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The Deep Racism of Pathologizing Sex

What are the assumptions behind an article entitled “’Why are you having sex?’: women bear brunt of Uganda’s high HIV rate”? Firstly, the bulk of HIV transmission is assumed to be a result of ‘unsafe’ heterosexual behavior. Secondly, the number of infected females outnumbers males by almost 2:1, but this is blamed on ‘male sexual behavior’ (white people protecting black women from black men, etc?). Thirdly, all ‘Africans’ engage in massive amounts of sex. Fourthly, ‘unsafe’ sex is the rule. Fifthly, they start young…the list goes on.

This claptrap is mixed in with pseudo-science: there is no evidence that a majority of HIV transmissions in African countries are a result of ‘unsafe’ heterosexual sex, only a lot of ‘expert’ opinion; indeed, the evidence shows that the majority of transmissions are very unlikely to be a result of ‘unsafe’ sex.

Figures cited for percentages infected, males and females infected, etc, are not incorrect, that’s not why I call them pseudo-science. The sleight of hand lies in the fact that they purport to bear some relation to the levels of sexual activity that would be required for Uganda’s epidemic to be overwhelmingly a result of heterosexual activity.

More than 80,000 Ugandans were said to have been newly infected in 2015. Given estimates that suggest the risk of transmission from a male to a female for penile-vaginal sex is 1/1,250 and the risk for a female to a male is 1/2,500, those 80,000 newly infected people could represent well over 100,000,000 sex acts.

The Guardian further claims that girls between 15 and 24 years old are infected at a rate of 570 per week, reflecting a further assumption, that sexual debut tends to be at an exceptionally young age in Uganda (not true, according to most research). Most young girls have not had hundreds of sexual experiences, even girls in their 20s. Some may have, but most have not.

Most people do not have hundreds of sexual experiences every year. That’s true in every country in the world, even in countries where The Guardian would have us believe they do, countries where HIV prevalence is high. A minority of people may have a lot of sexual experiences, a small minority, according to the copious quantities of data collected by some of the best funded HIV NGOs (hundreds of surveys here).

There are two blatant non sequiturs behind articles like this: one, sexual activity is an indication of HIV prevalence, and two, HIV prevalence is an indication of levels (and perhaps types) of sexual activity. Neither of these are supported by the evidence, only by the assumptions, the prejudices, the deeply held racism of the media and the international HIV industry.

One of the most egregious consequences of these racist views is that a lot of money and effort have been expended on useless ‘abstinence only until marriage’ programs (which could be better referred to as ‘abstinence only until death’). An update to an earlier meta-analysis of such programs concluded that:

“U.S. abstinence-only-until-marriage policies and programs are not effective, violate adolescent rights, stigmatize or exclude many youth, and reinforce harmful gender stereotypes. Adolescent sexual and reproductive health promotion should be based on scientific evidence and understanding, public health principles, and human rights.”

The Guardian article is pure speculation, with a handful of figures thrown in. There is the ever-present ‘expert’ opinion about why more women than men are infected, etc, but the only constant throughout the article is racism, about ‘Africans’, their implied sexual behavior, their attitudes towards women, especially young women…the rightness of the HIV industry and the wrongness of all ‘African’ people.

If this sort of article is to be believed, all sex is wrong in Africa, it’s all ‘unsafe’, it should all stop. The men are cruel, the women are powerless victims and only non-Africans can diagnose what is going on there, phrenologize the population, profile the groups, strategize their rehabilitation and save them all from damnation (‘Shut up and get back in your pigeon-hole, we were right all along!’).

The assumption behind this Guardian article is that HIV is almost always heterosexually transmitted in African countries, and the only way this could be true is if ‘Africans’ really are as promiscuous, impervious to reason, cruel and thoughtless to those around them and, frankly, primitive and uncivilized, as the age-old prejudice says they are. As long as it’s about ‘Africans’, you can insinuate these things as often as you want in the mainstream media.

This kind of article can give the impression that apartheid never ended in South Africa. Instead, it spread all over the world, affecting people from African countries and people of African origin. Africans are still apart when it comes to HIV, infected in numbers that are orders of magnitude higher than among non-African people. ‘Explanations’ of high HIV prevalence tell us that ‘Africans’ really are different, that non-Africans don’t behave the same way when it comes to sex, that there really is something ‘other’ about heterosexual sex among black people. Pure racism.

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