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Condoms aren’t a fact of life for young Americans. They’re an afterthought

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4 months ago

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mississippitoday.org – Devna Bose, AP Health Writer – 2024-10-02 13:00:11

OXFORD, Miss. (AP) — It’s hard to miss the overflowing bowl of condoms at the entrance of the gym.

Some University of Mississippi students walking past after their workout snicker and point, and the few who step forward to consider grabbing a condom rethink it when their friends catch up, laughter trailing behind them. Almost no one actually reaches in to take one.

Though officials say they refill the bowl multiple times a day, and condoms are available at multiple places on campus, Ole Miss students say the disinterest is indicative of changing attitudes.

Fewer young people are having sex, but the teens and young adults who are sexually active aren’t using condoms as regularly, if at all. And people ages 15 to 24 made up half of new chlamydia, gonorrhea and syphilis cases in 2022.

The downward trend in condom usage is due to a few things: medical advancements like long-term birth control options and drugs that prevent sexually transmitted infections; a fading fear of contracting HIV; and widely varying degrees of sex education in high schools.

Is this the end of condoms? Not exactly. But it does have some public health experts thinking about how to help younger generations have safe sex, be aware of their options — condoms included — and get tested for STIs regularly.

“Old condom ads were meant to scare you, and all of us were scared for the longest time,” said Dr. Joseph Cherabie, medical director of the St. Louis HIV Prevention Training Center. “Now we’re trying to move away from that and focus more on what works for you.”

A shift in attitudes

Downtown Oxford was thrumming the day before the first football game of the season. The fall semester had just started.

Lines of college students with tequila-soda breath waited to be let in dim bars with loud music. Hands wandered, drifting into back pockets of jeans, and they leaned on one another.

It’s likely that many of those students didn’t use a condom, said Magan Perry, president of the college’s Public Health Student Association.

“Using a condom is just a big, ‘uh, no,’” the senior said.

Young women often have to initiate using condoms with men, she said, adding that she’s heard of men who tell a sexual partner they’ll just buy emergency contraception the next day instead.

“I’ve had friends who go home with a guy and say they’re not having sex unless they use a condom, and immediately the reaction is either a reluctant, ‘OK, fine,’ or ‘If you don’t trust me, then I shouldn’t even be here,’” Perry said. “They’re like, ‘Well, I’m not dirty, so why would I use them?’”

Women have long had the onus of preventing pregnancy or STIs, Cherabie said, and buying condoms or emergency contraceptives — which are often in a locked cabinet or behind a counter — can be an uncomfortable experience and “inserts a certain amount of shame,” Cherabie said.

If pregnancy risk has been the driving factor for condom usage among heterosexual couples, the fear of contracting HIV was the motivation for condom use among men who have sex with men.

But as that fear has subsided, so has condom use, according to a recent study that focused on a population of HIV-negative men who have sex with men.

Grindr, a popular gay dating app, even lists condom use under “kinks” instead of “health.” Things like that make Steven Goodreau, an HIV expert at the University of Washington who led the study, worry that the change in attitudes toward condoms is trickling down to younger generations.

Goodreau believes the promotion of pre-exposure prophylaxis (PrEP), a drug that prevents HIV, is overshadowing condoms as a prevention strategy. A strategic plan for federal HIV research through 2025 doesn’t mention condoms, and neither does the national Ending the HIV Epidemic plan.

The Centers for Disease Control and Prevention acknowledges that condoms are still an effective tool that can be used “alongside newer prevention strategies.”

“We know that condom use has declined among some groups, but they still have an important role to play in STI prevention,” said Dr. Bradley Stoner, director of the CDC’s Division of STD Prevention. “Condoms can be accessed without navigating the health care system, can be used on-demand, are generally affordable and most importantly – they are effective at preventing HIV and STIs when used consistently and correctly.”

