the advocate - may 2014

HOW MORMONS COULD SUDDENLY DO RIGHT BY LGBTS A PRIL/M AY 20 14 ISSU E 1 0 7 2 SINCE 1967 WELCOME TO SAN FRANCISCO AIDS FREE SINCE 2024* * Individual results may vary based on ability to pay for treatment. What is STRIBILD? STRIBILD is a prescription medicine used to treat HIV-1 in adults who have never taken HIV-1 medicines before. It combines 4 medicines into 1 pill to be taken once a day with food. STRIBILD is a complete single-tablet regimen and should not be used with other HIV-1 medicines. STRIBILD does not cure HIV-1 infection or AIDS. To control HIV-1 infection and decrease HIV-related illnesses you must keep taking STRIBILD. Ask your healthcare provider if you have questions about how to reduce the risk of passing HIV-1 to others. Always practice safer sex and use condoms to lower the chance of sexual contact with body fl uids. Never reuse or share needles or other items that have body fl uids on them. IMPORTANT SAFETY INFORMATION What is the most important information I should know about STRIBILD? STRIBILD can cause serious side effects: t Build-up of an acid in your blood (lactic acidosis), which is a serious medical emergency. Symptoms of lactic acidosis include feeling very weak or tired, unusual (not normal) muscle pain, trouble breathing, stomach pain with nausea or vomiting, feeling cold especially in your arms and legs, feeling dizzy or lightheaded, and/or a fast or irregular heartbeat. t Serious liver problems. The liver may become large (hepatomegaly) and fatty (steatosis). Symptoms of liver problems include your skin or the white part of your eyes turns yellow (jaundice), dark “tea-colored” urine, light-colored bowel movements (stools), loss of appetite for several days or longer, nausea, and/or stomach pain. t You may be more likely to get lactic acidosis or serious liver problems if you are female, very overweight (obese), or have been taking STRIBILD for a long time. In some cases, these serious conditions have led to death. Call your healthcare provider right away if you have any symptoms of these conditions. t Worsening of hepatitis B (HBV) infection. If you also have HBV and stop taking STRIBILD, your hepatitis may suddenly get worse. Do not stop taking STRIBILD without fi rst talking to your healthcare provider, as they will need to monitor your health. STRIBILD is not approved for the treatment of HBV. Who should not take STRIBILD? Do not take STRIBILD if you: t Take a medicine that contains: alfuzosin, dihydroergotamine, ergotamine, methylergonovine, cisapride, lovastatin, simvastatin, pimozide, sildenafi l when used for lung problems (Revatio ® ), triazolam, oral midazolam, rifampin or the herb St. John’s wort. t For a list of brand names for these medicines, please see the Brief Summary on the following pages. t Take any other medicines to treat HIV-1 infection, or the medicine adefovir (Hepsera ® ). What are the other possible side effects of STRIBILD? Serious side effects of STRIBILD may also include: t New or worse kidney problems, including kidney failure. Your healthcare provider should do regular blood and urine tests to check your kidneys before and during treatment with STRIBILD. If you develop kidney problems, your healthcare provider may tell you to stop taking STRIBILD. t Bone problems, including bone pain or bones getting soft or thin, which may lead to fractures. Your healthcare provider may do tests to check your