There are two types of discussions about HIV that take place in the gen-pop of Black communities. One, how Magic Johnson holds the cure or about the type of person who contracts this virus. Two is the rhetoric that this is a disease one contracts when dealing with a gay man or when gay. Neither dialogues are helpful in educating communities on HIV.
You'll hear many experts and advocates say that HIV is no longer a death sentence and while this is true, I imagine that none of us are flying a Goodyear blimp in the blue skies that says "come for me." No one asks for HIV. No one. Which makes it all the more important that we stay educated on the topic in a way that is sex positive.
Because despite the 14 million people who had to die due to the government's ignorance and bias throughout the 80s and well into the 90s, there always seems to be a new headline about an influx of HIV diagnosis in one black-ish community or another and part of me feels that has a lot to do with the way we've continuously stigmatized it. This can be easy to do when there isn't proper sex education within many communities. We're having too many of the wrong discussions and not enough of the right ones.
But I've never been one to sit around demanding change while refusing to be part of the solution, so let's chat! Let's debunk what you believe to be true about HIV and get the 411 on preventative measures, plus what a diagnosis means.
Human immunodeficiency virus is what those three often bolded letters stand for in the acronym HIV. According to Dr. Cedrina Calder, it hurts the immune system "by attacking specific cells. The virus affects the body's natural ability to fight infection." She warns, "If the virus is left untreated, the illness can progress to a condition called Acquired Immunodeficiency Syndrome or AIDS."
HIV can be detected by your gynecologist or urologist using one of the three methods: Nucleic Acid Test, Antigen test, or an Antibody test. Rapid and home tests are normally antibody tests that can be conducted with an oral swab or a blood sample. For those with a healthy suspicion of home test, like myself, Dr. Calder says they are 92 percent sensitive. In other words, it will be effective for about 92 percent of those who use it. The nucleic acid test is a more thorough test that doctors may opt for if you test positive.
Is There A Cure For HIV?
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The origin of HIV has been a mystery for the most part. While the CDC suggests that it may have been present in Africa since the late 1800s, it didn't knowingly make its way to the United States until the late 1970s. When it first ravaged communities, it was thought to only be a disease that affected the gay community -- the name given to it during that time was Gay-Related Immune Deficiency (GRID).
It took thousands of people dying annually and a decade of activism from groups such as ACT UP for the Government to intervene and pass policy for FDA approved medications for the infection.
As it stands there is no cure for HIV, there are only treatments. These treatments have become increasingly more effective, increased life expectancy, and decreased the likelihood of HIV progressing to AIDS. As previously mentioned, these treatments make it possible to live a healthy life with an equally healthy sex life after being infected through consistency and maintaining a low detectability rate, making it more difficult to transmit the virus.
Exposure to HIV
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It can't be stressed enough how important it is to be tested regularly for HIV. Your annual visit can suffice unless you engage in "risky" sexual behaviors, and then it is recommended that you get tested more frequently.
Risky sexual behavior doesn't necessarily mean engaging in sex with multiple partners but can simply mean you engage in anal sex regularly. According to Dr. Calder, those who participate in anal sex or are the proclaimed "bottom" are at greater risk due to how easy it is for the infection to pass through rectal tissue. This has to do with the lack of lubrication provided in the area, as well as the fact that the tissue there has a lot of blood vessels.
It's worth noting that HIV cannot be detected immediately after exposure and while it often takes anywhere from least three to 12 weeks, there are some cases where the antibodies take longer to detect.
That said, should you be exposed to HIV unknowingly (this might occur in the case of sexual assault), you have a 72-hour window to get to your doctor for PEP or Post-exposure Prophylaxis. If this occurs over a weekend or any given day where you cannot be seen by your physician, it is critical that you get to the ER to begin treatment.
Living with HIV is more than possible with technological advances, but it does require a shift in your lifestyle. In fact, Dr. Calder reminds us that although there is no guarantee that HIV won't develop into AIDs, with early and proper treatment along with a healthy lifestyle you can "significantly decrease the chance of the infection progressing into AIDs." She further elaborated that this healthy lifestyle might look like limiting alcohol and drug intake, fitness, and a generally clean diet.
HIV Today: Proactive PrEParation
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If you are HIV-negative but currently engage or plan on engaging in sex with an HIV-positive partner, then Pre-Exposure Prophylaxis (or PrEP) is a pill regimented daily that helps to prevent the transmission of HIV. For those engaging in vaginal sex, the pill takes up to three weeks to work.
PrEP solely protects against HIV and it's not recommended that couples stop using condoms or other forms of birth control in lieu of taking PrEP. Furthermore, we know that there is no form of contraception that's 100 percent effective outside a laboratory but it can be 90 percent effective at reducing the risk of transmission through sex.
According to PrEP, the pill is also viable option for women who wish to become pregnant with their partner who is positive.