Students walk around the University of Mississippi campus in Oxford, Miss., Wednesday, Aug. 28, 2024. Credit: AP Photo/Karen Pulfer Focht

Medical advances allow for more options

Pleasure — for both men and women — has long been an undeniable factor for the lack of condom use, according to Dr. Cynthia Graham, a member of the Kinsey Institute team that studies condoms.

But more so, advances in medicine have expanded the options for both STI and pregnancy prevention.

Young cisgender women have been turning to contraceptive implants like intrauterine devices and birth control pills to keep from getting pregnant. And researchers say that once women are in committed relationships or have one sexual partner for a significant amount of time, they often switch to longer-term birth control methods.

Ole Miss junior Madeline Webb said she and her partner seem like outliers — they have been seeing each other for four years, but still use condoms. They also share the responsibility of buying condoms.

“People see condoms as an inconvenience … but they do serve a purpose even if you’re on birth control because there is always a chance of an STD,” Webb said.

A new drug on the market could mean even more STI prevention options for men and possibly women.

Doxycycline post-exposure prophylaxis, or doxy PEP, can be taken within 72 hours after unprotected sex and can help prevent chlamydia, gonorrhea and syphilis. It has to be prescribed by a doctor. Trials are still being conducted for women, but the drug is gaining traction among men who have sex with men and transgender women.

With widespread uptake, the drug has the potential to make a significant impact in STI prevention strategies.

“When PrEP came out, everyone was excited because it was one less thing to worry about in terms of HIV acquisition,” Cherabie said. “With another thing on board that can help decrease our likelihood of getting other STIs, on top of not having to worry about HIV, it gives our community and patients a little less anxiety about their sex lives.”

And in just a decade, PrEP has become a main preventive measure against HIV and other STIs for men who have sex with men – though it is disproportionately used by white men.

Condom use now is “pretty much a thing of the past” for men who have sex with men compared to the 1980s and early 1990s during the AIDS epidemic, said Andres Acosta Ardilla, a community outreach director at an Orlando-based nonprofit primary care clinic that focuses on Latinos with HIV.

“Part of what we have to talk about is that there is something enticing about having condomless sex,” Acosta Ardilla said. “And we have to, as people who are working in public health, plan for the fact that people will choose to have condomless sex.”

The fight over sex ed

Despite the relentless Southern sun, a handful of people representing various student organizations sat at tables in the heart of Ole Miss’ campus. Students walked past and grabbed buttons, wristbands and fidget toys. One table offered gold-packaged condoms – for cups to prevent drinks from being spiked.

Actual condoms are noticeably absent. They’re also absent in the state’s public schools.

Condom demonstrations are banned in Mississippi classrooms, and school districts can provide abstinence-only or “abstinence-plus” sexual education — both of which can involve discussing condoms and contraceptives.

Focus on the Family, an Christian organization that advocates for teaching abstinence until marriage, is concerned that comprehensive sex education “exposes students to explicit materials.” Abstinence-centered education is “age-appropriate” and keeps students safe and healthy, Focus on the Family analyst Jeff Johnston said in an emailed statement.

But Josh McCawley, deputy director of Teen Health Mississippi, an organization that works with youth to increase access to health resources, said the effects are clear.

“The obvious consequence is the rise of sexually transmitted infections, which is what we’re seeing right now, which can be a burden on the health care system,” he said, “but also there could be long-term consequences for young people in terms of thinking about what it means to be healthy and how to protect themselves, and that goes beyond a person’s sexual health.”

The latest CDC data from 2022 shows Mississippi has the highest teen birth rate in the country.

Scott Clements, who oversees health information for the state education department, was hesitant to criticize Mississippi’s sex education standards because they’re “legislatively mandated.”

“If the legislature wants to make changes to this, we will certainly follow their lead,” he added — though attempts to pass more advanced sexual education standards have died repeatedly in the Mississippi statehouse over the past eight years.

Nationally, there is no set standard for sex education, according to Michelle Slaybaugh, policy and advocacy director for the Sexuality Information and Education Council for the United States, which advocates for comprehensive sex ed.