bones. t Changes in body fat can happen in people taking HIV-1 medicines. t Changes in your immune system. Your immune system may get stronger and begin to fi ght infections. Tell your healthcare provider if you have any new symptoms after you start taking STRIBILD. The most common side effects of STRIBILD include nausea and diarrhea. Tell your healthcare provider if you have any side effects that bother you or don’t go away. What should I tell my healthcare provider before taking STRIBILD? t All your health problems. Be sure to tell your healthcare provider if you have or had any kidney, bone, or liver problems, including hepatitis virus infection. t All the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. STRIBILD may affect the way other medicines work, and other medicines may affect how STRIBILD works. Keep a list of all your medicines and show it to your healthcare provider and pharmacist. Do not start any new medicines while taking STRIBILD without fi rst talking with your healthcare provider. t If you take hormone-based birth control (pills, patches, rings, shots, etc). t If you take antacids. Take antacids at least 2 hours before or after you take STRIBILD. t If you are pregnant or plan to become pregnant. It is not known if STRIBILD can harm your unborn baby. Tell your healthcare provider if you become pregnant while taking STRIBILD. t If you are breastfeeding (nursing) or plan to breastfeed. Do not breastfeed. HIV-1 can be passed to the baby in breast milk. Also, some medicines in STRIBILD can pass into breast milk, and it is not known if this can harm the baby. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Please see Brief Summary of full Prescribing Information with important warnings on the following pages. STRIBILD is a prescription medicine used as a complete single-tablet regimen to treat HIV-1 in adults who have never taken HIV-1 medicines before. STRIBILD does not cure HIV-1 or AIDS. I started my personal revolution Talk to your healthcare provider about starting treatment. STRIBILD is a complete HIV-1 treatment in 1 pill, once a day. Ask if it’s right for you. Patient Information STRIBILD TM (STRY-bild) (elvitegravir 150 mg/cobicistat 150 mg/emtricitabine 200 mg/ tenofovir disoproxil fumarate 300 mg) tablets #SJFGTVNNBSZPGGVMM1SFTDSJCJOH*OGPSNBUJPO'PSNPSFJOGPSNBUJPO QMFBTFTFFUIFGVMM1SFTDSJCJOH*OGPSNBUJPOJODMVEJOH1BUJFOU*OGPSNBUJPO What is STRIBILD? t STRIBILD is a prescription medicine used to treat HIV-1 in adults who have never taken HIV-1 medicines before.453*#*-%JTBDPNQMFUF SFHJNFOBOETIPVMEOPUCFVTFEXJUIPUIFS)*7NFEJDJOFT t STRIBILD does not cure HIV-1 or AIDS.:PVNVTUTUBZPO DPOUJOVPVT)*7UIFSBQZUPDPOUSPM)*7JOGFDUJPOBOEEFDSFBTF )*7SFMBUFEJMMOFTTFT t Ask your healthcare provider about how to prevent passing HIV-1 to others.%POPUTIBSFPSSFVTFOFFEMFTJOKFDUJPO FRVJQNFOUPSQFSTPOBMJUFNTUIBUDBOIBWFCMPPEPSCPEZþVJET POUIFN%POPUIBWFTFYXJUIPVUQSPUFDUJPO"MXBZTQSBDUJDFTBGFS TFYCZVTJOHBMBUFYPSQPMZVSFUIBOFDPOEPNUPMPXFSUIFDIBODFPG TFYVBMDPOUBDUXJUITFNFOWBHJOBMTFDSFUJPOTPSCMPPE What is the most important information I should know about STRIBILD? STRIBILD can cause serious side effects, including: 1. Build-up of lactic acid in your blood (lactic acidosis). -BDUJD BDJEPTJTDBOIBQQFOJOTPNFQFPQMFXIPUBLF453*#*-%PSTJNJMBS OVDMFPTJEFBOBMPHTNFEJDJOFT-BDUJDBDJEPTJTJTBTFSJPVT NFEJDBMFNFSHFODZUIBUDBOMFBEUPEFBUI-BDUJDBDJEPTJTDBO CFIBSEUPJEFOUJGZFBSMZCFDBVTFUIFTZNQUPNTDPVMETFFN MJLFTZNQUPNTPGPUIFSIFBMUIQSPCMFNTCall your healthcare provider right away if you get any of the following symptoms which could be signs of lactic acidosis: tGFFMWFSZXFBLPSUJSFE  tIBWFVOVTVBMOPUOPSNBMNVTDMFQBJO  tIBWFUSPVCMFCSFBUIJOH  tIBWFTUPNBDIQBJOXJUIOBVTFBPSWPNJUJOH  tGFFMDPMEFTQFDJBMMZJOZPVSBSNTBOEMFHT  tGFFMEJ[[ZPSMJHIUIFBEFE  tIBWFBGBTUPSJSSFHVMBSIFBSUCFBU 2. Severe liver problems. 