The Ryan White Care Act AIDS Drug Assistance Program has been around since 1990 and helps low-income people afford medications. And now, with the inclusion of Obama Care and the Affordable Care Act, these medications are more accessible than ever. At this juncture, Medicaid and most insurances cover the cost of the PrEP pill, but if you don't have access to those programs, there are organizations you can reach out to for financial assistance.
However, as Dr. Calder points out, it's these type of socioeconomic disparities that have continuously made HIV an epidemic amongst those who identify at the intersection of black, gay, and male.
It must be said that by perpetuating stereotypes, the groups impacted by any disease only become pushed further into the margins, making it more difficult to take preventative measures. Thus, why it's so important for us to have these discussions and create a safe space for people to address genuine concerns, correct misinformation, and further expound upon the dialogue.
Featured image by Getty Images.
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In an xoNecole exclusive, the mom of two opened up about many things, including starting her wellness journey at 13 years old. However, a near-death experience during a procedure at 20 made her start taking her health more seriously.
“There's so many different levels, and now, I'm in a space of just integrating all of this good stuff that I've learned just about just being human, you know?” Dreka tells us. “So it's also fun because it's like a journey of self-discovery and self-mastery. That's what I call it. So it's never-ending.”
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If you follow Dreka, then you’re familiar with her holistic lifestyle, as she’s no stranger to promoting wellness, self-care, and holistic living. She even lives part-time on a Mississippi farm, not far from her grandmother and great-grandmother’s farm, where she spent some summers as a child.
While her grandmother and great-grandmother have passed on, Dreka reflects on that time in her life and how having a farm as an adult is her getting back to her roots. “So the farm was purchased back in 2017, and it was like, ah, that'll just be a place where we go when we're not touring or whatever,” she said.
“But COVID hit, and I was there, and I was on the land, and I just started remembering back to going to my grandmother's during the summertime and freaking picking peas and going and eating mulberries off the freaking tree in the bushes.
“And she literally had cotton plants. I know some people feel weird about picking cotton and stuff. She had cotton plants and I would go and pick cotton out of her garden. And she had chickens, and I literally just broke down in tears one day when I was on the farm just doing all the things, and I'm like, ‘Oh my gosh. I'm literally getting back to my roots.”
"I literally just broke down in tears one day when I was on the farm just doing all the things, and I'm like, ‘Oh my gosh. I'm literally getting back to my roots."
You can catch glimpses of Dreka’s farm life on Instagram, which shows her picking fruit and vegetables and loving on her animals like her camel Eessa. Her passion for growing and cultivating led her to try and grow all of her ingredients for her wellness brand, Dreka Wellness. However, she quickly realized that she might be biting off more than she could chew. But that didn’t stop her from fulfilling her vision.
Watch below as Dreka talks more about her business, her wellness tips, breaking toxic cycles, becoming a doula, and more.
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One thing that can help you out in this department is the art of thought blocking (you can read a bit more about that here). Something else that you can do is decide to become what is known as a mindful sleeper. If you’re curious about what that is and what it entails, below, I will strive to explain it in a way that will make it easy for you to implement mindfulness into your sleep routine as soon as…tonight.
What Are the Nine Principles of Mindfulness?
You’ve probably already heard somewhere that mindfulness is all about being in the moment; however, since it’s such a buzzword these days, I thought that it would be a good idea to share what the nine principles of overall mindfulness are, as it specifically relates to sleep, just so that you can grasp a greater insight into how it can help you to rest better.
Mindfulness is about having:
1. A beginner’s mind, which is all about not focusing on any other night but tonight.
2. Non-striving, which is all about not trying to force yourself to fall asleep.
3. Letting go, which is all about releasing labels that make you feel like a failure when it comes to finding sleep as a challenge for you; it’s also about releasing unrealistic expectations as you try to figure out what sleep practices are truly best for you.
4. Non-judgment, which is all about not trying to “grade” your sleep performance.
5. Acknowledging and accepting, whichare all about acknowledging the fact that some nights are easier than others as far as sleep is concerned while accepting that there aren’t always immediate hacks that will work — and that is okay.
6. Trust, which is all about believing that, one way or another, your body will eventually self-regulate.
7. Patience, which is all about knowing that developing an effective sleep routine takes time.
8. Gratitude, which is all about choosing to focus on the good in your life when you can’t sleep instead of the bad (including not being able to sleep).
9. Generosity is all about thinking about the parts of your life that you share with others while also being intentional about sharing what is positive in your world as you allow those around you to do the same (during your waking hours).
If you read these and sense a pattern, I would agree. At the end of the day (pun intended), sleep mindfulness is about letting yourself off of the hook as far as rest and relaxation are concerned. The method to the madness in doing that isstress plays a huge role in sleeplessness.
And so, the more you remain in the moment and also the more that you let go of any tension you may be feeling by implementing these nine principles, the easier it will be to find the quality of sleep that you desire.