Not every state mandates sex education. Some states emphasize abstinence. Less than half of states require information on contraception.

“There is no definitive way to describe what sex ed looks like from classroom to classroom, even in the same state, even in the same district,” Slaybaugh said, “because it will really be determined by who teaches it.”

Compare Mississippi to Oregon, which has extensive state standards that require all public school districts to teach medically accurate and comprehensive sexual education. Students in Portland are shown how to put on a condom starting in middle school and have access to free condoms at most high schools.

Lori Kuykendall of Dallas, who helped write abstinence-focused standards, said condom demonstrations like those in Portland “normalize sexual activity in a classroom full of young people who the majority of are not sexually active.” She also points to increasingly easy access to pornography — in which people typically do not wear condoms — is a contributing factor to the decline in condom use among young people.

Jenny Withycombe, the assistant director for health and physical education at Portland Public Schools, acknowledged the standards see pushback in the more conservative and rural parts of Oregon. But the idea is to prepare students for future interactions.

“Our job is to hopefully build the skills so that even if it’s been a while since the (condom) demo … the person has the skills to go seek out that information, whether it’s from the health center or other reliable and reputable resources,” Withycombe said.

Those standards seem to contribute to a more progressive view of condoms and sex in young adults, said Gavin Leonard, a senior at Reed College in Portland and a former peer advocate for the school’s sexual health and relationship program.

Leonard, who grew up in Memphis – not far from Oxford, Mississippi, said his peers at Reed may not consistently use condoms, but, in his experience, better understand the consequences of not doing so. They know their options, and they know how to access them.

Slaybaugh wants that level of education for Mississippi students — and the rest of the country.

“We would never send a soldier into war without training or the resources they need to keep themselves safe,” she said. “We would not send them into a battle without a helmet or a bulletproof vest. So why is it OK for us to send young people off to college without the information that they need to protect themselves?”

___

The Associated Press Health and Science Department receives support from the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Legislative recap: 2025 tax cut battle has been joined

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17 hours ago

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January 20, 2025

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mississippitoday.org – Geoff Pender – 2025-01-20 12:00:00

After relatively brief debate and questioning given its magnitude, the state House passed the first meaningful legislation of the new session: House Bill 1, a measure that would eliminate the state income tax, trim taxes on non-prepared food and raise sales and gasoline taxes.

It would mark a sea change in state tax structure, a shift from income to consumption taxation.

“We are at a place where we can finally tell the hard-working people of Mississippi we can eliminate the tax on work,” House Ways and Means Chairman Trey Lamar, HB1’s author, told his colleagues.

The measure passed the House 88-24. It gained some Democratic support in the supermajority Republican House, with nine Democrats voting in favor, 24 against and 12 voting present.

The proposal garnered some bipartisan support because it includes at least a couple of items Democratic lawmakers have championed in the past: A gasoline tax to help fix crumbling roadways, and a reduction in the “grocery” tax, or the sales tax levied on unprepared food, of which Mississippi has the highest overall rate in the nation.

It still met with some Democratic opposition in part because it is a sea change toward more “regressive” taxation. Proponents say this is just, people should pay more for state services they use, such as roadways, and for things they buy as opposed to taxing income. Opponents say this places a proportionately higher tax burden on people of modest means.

“I would say the people hurt the most with this would be working people who have to put gas in their car to go to work or those who have to purchase materials to do a job,” House Democratic Leader Robert Johnson said.

Beyond that concern, opponents or skeptics worry that the foundation of the proposed tax overhaul would be built on shifting sands — a state economy that has been so rosy primarily from the federal government dumping billions of dollars in pandemic spending into Mississippi. With the federal spigot being cut off, some worry, the state economy could slump, and the massive tax cuts in this new plan could provide a state budget crisis, of which Mississippi has much experience, and underfunding of crucial services such as schools, roads, health care and law enforcement.

