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[–]MarkTwainiac 11 insightful - 1 fun11 insightful - 0 fun12 insightful - 1 fun -  (4 children)

Yes, I know. I remember the 80s very well. The point I was trying to make is that the current HIV rates can't be attributed to TIMs doing sex work alone or even primarily, as some on this & other forums keep saying. Black TIMs in the US today, especially in the South & from the South, are at high risk because they engage in a variety of risky behaviors that intertwine. On top of that, they're loathe to get tested, & if/when they do find they are "poz," they are often non-compliant with treatment regimens & lax about taking precautions not to infect others. The usual excuse given is that they can't afford health care, & that the health care system will misgender & mistreat them. But in fact, a great many opportunities have been created to help them get tested & treated, & to get them PrEP as well. Moreover, the new delusion that "transwomen are women" seems to be adding to the resistance... But the upshot is, as you say, like with drugs, booze & gambling, there's always a certain percentage of people who will carry on heedless regardless of what outreach, education & free health care are made available to them.

[–]pacmanla 5 insightful - 1 fun5 insightful - 0 fun6 insightful - 1 fun -  (2 children)

Are there many black TIMs in the south? I would guess they're higher in liberal coastal cities (particularly California). Only place I could guess is Atlanta? As a black male, with family in the south, most black trans identified men I meet are in Liberal enclaves not the south.

[–]JulienMayfair 6 insightful - 1 fun6 insightful - 0 fun7 insightful - 1 fun -  (0 children)

Are there many black TIMs in the south?

They certainly exist. They tend to be gay black male crossdressers as opposed to AGP white males. The thing is, you probably move in different social circles. I've read several studies over the last decade about the challenge of trying to slow HIV transmission among black communities in the Deep/rural South. HIV educators have been trying to target prevention strategies to these communities for 30 years without a great deal of success.

[–]MarkTwainiac 6 insightful - 1 fun6 insightful - 0 fun7 insightful - 1 fun -  (0 children)

In the US, a lot of black TIMs are gay boys & men born & raised in the South who come from very conservative & homophobic Christian households & communities, often very small towns and rural areas. Those who have the money & wherewithal to leave tend to migrate to urban areas elsewhere in the south, such as in Florida, or to cities in the north like NYC or LA. The Jacksonville & Miami areas in Florida, as well as Dallas and Houston Texas, are just a few of the places in the US South that come to mind that are known to have sizable contingents of black TIMs.

This black TIM's journey from Georgia to NYC shows a typical TIM migration pattern: https://www.nytimes.com/2015/12/13/us/kricket-nimmons-transgender-surgery.html

[–]JulienMayfair 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (0 children)

I think we're on the same page.