A billboard in South Los Angeles is meant to address the stigma attached… (Mark Boster / Los Angeles…)
Last year in South Los Angeles, billboards overlooking Crenshaw Boulevard showed two shirtless black men standing and embracing each other on a beach. "Our Love is Worth Protecting .... We Get Tested," read the sign.
The ads, 10 in total, were developed by Jeffrey King, executive director of the Los Angeles advocacy group In the Meantime Men. The message's purpose, King said, was to promote love and HIV testing among black men who have sex with men.
For The Record
Los Angeles Times Tuesday, July 23, 2013 Home Edition Main News Part A Page 4 News Desk 1 inches; 58 words Type of Material: Correction
Safe-sex billboards: An article in the July 22 LATExtra section about South Los Angeles billboards urging gay men to get tested for HIV quoted the Rev. Eric P. Lee and identified him as president of the Greater Los Angeles chapter of the Southern Christian Leadership Conference. He is the former president and no longer speaks for the group.
After the billboards went up, however, "the immediate reaction of the community was shock," said the Rev. Eric P. Lee, president of the Greater Los Angeles chapter of the Southern Christian Leadership Conference. "It showed how we have commonly dealt with homosexuality in the community, which is, 'Don't ask, don't tell,' a silence that doesn't condemn or affirm."
Safe-sex advocates say the reaction to the billboards shows how difficult it can be to tailor sexual health messages to fit some black communities in which the subject of sex, specifically non-heterosexual sex, remains taboo.
"Nobody wants to talk about the fact that our kids are having sex and a large part of them are gay and are having sex with each other," King said.
That stigma, according to HIV prevention advocates and public health officials, keeps many black people from getting tested or receiving treatment.
Although West Hollywood has the highest HIV infection rate in L.A. County, health officials said, young black men with HIV tend to live in predominantly black communities, such as South L.A.
Nationally, black Americans are disproportionately infected. They account for 14% of the U.S. population but almost half of the more than 1 million HIV cases, according to 2013 data from the Centers for Disease Control and Prevention. Among men of all races who have sex with men, young black men account for the highest number of new HIV infections
"It's true nationally, it's true locally, it's true in most metropolitan areas in the nation," said Dr. Jonathan Fielding, director of public health in Los Angeles County. "It's been a very serious problem, and we've been aware of it for years."
Public health officials are concerned that stigma is leading to less testing and treatment among various black communities, even though medical advances have greatly improved longevity when HIV is diagnosed early.
The controversial billboards in South L.A. have been replaced by ads that feature a single word in bold capital letters and crossed out: "HOMOPHOBIA."
The new campaign aims "to address one of the key factors in why we're seeing high rates of HIV, especially among gay black men," King said.
Although a lack of resources remains a prominent reason for the racial disparity in HIV infections among those who are lesbian, gay, bisexual, transgender or still questioning their sexuality, Fielding said the attitudes some people have toward men who have sex with men are also partly to blame.
Black men who have sex with men "suffer from stigma, discrimination, from a reduced rate of acceptance for their same-sex orientation, and they also have historically had less access to healthcare," he said. And, he said, they tend not to use condoms.
Also, King said, many gay and bisexual black men in South L.A. are not getting tested for HIV because the very act might "out" them, while many straight black men are not getting tested because they don't want to be perceived as gay.
"One of the key reasons we're seeing HIV rates as high as they are is linked to homophobia in the community, which is taught from a high place, which is the church," King said.
Lee said he's more "progressive" than most clergymen in South Los Angeles."I don't believe promoting safe sex is promoting sex. It's promoting, if you decide to have sex, to do so with caution," he said.
Lee added, "I think it's the responsibility of leaders to ensure that the people they're speaking to are provided with information that keeps them healthy."
The Los Angeles-based AIDS Healthcare Foundation is paying for the In the Meantime Men ads, as well as other billboards that seek to promote the sexual health of men who have sex with men.
Across town, an attempt to tailor the safe-sex message to a more open community has raised different concerns. In heavily gay West Hollywood, billboards overlooking Santa Monica Boulevard feature provocative images of muscled, bare-chested male torsos. The men appear to be white and Latino, and near their bodies are the words, "Be Safe. Be Sexy. Be You," a slogan coined by the West Hollywood safe-sex advocacy group Impulse.
Like the South L.A. ads, the purpose of this campaign is to promote safe sex in a neighborhood where HIV infections are high, said Jose Ramos, founder and president of Impulse.
But those public displays have elicited criticism about not only who is being portrayed in the majority of safe-sex messages but also how they're portrayed.