The largest hurdle Republican House leaders face in seeing their tax plan through to law is not in garnering bipartisan support. It’s internecine disagreement with the Senate Republican leadership, which still appears to harbor abovementioned concerns about overhauling tax structure in uncertain economic times and betting on growth to cover massive tax cuts.

Senate leaders have said they want to enact more tax cuts, but their plan has not yet been released. Lt. Gov. Delbert Hosemann has provided some details of what he wants to see, but it would appear he wants a more cautious approach on cuts. He has not publicly opined on the tax increases in the House plan.

Quote of the Week

“Have you ever worn a belt and suspenders, lady? It’s a belt and suspenders approach.” — Rep. Trey Lamar, R-Senatobia, to Rep. Omeria Scott, D-Laurel, during floor debate on Lamar’s bill to eliminate the state income tax and raise other taxes.

“No. I have not worn a belt and suspenders. I don’t know anyone who has worn a belt and suspenders,” Scott replied.

In Brief

House will renew push to legalize mobile sports betting

House Gaming Committee Chairman Casey Eure, R-Saucier, told Mississippi Today he plans on taking another crack at legalizing mobile sports betting in the state. In 2024, the House and Senate passed versions of legislation to permit online sports betting, but never agreed on a final proposal. Some lawmakers raised concerns that gambling platforms would have no incentive to partner with smaller casinos, and most of the money would instead flow to the Mississippi Gulf Coast’s already bustling casinos. Proponents say legalization would undercut the influence of illicit offshore sports betting platforms.

“I’ve been working on this bill for many years and I’m just trying to satisfy any concerns that the Senate may have so we can pass this and start collecting the tax dollars that the state deserves and not allowing everyone to place bets with these offshore accounts,” Eure said. “I feel like the state is losing between $40-$80 million a year in tax revenue.”

Sports wagering has been permitted in the state for years, but online betting has remained illegal amid fears the move could harm the bottom line of the state’s brick-and-mortar casinos. Mobile sports betting is legal in 30 states and Washington, D.C.,  according to the American Gaming Association. — Michael Goldberg

Hosemann makes Senate committee chair changes

Republican Lt. Gov. Delbert Hosemann last week named new chairmen of committees, after former state Sen. Jenifer Branning was sworn into office as a new justice on the Mississippi Supreme Court. 

Sen. Chuck Younger, a Republican from Columbus, previously led the Senate Agriculture Committee and will replace Branning as chairman of the Transportation Committee. Sen. Neil Whaley, a Republican from Potts Camp, previously led the Senate Wildlife, Fisheries and Parks Committee, but will now lead the Senate Agriculture Committee. 

Here are the other changes to Senate committees: 

Sen. Ben Suber, a Republican from Bruce, will be the new chairman of the Senate Wildlife, Fisheries and Parks Committee 

Sen. Bart Williams, a Republican from Starkville, is the new chairman of the Senate Public Property Committee

Sen. Scott DeLano, a Republican from Gulfport, will lead the Senate Technology Committee 

Sen. Robin Robinson, a Republican from Laurel, will chair the Senate Labor Committee 

Sen. Angela Turner Ford, a Democrat from West Point, will lead the Senate Drug Policy Committee.  — Taylor Vance

What’s in a name? Democratic Rep. Scott hopes GOP majority will pass ‘Donald J. Trump Act’ bills

Perhaps tired of seeing many measures she authors ignored or shot down in flames by the Republican supermajority in the Mississippi Legislature, Democratic Rep. Omeria Scott of Laurel is trying a new strategy: naming bills after Republican President-elect Trump.

For this session, Scott has authored: House Bill 61, the “Donald J. Trump Voting Rights Restoration Act;” House Bill 62, the “Donald J. Trump Ban-The-Box Act … to prohibit public employers from using criminal history as a bar to employment;” and House Bill 249, the “Donald J. Trump Early Voting Act.” — Geoff Pender

More bills filed to criminalize abortion

Since the 2022 Dobbs Supreme Court decision overturned the constitutional right to an abortion, Mississippi lawmakers have proposed bills to criminalize workarounds to the state’s strict abortion ban – including criminalizing the abortion pill and out-of-state abortions. The 2025 legislative session is no exception. 

