for trust and intimacy and for
children which are to result, versus fornication as well as artificial
contraceptives.
However, not only is the practice of sexual sin promoted, but war is
waged against all who do not agree with such, which includes the
tactical, indiscriminate psychological use of the term “homophobic”
as part of the overall strategy to misrepresent any all who
object to homosexuality and its homoeroticism as being motivated by
an irrational fear, and as hate-mongering KKK types.
Which was the
strategy and psychological tactics advocated by Harvard-trained
graduates Marshall Kirk (1957–2005) and Hunter Madsen (pen name
Erastes Pill) in their book “After the Ball.”
The
idea that one can be caring, charitable, and friendly toward
practicing homosexuals while peaceably opposing homosexuality and
its relations, is not to be allowed by those who demand we affirm
this.
In addition,
since the practice of homosexual relations is unnatural, it
usually requires greater attempts at rationalizing away the guilt
that sin normally should result in, and many even engage in
strenuous attempts to insist all must affirm it.
Which
effects mean rejection of the Lord Jesus, leaving the sinner with no
forgiveness and more repressed guilt, or worse, a seared conscience
that will not repent and which finally may no longer be able to.
Which state is to be avoided at all costs.
For beyond the financial and societal costs is the spiritual cost, of separation from God now and eternal damnation
later due to impenitent sin. For which only repentance and committed
faith in the risen Lord Jesus is the solution, Christ the Son of
God was sent by God the Father to be the savior of the world. And who
therefore gave Himself for our sins on the cross of His death, paying
the price for our forgiveness with His sinless shed blood. Thanks be to
God.
For God made man and women distinctively different yet uniquely compatible and complementary, and only joined them together in marriage - as the Lord Jesus Himself specified (Mt. 19:4-6; cf. Gn. 2:24) - and only condemned homosexual relations wherever they are manifestly dealt with.
Yet there is still room at the cross for all who will come to God in repentance and faith, and trust in the Divine Son of God sent by the Father, the risen Lord Jesus, to save them on His account, by His sinless shed blood, and thus be baptized and live for Him. Acts 10:36-47
Thanks and glory be to God, who made everything good, but which we have misused, thus requiring salvation which God provided for, at His own cost. For we are all (including me) sinners in nature and by choice, but those who are of true faith in the risen Lord Jesus seek to follow Him, and repent from sin when the realize they are practicing such.