4FWFSFMJWFSQSPCMFNTDBOIBQQFOJO QFPQMFXIPUBLF453*#*-%*OTPNFDBTFTUIFTFMJWFSQSPCMFNT DBOMFBEUPEFBUI:PVSMJWFSNBZCFDPNFMBSHFIFQBUPNFHBMZBOE ZPVNBZEFWFMPQGBUJOZPVSMJWFSTUFBUPTJT Call your healthcare provider right away if you get any of the following symptoms of liver problems:  tZPVSTLJOPSUIFXIJUFQBSUPGZPVSFZFTUVSOTZFMMPXKBVOEJDF  tEBSLiUFBDPMPSFEwVSJOF  tMJHIUDPMPSFECPXFMNPWFNFOUTTUPPMT  tMPTTPGBQQFUJUFGPSTFWFSBMEBZTPSMPOHFS  tOBVTFB  tTUPNBDIQBJO You may be more likely to get lactic acidosis or severe liver problems if you are female, very overweight (obese), or have been taking STRIBILD for a long time. 3. Worsening of Hepatitis B infection. *GZPVIBWFIFQBUJUJT#WJSVT )#7JOGFDUJPOBOEUBLF453*#*-%ZPVS)#7NBZHFUXPSTF þBSFVQJGZPVTUPQUBLJOH453*#*-%"iþBSFVQwJTXIFOZPVS )#7JOGFDUJPOTVEEFOMZSFUVSOTJOBXPSTFXBZUIBOCFGPSF t%POPUSVOPVUPG453*#*-%3FýMMZPVSQSFTDSJQUJPOPSUBML UPZPVSIFBMUIDBSFQSPWJEFSCFGPSFZPVS453*#*-%JTBMMHPOF t%POPUTUPQUBLJOH453*#*-%XJUIPVUýSTUUBMLJOHUPZPVS IFBMUIDBSFQSPWJEFS t*GZPVTUPQUBLJOH453*#*-%ZPVSIFBMUIDBSFQSPWJEFSXJMMOFFEUP DIFDLZPVSIFBMUIPGUFOBOEEPCMPPEUFTUTSFHVMBSMZGPSTFWFSBM NPOUITUPDIFDLZPVS)#7JOGFDUJPO5FMMZPVSIFBMUIDBSFQSPWJEFS BCPVUBOZOFXPSVOVTVBMTZNQUPNTZPVNBZIBWFBGUFSZPV TUPQUBLJOH453*#*-% Who should not take STRIBILD? Do not take STRIBILD if you also take a medicine that contains: tBEFGPWJS)FQTFSB ®  tBMGV[PTJOIZESPDIMPSJEF6SPYBUSBM ®  tDJTBQSJEF1SPQVMTJE ® 1SPQVMTJE2VJDLTPMW ®  tFSHPUDPOUBJOJOHNFEJDJOFTJODMVEJOHEJIZESPFSHPUBNJOF NFTZMBUF%)& ® .JHSBOBM ® FSHPUBNJOFUBSUSBUF$BGFSHPU ®  .JHFSHPU ® &SHPTUBU ® .FEJIBMFS&SHPUBNJOF ® 8JHSBJOF ®  8JHSFUUFT ® BOENFUIZMFSHPOPWJOFNBMFBUF&SHPUSBUF ® .FUIFSHJOF ®  tMPWBTUBUJO"EWJDPS ® "MUPQSFW ® .FWBDPS ®  tPSBMNJEB[PMBN tQJNP[JEF0SBQ ®  tSJGBNQJO3JGBEJO ® 3JGBNBUF ® 3JGBUFS ® 3JNBDUBOF ®  tTJMEFOBýM3FWBUJP ® XIFOVTFEGPSUSFBUJOHMVOHQSPCMFNT tTJNWBTUBUJO4JNDPS ® 7ZUPSJO ® ;PDPS ®  tUSJB[PMBN)BMDJPO ®  tUIFIFSC4U+PIOTXPSU Do not take STRIBILD if you also take any other HIV-1 medicines, including: t0UIFSNFEJDJOFTUIBUDPOUBJOUFOPGPWJS"USJQMB ® $PNQMFSB ®  7JSFBE ® 5SVWBEB ®  t0UIFSNFEJDJOFTUIBUDPOUBJOFNUSJDJUBCJOFMBNJWVEJOFPSSJUPOBWJS $PNCJWJS ® &NUSJWB ® &QJWJS ® PS&QJWJS)#7 ® &Q[JDPN ® ,BMFUSB ®  /PSWJS ® 5SJ[JWJS ®  STRIBILD is not for use in people who are less than 18 years old. What are the possible side effects of STRIBILD? STRIBILD may cause the following serious side effects: t4FFi8IBUJTUIFNPTUJNQPSUBOUJOGPSNBUJPO*TIPVMELOPX about STRIBILD?” t/FXPSXPSTFLJEOFZQSPCMFNTJODMVEJOHLJEOFZGBJMVSF:PVS IFBMUIDBSFQSPWJEFSTIPVMEEPCMPPEBOEVSJOFUFTUTUPDIFDLZPVS LJEOFZTCFGPSFZPVTUBSUBOEXIJMFZPVBSFUBLJOH453*#*-%:PVS IFBMUIDBSFQSPWJEFSNBZUFMMZPVUPTUPQUBLJOH453*#*-%JGZPV EFWFMPQOFXPSXPSTFLJEOFZQSPCMFNT t#POFQSPCMFNTDBOIBQQFOJOTPNFQFPQMFXIPUBLF453*#*-% #POFQSPCMFNTJODMVEFCPOFQBJOTPGUFOJOHPSUIJOOJOHXIJDINBZ MFBEUPGSBDUVSFT:PVSIFBMUIDBSFQSPWJEFSNBZOFFEUPEPUFTUTUP DIFDLZPVSCPOFT tChanges in body fatDBOIBQQFOJOQFPQMFXIPUBLF)*7 NFEJDJOF5IFTFDIBOHFTNBZJODMVEFJODSFBTFEBNPVOUPGGBU JOUIFVQQFSCBDLBOEOFDLiCVGGBMPIVNQwCSFBTUBOEBSPVOE UIFNJEEMFPGZPVSCPEZUSVOL-PTTPGGBUGSPNUIFMFHTBSNT