Rep. William Tracy Arnold, R-Booneville, filed House Bill 616 that would make it a felony to manufacture or make accessible medication abortion. Anyone convicted of the crime would be subject to a fine between $1,000 and $5,000, as well as imprisonment between two and five years. Last year, about 250 Mississippians each month requested medication abortion from Aid Access, the only online telemedicine service supplying medication abortion via mail in the U.S. 

Helping a minor receive an abortion would also be criminalized under House Bill 148 filed by Rep. Mark Tullos, R-Raleigh. That would include transporting a minor out of state to undergo an abortion, as well as helping a minor procure a medication abortion – both of which would be punishable by not less than 20 years in prison or a fine of not less than $50,000. — Sophia Paffenroth

By the Numbers

$1.1 billion

The estimated net annual cost of the House plan to eliminate the state income tax and raise sales taxes, once fully phased in. Proponents say economic growth would allow the state budget, currently about $7 billion a year, to absorb the cut. Eliminating the income tax would cost the state $2.2 billion in revenue, but the House plan would raise about $1.1 billion in other taxes in offset.

0

The amount of income tax Mississippians would pay after a 10-year phased in elimination of the state income tax. With previous cuts being phased in, state income taxes next year will already be reduced to 4%, among the lowest rates in the nation.

8.5 %

The new Mississippi sales tax, up from current 7%, under the House tax plan assuming most local governments would not opt out of adding a new 1.5% local sales tax.

13 cents more a gallon

The cost of the House’s proposed new 5% gasoline tax, based on last week’s average cost of gasoline in Mississippi of $2.62. The new 5% tax would be on top of the flat 18.4 cents a gallon current state excise on gasoline.

4%

The tax on unprepared food once a reduction of the current 7% would be phased in over a decade under the House plan. The state would over time reduce its sales tax on such groceries to 2.5%, but local governments would add a 1.5% sales tax to such items unless they opt out.

Full Legislative Coverage

Lawmakers must pass new legislation to improve access to prenatal care

Lawmakers will file another bill this session to help low-income pregnant women get into the doctor earlier – after the federal government rejected the program set up under last year’s law, because of discrepancies between what was written into state law and federal regulations for presumptive Medicaid eligibility. Read the story.

Proposal: eliminate income tax, add 5% tax on gas, allow cities, counties to levy local sales tax

House leaders last week unveiled a sweeping tax cut proposal that would eventually abolish the state income tax, slash taxes on groceries, increase local sales taxes and shore up funds for state and local road work. Read the story.

A new Mississippi law aims to limit jailing people awaiting mental health treatment. Is it working?

Officials say a new law to decrease the number of people being jailed solely because they need mental health treatment has led to fewer people with serious mental illness detained in jails – but the data is contradictory and incomplete. Lawmakers plan legislation to make more counties report the data. Read the story.

How soon we forget: Mississippi House push for record tax cuts revives fear of repeat budget crises

Eight years ago, from a combination of dozens of tax cuts the Legislature approved and a slumping economy, the state saw a budget crisis that resulted in severely underfunded schools, government layoffs, a near halt to building new roads and highways and problems maintaining the ones we have, too few state troopers on the highways and cuts to most major state services. Read the story.

NAACP legislative redistricting proposal pits two pairs of senators against each other

The Mississippi chapter of the ACLU has submitted a proposal to the courts to redraw the state’s legislative districts that creates two new majority-Black Senate districts and pits two pairs of incumbent senators against one another. Read the story.

Legislation to send more public money to private schools appears stalled as lawmakers consider other changes

Some top lawmakers in Mississippi’s Republican-controlled Legislature are prepared to make it easier for students to transfer between public schools but remain skeptical of sending more public money to private schools. Read the story.

