SAMPLE EXCERPT:

In New York City, Syphilis rates in men increased from 2.8% in 2000 to 6.9% per 100,000 people in 2001. Gay men were amongst the more number of cases. The number of Syphilis cases rose from 22 in 1999 to 116 in 2001 in San Francisco. But the primary investigation reveals that the figures may even rise higher in 2002 (Altman, A7).

A multi-faceted selection of factors at interpersonal, personal and at the society levels add up to the high sexual thrill seeking of adolescent men. Most of the young gay men think that AIDS is the disease for the older people and feel it is safe to have unshielded sex with other young men as the statistics says that the bulk of AIDS cases is found more among gay men in the age group of 30-40. Men who indulge in unsafe sex do brand their actions of putting themselves at high risk for AIDS, though young men are aware how HIV is transferred. (Carrns, B2) On the other hand, with their approach of resistance and characteristics of young age, these men have an opposite idea that nothing wrong will happen to me (Hays; Kegeles; Coates, 903). Adolescent men always want to make an investigation with regard to sex, which may involve high number of partners and a readiness to try a variety of actions. Young men are less capable in having low-risk sex and are less familiar about having enjoyable sex actions because of lack of experience.

Being a gay can also be a time of exciting commotion, which leads to low self-confidence and dejection, which reduces their feeling of self-efficacy and inspiration for safe sex (Gonsiorek, 118). Gay men are not worried about taking care of their health. Interpersonal enthusiasm is more vital like wanting to fit in, find a partner and relationship. On the other hand, interpersonal problems also become a factor of unsafe sex. Adolescent gay men tend to have unsafe sex with a boyfriend whose warmth is very much essential to them. The communal organizations and customs are not favorable to these young gay cultures to have safe sex. Young gay men meet and hangout at gay bars and public meeting places. (Coyle, 23) The bar settings stresses on alcohol and sets stage for sex with people who are highly sex-charged but are constantly found to be unsafe sex. These new generations of Americans who are sexually active do not think about the wreckage of the outburst of AIDS. AIDS era veterans have experienced exhaustion from times of good health messages and practiced safe sex. Life extending drugs also cause a great anxiety. The term "Pill weariness" is used to describe a person who is tired of taking HIV medicines for longer years.

Gay men engage in risky sexual acts because of their poor communique and are unable to safeguard themselves against HIV infection. Unsafe sex amongst gay men can be due to different combinations of behavioral features according to a study published in June 2003 issue of American Journal of Public Health. Margret A. Chesney, Ph.D carried out a study at the University of California, San Francisco that only two behaviors were found in most of the sexual actions - non-injection of drug use and pleasure of unshielded open anal sex which account for dangerous sex in one third of the men. The scientist say that one-in-one analysis adapted to that particular action can be practiced to prevent HIV infection (Koblin; Chesney; Husnik; et al., 929).

People must be instructed about the disease and remove the myth about how AIDS can and cannot be transferred. The young gay male community should be educated about the positive facts rather than being afraid of the disease. The pharmaceutical companies had to revise their selling techniques to be successful, as the market for the AIDS drugs had increased. Patients may prefer another method of treatment or they may be disappointed with the hospital and may not be fascinated by new treatment methods. Cure that was once efficient, no longer works because of the nature of the disease. We must also take into matter the side effects that occur due to the treatment. Nowadays people with HIV infections lead usual lives because of the new drugs and AIDS as such is seen in a different manner.

The safe sex note is left unnoticed; young gay men who did not experience AIDS at first hand are becoming insolent and more haughty towards unsafe sex; and HIV positive people are fit enough to have sexual life, by thus aggravating the chances of spreading the disease. The approach of people has changed a lot. Some drugs make people healthier and also lengthen their lives. But not all people react well. Some drugs are given as pills and like other forms of treatment these also have side effects, which is another setback (Forest, AIDS cases are increasing in gay society). Gay men make up to 60% of new HIV cases and are highly anxious in execution at AIDS treatment centers and information and service organizations, as they are the objectives for promoting AIDS drugs. The ways by which these drugs are to be sold in the market have to change as the society's approach to AIDS has also changed. Drug companies should find an alternative role in the AIDS picture in which the gay male place an active role rather than being passive. (Kahan and Mulryan, Mending Fences Selling Aids Drugs to the Gay Community)

The chances of future movement moving towards wrong direction is higher than moving towards the right direction if prevention methods are not intensified as the risk sexual act is on the rise. Communal homophobia may obstruct the execution of useful preventive programs for gay youth and may dispirit young men from the admittance of prevention services (Grossman, 41). The proposal of giving condoms in bar and determining the success was not successful. To plan successfully to reduce the spreading of HIV, they had to look at wider settings where gay men lived. It will be difficult for them to seek advice about their sexual health if they had been brought in homophobic surroundings where they had to be secretive about their sexual life and they would have grown up with low self-regard that leads to risk taking actions. Multilevel protection plans are required as there are many reasons that add to HIV risk among gay men and these programs should be influenced at personal, interpersonal and societal levels. Earlier sexual history forecasts the present adventuresome actions, so intrusion at an earlier stage in a young man's sexual start will be much effective (Stall; Barrett; Bye, et.al, 684). The main concern must be to support scheming, executing and assessing for gay men to stop the AIDS outburst. The continuation of safer methods must be studied and persuaded.

Without support they may return back to unsafe methods. Scientists and service agents should study this occurrence and be prepared to help those who have already reversed from safe sexual practice in total or rarely. Improved monitoring systems are required. Essential and important HIV facts must be at an easier reach. The usual system of monitoring that keep a closer watch on the changes of the outbreak are required so that immediate actions can be activated in the target groups where a spread of HIV is happening at the most. Immediate inclusion should be aimed at left out populations. Shockingly, only few have been assessed for efficiency although many programs exist across the country. The complete HIV prevention policy uses multiple elements to protect as many as HIV people as possible. The belief that enough of AIDS prevention services are offered to gay community is spurious.

The HIV prevention program for young gay men must be constant and vigorous as new young men will turn about each year that have not been open to the elements of the prevention movement of yester years. Appealing imaginative programs are needed that tackle HIV prevention within the lives of young gay men including concerns of self-confidence, outgoing, material use, interpersonal and communal needs. Outreach groups are required to pass on the message where gay men assemble together at bars, community events, social events, etc. Performing arts and fashion shows are required in a comical and entertaining manner. In each community a young men's center to be set up with weekly functions including discussion groups, drop-in hours, video parties and other unique performances like picnic, hikes, dance parties are also to be conducted.

The outreach teams at places where young men meet including communal functions sponsored by projects are to be given in an innovative and fascinating way should distribute written materials about safe sex. People must be taught and be convinced to support their friends in a casual chat about having safer sex. Meetings by small groups that focus on eroticizing safer sex, usage of…