BOEGBDFNBZBMTPIBQQFO5IFFYBDUDBVTFBOEMPOHUFSNIFBMUI FGGFDUTPGUIFTFDPOEJUJPOTBSFOPULOPXO tChanges in your immune system*NNVOF3FDPOTUJUVUJPO 4ZOESPNFDBOIBQQFOXIFOZPVTUBSUUBLJOH)*7NFEJDJOFT:PVS JNNVOFTZTUFNNBZHFUTUSPOHFSBOECFHJOUPýHIUJOGFDUJPOTUIBU IBWFCFFOIJEEFOJOZPVSCPEZGPSBMPOHUJNF5FMMZPVSIFBMUIDBSF QSPWJEFSSJHIUBXBZJGZPVTUBSUIBWJOHBOZOFXTZNQUPNTBGUFS TUBSUJOHZPVS)*7NFEJDJOF The most common side effects of STRIBILD include: t/BVTFB t%JBSSIFB Tell your healthcare provider if you have any side effect that bothers you or that does not go away. t5IFTFBSFOPUBMMUIFQPTTJCMFTJEFFGGFDUTPG453*#*-%'PSNPSF JOGPSNBUJPOBTLZPVSIFBMUIDBSFQSPWJEFS t$BMMZPVSIFBMUIDBSFQSPWJEFSGPSNFEJDBMBEWJDFBCPVUTJEFFGGFDUT :PVNBZSFQPSUTJEFFGGFDUTUP'%"BU'%" What should I tell my healthcare provider before taking STRIBILD? Tell your healthcare provider about all your medical conditions, including: t*GZPVIBWFPSIBEBOZLJEOFZCPOFPSMJWFSQSPCMFNTJODMVEJOH IFQBUJUJT#JOGFDUJPO t*GZPVBSFQSFHOBOUPSQMBOUPCFDPNFQSFHOBOU*UJTOPULOPXOJG 453*#*-%DBOIBSNZPVSVOCPSOCBCZ5FMMZPVSIFBMUIDBSFQSPWJEFS JGZPVCFDPNFQSFHOBOUXIJMFUBLJOH453*#*-%  o5IFSFJTBQSFHOBODZSFHJTUSZGPSXPNFOXIPUBLFBOUJWJSBM NFEJDJOFTEVSJOHQSFHOBODZ5IFQVSQPTFPGUIJTSFHJTUSZJTUP DPMMFDUJOGPSNBUJPOBCPVUUIFIFBMUIPGZPVBOEZPVSCBCZ5BML XJUIZPVSIFBMUIDBSFQSPWJEFSBCPVUIPXZPVDBOUBLFQBSUJO UIJTSFHJTUSZ t*GZPVBSFCSFBTUGFFEJOHOVSTJOHPSQMBOUPCSFBTUGFFE%POPU CSFBTUGFFEJGZPVUBLF453*#*-%  :PVTIPVMEOPUCSFBTUGFFEJGZPVIBWF)*7CFDBVTFPGUIFSJTLPG QBTTJOH)*7UPZPVSCBCZ  5XPPGUIFNFEJDJOFTJO453*#*-%DBOQBTTUPZPVSCBCZJOZPVS CSFBTUNJML*UJTOPULOPXOJGUIFPUIFSNFEJDJOFTJO453*#*-%DBO QBTTJOUPZPVSCSFBTUNJML  5BMLXJUIZPVSIFBMUIDBSFQSPWJEFSBCPVUUIFCFTUXBZUPGFFE ZPVSCBCZ Tell your healthcare provider about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements: t453*#*-%NBZBGGFDUUIFXBZPUIFSNFEJDJOFTXPSLBOEPUIFS NFEJDJOFTNBZBGGFDUIPX453*#*-%XPSLT t#FTVSFUPUFMMZPVSIFBMUIDBSFQSPWJEFSJGZPVUBLFBOZPGUIF GPMMPXJOHNFEJDJOFT  )PSNPOFCBTFECJSUIDPOUSPMQJMMTQBUDIFTSJOHTTIPUTFUD  "OUBDJENFEJDJOFTUIBUDPOUBJOTBMVNJOVNNBHOFTJVN IZESPYJEFPSDBMDJVNDBSCPOBUF5BLFBOUBDJETBUMFBTUIPVST CFGPSFPSBGUFSZPVUBLF453*#*-%  .FEJDJOFTUPUSFBUEFQSFTTJPOPSHBOUSBOTQMBOUSFKFDUJPOPSIJHI CMPPEQSFTTVSF  BNJPEBSPOF$PSEBSPOF ® 1BDFSPOF ®   BUPSWBTUBUJO-JQJUPS ® $BEVFU ®   CFQSJEJMIZESPDIMPSJD7BTDPS ® #FQBEJO ®   CPTFOUBO5SBDMFFS ®   CVTQJSPOF  DBSCBNB[FQJOF$BSCBUSPM ® &QJUPM ® &RVFUSP ® 5FHSFUP ®   DMBSJUISPNZDJO#JBYJO ® 1SFWQBD ®   DMPOB[FQBN,MPOPQJO ®   DMPSB[FQBUF(FOYFOF ® 5SBOYFOF ®   DPMDIJDJOF$PMDSZT ®   NFEJDJOFTUIBUDPOUBJOEFYBNFUIBTPOF  EJB[FQBN7BMJVN ®   EJHPYJO-BOPYJO ®   EJTPQZSBNJEF/PSQBDF ®   FTUB[PMBN  FUIPTVYJNJEF;BSPOUJO ®   þFDBJOJEF5BNCPDPS ®   þVSB[FQBN  þVUJDBTPOF'MPWFOU ® 'MPOBTF ® 'MPWFOU ® %JTLVT 'MPWFOU ® )'"7FSBNZTU ®   JUSBDPOB[PMF4QPSBOPY ®   LFUPDPOB[PMF/J[PSBM ®   MJEPDBJOF9ZMPDBJOF ®   NFYJMFUJOF  PYDBSCB[FQJOF5SJMFQUBM ®   QFSQIFOB[JOF  QIFOPCBSCJUBM-VNJOBM ®   QIFOZUPJO%JMBOUJO ® 1IFOZUFL ®   QSPQBGFOPOF3ZUINPM ®   RVJOJEJOF/FVEFYUB ®   SJGBCVUJO.ZDPCVUJO ®   SJGBQFOUJOF1SJGUJO ®   SJTQFSJEPOF3JTQFSEBM ® 3JTQFSEBM$POTUB ®   TBMNFUFSPM4FSFWFOU ® PSTBMNFUFSPMXIFOUBLFOJODPNCJOBUJPO XJUIþVUJDBTPOF"EWBJS%JTLVT ® "EWBJS)'" ®   TJMEFOBýM7JBHSB ® UBEBMBýM$JBMJT ® PSWBSEFOBýM-FWJUSB ®  4UBYZO ® GPSUIFUSFBUNFOUPGFSFDUJMFEZTGVODUJPO&%*GZPVHFU EJ[[ZPSGBJOUMPXCMPPEQSFTTVSFIBWFWJTJPODIBOHFTPSIBWF BOFSFDUJPOUIBUMBTUMPOHFSUIBOIPVSTDBMMZPVSIFBMUIDBSF QSPWJEFSPSHFUNFEJDBMIFMQSJHIUBXBZ  UBEBMBýM"EDJSDB ® GPSUIFUSFBUNFOUPGQVMNPOBSZBSUFSJBM IZQFSUFOTJPO  UFMJUISPNZDJO,FUFL ®   UIJPSJEB[JOF  WPSJDPOB[PMF7GFOE ®   XBSGBSJO$PVNBEJO ® +BOUPWFO ®   [PMQJEFN"NCJFO ® &EMVMBS ® *OUFSNF[[P ® ;PMQJNJTU ®  Know the medicines you take. ,FFQBMJTUPGBMMZPVSNFEJDJOFTBOE TIPXJUUPZPVSIFBMUIDBSFQSPWJEFSBOEQIBSNBDJTUXIFOZPVHFUB OFXNFEJDJOF%POPUTUBSUBOZOFXNFEJDJOFTXIJMFZPVBSFUBLJOH 453*#*-%XJUIPVUýSTUUBMLJOHXJUIZPVSIFBMUIDBSFQSPWJEFS Keep STRIBILD and all medicines out of reach of children. 