House passes $1.1 billion income tax elimination-gas and sales tax increase plan in bipartisan vote

A bill that phases out the state income tax, cuts the state grocery tax and raises sales taxes and gasoline taxes passed the House of Representatives with a bipartisan vote on Thursday. Read the story.

Tate Reeves and other top Mississippi Republicans owe thanks to President Joe Biden

The tremendous cash surpluses that some state Republicans cite when defending their plan to eliminate the state’s income tax would not exist if not for the billions of dollars in federal funds that have been pumped into the state during Biden’s presidential tenure. Read the story.

Podcast: Mississippi transportation director discusses proposed new gasoline tax

Mississippi Department of Transportation Director Brad White tells Mississippi Today’s Geoff Pender and Taylor Vance he’s staying “in his lane” and out of the politics of a House tax overhaul that would eliminate the income tax and raise sales and gasoline taxes, but that he’s pleased lawmakers are trying to address the long running need for a steady new stream of money to help cover highway maintenance needs. Listen to the podcast.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Longtime Mississippi radio talk show host Paul Gallo dies at 77

Published

18 hours ago

on

January 20, 2025

By

mississippitoday.org – Geoff Pender – 2025-01-20 10:19:00

Longtime Mississippi radio talk show host Paul Gallo died on Sunday, according to SuperTalk radio. He was 77.

“For over five decades, Paul didn’t just talk about Mississippi — he helped shape its story,” a SuperTalk statement said. “… Paul dedicated his life to his listeners, his state, and the pursuit of the truth.”

Gallo was the longtime host of the popular “The Gallo Radio Show” mornings on the statewide SuperTalk network. He began his radio career in 1968, the network said, and, “From DJ to program director, from sales and management to ownership, Paul mastered every facet of the industry.”

Gallo is survived by his wife of 55 years, Patsy; children Jennifer Campbell (Jason) and Mark Galtelli (Susan); six grandchildren, and three great-grandchildren.

Funeral arrangements are pending.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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On this day in 1900

Published

22 hours ago

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January 20, 2025

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mississippitoday.org – Jerry Mitchell – 2025-01-20 07:00:00

Jan. 20, 1900

President Joe Biden reaches out to Michelle Duster, great-granddaughter of civil rights pioneer Ida B. Wells, after signing the “Emmett Till Antilynching Act” in the White House Rose Garden, Wednesday, March 29, 2022. Credit: Official White House Photo by Cameron Smith

Black Congressman George H. White, a Republican from North Carolina, introduced a bill to make lynching of Americans a federal offense, only to see the bill die in committee. 

More attempts followed. More than 4,700 lynchings of Americans took place between 1882 and 1951, two-thirds of them Black Americans. 

In 1916, the NAACP began pushing for anti-lynching legislation. NAACP President Moorfield Storey urged those in Congress to not tell Black Americans “that their case is hopeless, that this great country cannot protect them from absolute wanton murder with the connivance and with the assistance of the officers appointed by law to defend them, and with absolute indifference on the part of the United States.” 

Two years later, Congressman Leonidas Dyer, a white Republican from Missouri, who was upset at the violence in St. Louis and continued lynchings across the South, introduced such a bill. Unlike White’s proposal, Dyer’s passed the House and sailed to the Senate floor for a vote — only to be halted by a filibuster carried out by Southern Democrats, who hinted that such lynchings were necessary. 

Between 1882 and 1968, nearly 200 anti-lynching bills were introduced, and seven U.S. presidents asked for such a law to be adopted, but no bill passed. After the racial violence in Charlottesville, Virginia, in 2017, Black senators pushed again for anti-lynching legislation, which was finally adopted in 2022, promising to punish those who would carry out such hate crimes with up to 30 years in prison. President Biden signed the Emmett Till Antilynching Act into law. 

“Lynching was pure terror to enforce the lie that not everyone belongs in America, not everyone is created equal,” he said. “Racial hate isn’t an old problem — it’s a persistent problem. Hate never goes away. It only hides.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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