As a researcher, former service provider, and a community-member, I often get asked questions that initially make me clench my teeth. Because there are subtexts to the questions – sometimes assigning blame, or making assumptions. But I try my best to be clear and present evidence, as these are teachable moments and ultimately learning opportunities.
So in the next few series of posts, I will present my responses to the top 5 questionsI always seem to get (in one form or another).
Gabriela S. Betancourt, MA, MPH, DrPHer-in-the-making.
It is exciting that we are on the brink of a new era – the advent of pre-exposure prophylaxis (PrEP) to reduce the risk of getting HIV. At the moment, PrEP is on the uptake in certain communities, and there are many efforts to make it widely available. But I have a concern.
Youth under the age of 18 need parental consent/consent of legal guardian to access PrEP in New York State. This is problematic and presents a barrier. Youth under the age of 18 may be the ones MOST at risk and that could benefit most from PrEP in their toolbox for making informed sexual and reproductive health (SRH) choices for themselves, as they may have limited to no access to relationships with adult guardians for a variety of complicated and often traumatic reasons.
I remember how much I had to adjust myself in order to succeed in a tough city such as New York when I came to the US three years ago. It wasn’t easy. But after so much hard work, sacrifices, and sadness over being so far away from my family and people I love, I must say that it was really worth it!!!
I have always believed that everything happens for a reason. I spent five years studying very hard to get my Bachelor Degree in Human Resources and then four years working in the field; both in my home country Venezuela. The first months I spent in New York, I was constantly fighting a lack of motivation because I felt I was never going to get a job in my field.
A year and a half later, I got the wonderful opportunity to start working at the Latino Commission on AIDS in the Research and Evaluation department. I must confess that I was so scared because this was a brand new thing for me. I never imagined using statistical analysis software, interpreting data, or networking with important people in the health field and also learning so much about behavioral interventions, capacity-building assistance, advocacy, and HIV testing.
Last year, I heard the word “PrEP” and terms such as “are you PrEPared?” and “#TruvadaWhore” for the first time. As a person working in the health field, specifically data and research, I had to learn about all of this in order to be updated in my new field. But I didn’t consider the chance of using PrEP myself, because I was scared of possible side effects and also giving a bad impression to the people I would potentially date. Continue reading →