5IJT#SJFG4VNNBSZTVNNBSJ[FTUIFNPTUJNQPSUBOUJOGPSNBUJPO BCPVU453*#*-%*GZPVXPVMEMJLFNPSFJOGPSNBUJPOUBMLXJUIZPVS IFBMUIDBSFQSPWJEFS:PVDBOBMTPBTLZPVSIFBMUIDBSFQSPWJEFSPS QIBSNBDJTUGPSJOGPSNBUJPOBCPVU453*#*-%UIBUJTXSJUUFOGPSIFBMUI QSPGFTTJPOBMTPSDBMMPSHPUPXXX453*#*-%DPN *TTVFE"VHVTU $0.1-&3"&.53*7"(*-&"%UIF(*-&"%-PHP(4*)&14&3"453*#*-%UIF453*#*-%-PHP 5367"%"BOE7*3&"%BSFUSBEFNBSLTPG(JMFBE4DJFODFT*ODPSJUTSFMBUFEDPNQBOJFT"53*1-" JTBUSBEFNBSLPG#SJTUPM.ZFST4RVJCC(JMFBE4DJFODFT $"MMPUIFSNBSLTSFGFSFODFEIFSFJO BSFUIFQSPQFSUZPGUIFJSSFTQFDUJWFPXOFST ª(JMFBE4DJFODFT*OD"MMSJHIUTSFTFSWFE2$ JAMES HOSKING (SF); “EVERYBODY’S DOIN’ IT!” CONDOM RESOURCE CENTER (POSTER) Contents features San Francisco: The First AIDS- Free City From the epicenter of the epidemic to the world’s model for care, the city by the bay is vying to claim the title of the first AIDS-free city. But how could that be accomplished if the city does not help the poor and marginalized? By Jeremy Lybarger 46 (Safe) Sexual Imagery Visual imagery has always been one of the most effective tools in the fight against HIV. We examine some of the most successful and how the imagery has changed since the beginning. 52 46 Whatever Happened to the Mighty GMHC? The organization that once led the battle against AIDS has experienced troubles with leadership, expensive real estate, and dropping contributions. Will the GMHC be able to right its course for the sake of its clients in need? By Tim Murphy 56 *Limited time free offer. Avail. to new Beats Music Family subscribers on an AT&T wireless multi-line acct. 5 users across 10 devices. Unless you cancel, after 90 days; you will automatically be charged $14.99/month on your AT&T wireless bill. Cancel anytime. Data rates & taxes may apply. To view, modify or cancel your subscription go to att. com/mobilepurchases. Unlimited Downloads: No access to downloads after service cancellation. Downloading & streaming over the wireless network may use excess data & incur large data charges. For full terms visit beatsmusic.com/legal Beats Music is a trademark of Beats Music, LLC. © 2014 AT&T Intellectual Property. All rights reserved. Introducing the new music service with more than 20 million songs. Download and stream UNLIMITED ** Beats Music ™ on your devices. **Data rates apply. music that’s always right for you Order Now! www.att.com/advocate 1.877.439.1001 Also, now available, the LG G Flex from AT&T. ,#\aV[VgehXWEB;:W\c_TYbe\``Xe\hXh\Xi\aZ ')CF[\Z[#cXeYbe`TaVXVT`XeTVTcfgeXc\VfgeXcXeYXVf`b`Xaf $ 14 99 /mo. First 90WT<H;; * for a limited time! for Contents 22 ERIN LEE HOLLAND (MUXES); © RAY DEAN (JARMAN); JENNIFER BUNKER/AFFIRMATION (SLC PRIDE); JOHANNES EISELE/AFP/GETTY IMAGES 62 67 advance Bucking the Trend Executive orders were the starting point for past civil rights actions. Why not for employment? 19 Study Guide: Iran A new president cannot change the regime’s anti-LGBT policies. 22 Civil Survey: Going Blonde Our survey of attendees to a tribute to Carol Channing on who has more fun, matchmaking, and Nixon. 