November 2004

Let's beat AIDS, without talking about sex

    

  

 
The junior minister for Health said we're not doing enough to stop the spread of HIV. He said "clear messaging" is needed to get results.  "Alarm would be more appropriate." (See the article Minister warns of AIDS epidemic)

The junior minister for Health said an "in-your-face approach' was not the right way to alarm people. "Sexual behaviour... is something people don't want to talk about, it's not discussed in polite society." Thus we must remain prissy. We must find a way to alarm people without being impolite; we must send clear messages about AIDS without raising the subject of sex. (See box at right)

Wonderful!

But the direct approach, with condoms marching down the street, has worked in Thailand and Cambodia. To that, the minister's response was that we "need to recognise there were conservative people here." Does he think there are no conservative people in our neighbouring countries?

In his speech on 10 November, the minister cited Randy Shiltz' book, "And the band played on" about how, in the 1980s, people tried to ignore the growing threat and carry on in denial. What does he think he is suggesting now?

I mentioned in another article, Gambling on the Singapore model, that one of the weaknesses of Singapore in coping with change is our tendency to "concede at least part of the way to the conservatives."

"But in these times, when we need to make dramatic changes of course to cope with a rapidly changing external environment, the inability to shake off our conservatism, our unwillingness to challenge  archaic tenets, holds us back."

* * * * *

But why can't we just stick to talking about abstinence? That will please the conservatives and beat AIDS. Very simply, because it is unrealistic.

People are not going to give up sex, anymore than you can expect people to stop craving sugary food, or making rude gestures when they are annoyed. These are deep instincts.

The other problem with talking about abstinence is that it invariably pulls in the word "promiscuity". Even if the state-sponsored messages don't use the word, you can bet your last dollar the religious groups will [1]. They cannot resist riding the bandwagon to promote their idea of morality. So each time the secular government says. "abstain", the ride-along accusation "You're a promiscuous sinner!" rings in people's ears.

Let's understand something about psychology: you cannot convince people to do what you ask if at the same time they sense they are being condemned.

The other thing about promiscuity as a risk factor in HIV transmission, is that it assumes all sex is insertive sex. This is more or less true with heterosex, but it isn't so with homosex. Frottage and mutual masturbation figure prominently in homosexual practices. As someone on SiGNeL pointed out, you can have a hundred men in a night, but if mutual masturbation is all you do, you've hardly been reckless. But the guy who has unprotected sex with a pretty sex worker just once a year - he is the reckless one.

So what then happens is that the "abstinence" message, based on a heterosexual equivalence between sex and insertive sex, is also seen as unnecessarily wide-ranging for gay people. It IS possible to have gay sex without protection, with next to no risk, for gay men, and certainly for gay women. Lesbians are considered to be one of the lowest risk groups.

So here's another thing about psychology: when people see that your message over-reaches reality, they see your message as alarmist, and perhaps as something driven by another agenda - homophobia, sexophobia, religious crusading, perhaps. Your message is then discounted.

* * * * *

If we want to be effective, we have no choice but to get to the point. We have to talk frankly and in detail about the various kinds of sex, the risk each kind entails, and when protection is necessary. We have to make the idea of wearing a condom as un-titillating as wearing a baseball cap. People must stop being squeamish about asking for one, buying one, handling one, wearing one. We have to talk about the danger without being conservative. We have to talk about the danger without appeasing or giving a free ride to the conservatives.

© Yawning Bread 

 

14 Nov 2004
Straits Times

No 'in your face' drive to fight Aids here 

By Tracy Quek 

Public campaigns promoting condom use might have been successful in Thailand and Cambodia, but in Singapore, any Aids campaign will not be as 'in-your-face'.

Senior Minister of State for Health Balaji Sadasivan pointed out the need to recognise that there were conservative people here, and an in-your-face approach was not necessarily the best way to educate people.

Asked if Singapore would launch a public campaign promoting sexual abstinence and condom use, he stopped short of ruling it out. 

But he said that unlike Sars, which struck Singapore last year and killed more than 800 people worldwide, Aids involves talking about people's sexual behaviour.

'It's not like Sars, where we can go about educating people using a very direct approach,' he said.

'Sexual behaviour is a private thing, it's something people don't want to talk about, it's not discussed in polite society.'

Dr Balaji, who earlier this week spoke of an 'alarming Aids epidemic' occurring here if nothing was done to rein in the disease, was speaking to reporters last night on the sidelines of a grassroots event in Ang Mo Kio.

[truncated]

 

Footnotes

  1. Three days after finishing this article, indeed the religious groups began to hijack the issue for themsleves. See the letters to the press archived in Balaji on AIDS - Christian fundamentalists rush in
    Return to where you left off

Addenda

None