Why You Should Practice Sleep Meditation?
GiphyYou know, a wise person once said that you shouldn’t remove one thing without replacing it with something else — not if you don’t want to return to the former thing, anyway. So, as you’re in the process of applying those mindful principles to your sleep routine, something that you may want to add is sleep meditation. Since one of the main points of meditation, overall, is getting you to focus on being in the moment, it would make sense that it would be a part of becoming a mindful sleeper, right?
Although there are different types of meditation that you can do that may help you to rest easier and better (you can read about some of them here), mindful meditation is relatively simple. It’s all about deep breathing and muscle relaxation.
Pretty much all that you need to do is make sure that your room is as dark as possible (minus maybe a scented candle to soothe your senses), get into a comfortable position, think of a place that makes you feel tranquility and harmony, and then take slow and deeper breaths from your nose as you exhale through your mouth — all while focusing on nothing but the present moment. That’s it? Pretty much.
If you’re new to sleep meditation, it’ll be counterproductive to stress yourself out about doing it perfectly, so start off with meditating for five minutes or so.As you become more comfortable, try and get to the point where you’re able to do it for about 15-20 minutes a night. That’s a good window to calm your mind, body, and spirit all the way down before getting into bed. Then, once you are all cozy and comfortable, consider applying the following sleep hacks, so that you can stay asleep once you actually fall asleep.
6 Ways to Be a (More) Mindful Sleeper
GiphyIt can’t be said enough that mindfulness is about staying in the moment. That said, here are six (other) things that can help you to become a more mindful sleeper (which, honestly, is something that we all should strive for).
1. Get off of your devices.
I’ve got a girlfriend who is pretty much a phone addict. Know what else she is? An insomniac. The fact that she refuses to put those two things together never ceases to amaze me because there is plenty of data to support that the light from your phone’s screen can do a real number on the melatonin levels that your body needs in order to rest.
Not only that, but how can you focus on yourself and being still in the moment if you’re reading all of the celeb gossip on various apps? Sis, if you’re really serious about sleep, the devices need to go off (including if you get up to go to the bathroom in the middle of the night). The nonsense will be there when you wake up. Trust me.
2. Participate in body scan meditation.
Another type of meditation that is gaining more traction is something known as body scan meditation. Basically, it’s all about getting calm, still, and quiet enough to see if you feel any specific sensations throughout your body. If you do happen to notice some tension, tightness, or uncomfortableness somewhere, validate that by pondering what could be the cause. It’s a way to help you feel more connected to your body, which actually can help you to relax more. You can read about how to do a body scan meditation properly here.
3. Name five good things about your day. Then give thanks.
Stress and worry are not your friends, especially when it comes to sleep. One way to do them less is to bring gratitude into your sleep space; one way to do that is to verbalize five good things that happened during your day (no matter how big or small) and then express gratitude for them. It’s another way to reduce stress levels in your system. Science backs it.
4. “Bore yourself.”
I have a friend who once said to me that only sociopaths watch movies on their phones. Yeah, whatever, dude. LOL. Although I don’t have a television in my bedroom (by design), sometimes I’m like, “Hell, I might as well” to that, and I will watch a movie on my phone and think absolutely nothing of it. When it comes to being a mindful sleeper, it’s definitely a counterproductive act because you don’t need to do things that will stimulate you; actually, it’s best to do things that will bore you to tears — which is actually where acts like counting sheep can come in handy.
Even if it’s something like lying on your back and listening to a guided meditation YouTube video, be intentional about being bored. In a way, it’s its own form of melatonin, whether you realize it or not.
5. If you happen to wake up, go to another room (for a moment).
I once read an article that said that if you’re unable to sleep after 20 minutes of being in bed, you should go to another room to meditate, sip on some tea, or read a book chapter. The method behind the madness is if you toss and turn in your bed for long periods of time, it can “program” your mind to associate your bedroom with sleeplessness, which could ultimately end up doing more harm than good. Actually, when you stop to think about it, that makes a lot of sense.
6. If you share a bed — cuddle.
It was about this time last year that I wrote an article for the platform entitled, “6 Fascinating Ways Sex And Sleep Definitely Go Hand In Hand.” Simply put, if you want to fall asleep, have an orgasm. I’m. Not. Playing. Or shoot, at least do some cuddling with your partner. Between the bonding and feelings of safety that being close to someone else provides due to the oxytocin that is present and how much cuddling can actually relax your senses while creating feelings of positivity, it’s one of the most comfortable — and proven — ways to lull you to sleep.
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A psychologist by the name of Susan Albers once said, “Training your mind to be in the present moment is the number one key to making healthier choices.” As you can see, this doesn’t just apply to when you’re awake — training your mind to be mindful can benefit you, greatly, while you’re asleep too.
Sweet dreams, sis.
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