29 Britney, One More Time We love to love Britne y Spears. But are we just absolving our guilt at what fame has cost her? 32 By the Numbers: The Catholic Church Will it change and survive? The data show it’s in dire straits. 34 religion & culture Ghost of Future Present Derek Jarman’s legacy has been burnished since his death. Justin Torres seeks the iconoclastic. 67 The O-Factor Diane Anderson-Minshall on the life- changing voyage on an Olivia cruise. 70 His and His and His When three is not a crowd. Mikel Wadewitz writes a love letter to both of the men he loves. 74 Marry, Me? Michael Musto is feeling the pressure to pair off, even from his TV set. 76 A List: Chris O’Dowd Brandon Voss catches up with Irish hearthrob about mous- taches, smooching, and his Broadway debut. 80 spectator Mormons, God, and Gays The Mormon church could change course on LGBT acceptance like no other global religion. So what if God suddenly said gay is OK? By Matthew Breen 42 Mexico’s Muxes A look at Mesoamericas’s third gender, the mysterious and revered muxes. Photography by Erin Lee Holland 62 daily dose The Indestructable Man Knowing your first steps when you test positive can make all the difference. 37 42 on the cover Photography by James Hosking for The Advocate K E Y W E S T B I G P I N E K E Y & T H E L O W E R K E Y S M A R A T H O N I S L A M O R A D A K E Y L A R G O With everything from authentic coastal sailing ships to gay tours, water sports, drag shows and even clothing-optional resorts, no other gay destination measures up to fabulous Key West. fla-keys.com/gaykeywest 305-294-4603 Okay, it is the size of the ship. 8 THE ADVOCATE april / may 2014 BRADFORD ROGNE R ather by accident, this issue has taken on a subtheme, one of challenging behemoth, established institutions: GMHC, which was for many years the juggernaut in bat- tling AIDS; the Mormon Church, the global religion of 14 million members that, as an institution, leads the fight to prevent gays and lesbians from marrying in California; and even Britney Spears, unde- niably a gay icon. I imagine that we’re going to get a lot of correspondence calling our good sense and provenance into question. Much of what we do in LGBT media and activism is taking on fights, but still, I’m girding my loins for this first one in particular. It’s a look at whether Britney Spears should be considered a gay icon in the classic sense. The answer, in short, is no—not yet. (Hold your righteous outrage until you’ve read the piece starting on page 32). Spears can churn out a pop hit, and she’s an extremely hard worker—neither point seems refutable. She even seems like a pretty nice person. But whenever I see her perform I can’t help thinking that it looks like she’d rather be doing something else. I see in her my own desire to take a nice, long vacation. I can just read it on her face. But her devotees are legion. After the premiere of Spears’ Vegas residency, one acquaintance of mine who posted dozens of his own snapshots and videos of her performance in many posts on Facebook, was chal- lenged to give it a rest, and yet stood his ground: He’d rather have you unfriend him than temper his admira- tion for Britney even the tiniest bit. I, for one, can’t wait to see what she gets up to when it’s really up to her. Even if that’s retirement. In “Whatever Happened to the Mighty GMHC,” (page 56) contributor Tim Murphy looks at the proto- type organization that began when writer Larry Kramer and 80 other men met in Kramer’s apartment to respond to the “gay cancer” plaguing New York City and San Francisco. GMHC sponsored the first major AIDS fundraising event in 1983 (interestingly, a Ringling Bros. and Barnum & Bailey Circus performance), and the organization was sought by the CDC in planning public conferences on AIDS the following year—all before the discovery of the HIV virus. They’ve had some rather public missteps in recent years as detailed in Murphy’s reporting, but the thing that jumps right out of the piece is the analysis that the original donor base of mostly white, mostly gay men, has dropped the funding ball rather dramatically. Have they decided that HIV/AIDS isn’t a crisis any longer, that it’s a chronic yet manageable disease? Or did they give all their money to marriage fights? Or could it be because the disease now dispropor- tionately affects men and women of color. If the latter is the case, and we cannot see beyond our own proverbial front steps and acknowledge how the disease affects others, I worry for the both the health of the organiza- tion and our future as a multifaceted community. Also in this issue I posit a theory about how Mormon- ism, given its unique structure, could suddenly become the world’s first truly 21st century religion, and embrace LGBTs (page 42). Ever since the stunning overturn- ing of the Utah state constitution’s marriage ban, I’ve been turning over in my head how to frame the issue of equality in my home state. A high school friend tipped me off that she was working on the legal challenge to the ban, and it’s to my own discredit that I didn’t follow up, thinking, as many others did, that progress cannot be made there, it will have to be imposed externally. That was a mistake to be sure. In that court decision and other moves I see opportunity for a new openness in the dominant religious and political force in Utah. The successes of the past few years have beaten some cynicism out me. It’s a good time to take on the giants. Matthew Breen, editor in chief Editor’s Letter [...]... Cavnaugh is the founder and president of HIV Experience Resources Organization, a 501 (c) (3) charitable organization that operates HERONews.org and HIVHero.org april / may 2014 THE ADVOCATE 37 Henceforth it is time to welcome your gay and lesbian brothers and sisters into the Church, that all may equally receive every blessing of the gospel 42 THE ADVOCATE april / may 2014 MORMONS, GOD, AND GAYS The Mormon... Satan-worshiping network with dozens of [members].” While the major world powers are understandably focused on stopping Iran’s drive toward nuclear weapons, the wretched condition of LGBT Iranians is not a front-and-center concern In January, Berlin LGBT magazine Siegessäule asked why the LGBT community in the West remains “silent” about their counterparts in the Islamic Republic april / may 2014 THE ADVOCATE. .. the Union address that started the clock ticking on the gay ban He also took to the airwaves in 2012 to announce his change of heart on same-sex marriage While neither of these actions definitively altered the trajectory of either issue, they most certainly catapulted them forward at an accelerated pace But had I asked him in 2008 whether he anticipated that marriage equality would start to sweep the. .. been unimaginable just april / may 2014 THE ADVOCATE 43 Mormon settlers in the Utah Territory in the 1860s a few short years ago And though Utah poll figures supporting same-sex marriage have not historically been as high as the national average, polling since the overturn of the state’s marriage ban show support for the right of same-sex couples to wed to be at an all-time high of 48%—20% higher than... Twelve Apostles, The Spirit of the Lord rested upon us all,” wrote Bruce R McConkie, a member of the Quorum “From the midst of eternity, the voice of God, conveyed by the power of the Spirit, spoke to his prophet The message was that the time had now come to offer the fullness of the everlasting gospel, including celestial marriage, and the priesthood, and the blessings of the temple, to all men, without... and value the strength of character it takes to make it april / may 2014 THE ADVOCATE 33 ADVANCE BY THE NUMBERS NUMBER CRUNCH: A CHURCH IN CRISIS An impulse to compassion may not be Pope Francis’s only reason for backing off the socially repressive and tone-deaf elements of Catholicism (including the antigay rhetoric) that disenchant parishioners; the shrinking church badly needs to invigorate the flock... embracing of LGBT members of that faith Will it listen for the word of God? april / may 2014 THE ADVOCATE 45 The city that was once the deadly AIDS epicenter of the world is now striving to be AIDS-free What does that mean, and why is San Francisco poised to achieve this goal the way no other American city could? THIS ALL BEGAN with a visit to Ward 86, the nation’s oldest HIV/ AIDS clinic Founded in 1983... RUSSIA 12 THE ADVOCATE shattered a lot of misconceptions I had about the sexual minorities in Russia, but confirmed also a supposition, that queer folk have not escaped the condemnation of the church and, in fact, once the supposedly atheistic USSR collapsed, the Russian Orthodox authorities have been a major force in the passage of homophobic laws Putin knows his Seneca and is the beneficiary of both the. .. taught The writer of the article goes on to say that there is no history of a civil rights movement in Rus- april / may 2014 sia This is not correct Andrei Sakharov, for instance led a civil & human rights movement that ultimately resulted in the collapse of the Soviet Union Also, a very important civil rights movement was the cause of Soviet Jews who wished to live free of anti-Semitism It was the pressure... Judeo-Christian history of an ancient American civilization Several books, including the Old and New Testaments and the Book of Mormon, comprise the religion’s scriptural canon, but so does the word of the president of the church 44 THE ADVOCATE april / may 2014 (Smith was the first; Thomas S Monson is the current president), who is a living prophet and is sanctioned to receive divine revelation Such revelation . (POSTER) Contents features San Francisco: The First AIDS- Free City From the epicenter of the epidemic to the world’s model for care, the city by the bay is vying to claim the title of the first AIDS-free city. But. West. fla-keys.com/gaykeywest 30 5-2 9 4-4 603 Okay, it is the size of the ship. 8 THE ADVOCATE april / may 2014 BRADFORD ROGNE R ather by accident, this issue has taken on a subtheme, one of challenging. acknowledge how the disease affects others, I worry for the both the health of the organiza- tion and our future as a multifaceted community. Also in this issue I posit a theory about how Mormon- ism,