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Why Prevention Isn't Working |
How Can We Change the Message
So Kids Will Listen?
by Patricia Nell Warren |
Left Field May 2003
Whenever I read those dire news items about young people
not listening to HIV-prevention messages, I’m reminded
of a story about my mother. Once upon a time, when my mom
was seven or eight, her mother warned her not to put beans
up her nose. In those days every household had a hundred-pound
bag of dried navy beans in the kitchen or pantry. It had never
occurred to my mom to put beans up her nose. But Gram issued
so many dire warnings that one day, my mother got curious.
She went in the pantry and stuffed beans up her nostrils,
one by one. Naturally the beans swelled from nasal moisture,
and my mother couldn’t pry them out. Uh-oh. A trip to
the local emergency room was followed by a spanking.
“Why didn’t you listen?” Gram thundered.
As a writer who has spent time listening to young people
and writing about them, I wonder why everybody is so surprised
that many don’t listen to unsafe-sex warnings. When
did Americans start believing that kids listen to dire warnings
about anything? When kids are six, they don’t listen
to warnings about lost mittens; at sixteen they don’t
listen to warnings about fast cars and bad company. Gram’s
generation believed that dire warnings to kids always work.
But then she also believed we’d never fly to the moon.
Hasn’t America learned anything in eighty years?
Americans have tried to keep kids from doing a lot of things,
and we’ve always failed. Alcohol, for instance. My mom
grew into a Jazz Age kid with a silver hip-flask. People drank
and partied, and some Americans believed drink was evil—so
in 1920 Prohibition happened. That didn’t work—people
drank more than ever, only now they drank in secret. Prohibition
fueled the rise of organized crime. So we repealed Prohibition
in 1933...but to save face and preserve the power of dire
warnings, we kept underage drinking illegal. That didn’t
work either—the culture continued to make alcohol forbidden
and attractive. Kids drank in secret, as I learned in the
1950s, watching my small-town high-school confreres head for
beer busts in the hills. Today law enforcement cracks down
on youth drinking harder than ever. The penalties get bigger—you
can be suspended from school, lose your driver’s license
and scholarships, do serious jail time, ruin your life over
a six-pack. Result: Some young people do fierce binge drinking
that outdoes the 1950s. Is there a message here?
Cigarettes? Now that America has decided cigarettes must
go, the young are more into smoking than ever. Every state
outlaws smoking by minors; the feds jump in with grim public-service
warnings. But the preventives aren’t working. Cigarettes
have become one of those A-list no-nos that kids do anything
to get their hands on...not because a cancer stick is such
a wonderful thing in itself, but because adults have made
it forbidden and attractive, the way they did with alcohol.
Indeed, we are seeing cigarettes explode into a huge illegal
traffic, just like drugs, with a whole new wrinkle of organized
crime. Kids go to boot camps and juvenile detention just for
smoking.
As a nonsmoker, I’ve tried my own preventive messages.
“Smoking can kill you,” I smiled to a young friend
of seventeen. “You know that, don’t you?”
He smiled back through a cumulus cloud of blue smoke. “Yes,
I know,” he said.
Drugs? The United States fought drugs since the 1950s, when
the Reader’s Digest fumed about the evils of reefer.
Today we face the double whammy of preaching about illegal
drugs to kids who have marinated in legal drugs all their
lives. We try to tell them that Ritalin and Prozac and Zoloft
are good, but crack and E and GHB are bad. Most kids don’t
buy this sophist distinction. So now a generation of young
people is largely deaf to “just say no” messages.
In short, sex is just another of those things that our society
makes both attractive and forbidden. Sex is seen that way
by many young people, whether they’re minors or not.
Hence the problem with dire HIV warnings. So, while government
and churches insist that abstinence-only campaigns are working,
and AIDS nonprofits insist that prevention campaigns are working,
statistics coming out of the CDC (if we can believe them)
say otherwise. Gay kids and straight kids are having a lot
of sex, and they’re having it younger than before, and
many are having it unprotected.
In the past, kids ignored the dire warnings because they
knew they would live forever. Young people of Gram’s
generation rode the edge on fast horses and whisky and incurable
syphilis. In their day, “living forever” actually
meant being cherished and admired when you’re old. Kids
knew they could look forward to happy old age, dying at home
in their own bed with their family around them.
But today it’s different. Today kids know, with a certainty
that is hair-raising to see, that they won’t live forever.
From everything they see in the media and the daily social
life around them, they know it’s best to be fiercely
young and beautiful and sexy and popular for a blink of time.
Being old today means Alzheimer’s, not admiration. Being
old means loneliness among strangers in a nursing home, not
dying in the bosom of a loving family.
Young people know that the planet is in serious trouble.
They get the messages of doom constantly, mainlined right
into their brains from advertising, movies, TV, the Internet,
video games, and music. The messages are not teaching them
to be violent, as so many people believe. No. The messages
teach our young people that the Earth is going away, and Bruce
Willis won’t get here in time to save us. Why would
a kid worry about safer sex in a world where he—or she—feels
a sharp personal certainty about being cannon fodder for the
Apocalypse? If anything confirmed this for them, it was seeing
the Twin Towers collapsing on 9/11.
Therefore, when young people ignore our dire warnings about
sexually transmitted disease, they’re doing it in a
vast context, the size and power of which we’re totally
underestimating. We’re telling them, “AIDS can
kill you...you know that, don’t you?” And they’re
smiling back at us beatifically and saying, “Yes, we
know. And we don’t care.”
In the GLBT world, the older GLBTs grumble, “We were
the generation who didn’t know about AIDS. We had to
learn the hard way by seeing our friends die. But this new
generation...they know that they can die of AIDS. Why don’t
they want to live?”
Well, the gay young people who aren’t practicing safer
sex don’t see any point in trying to live that long.
They already “know” they won’t live past
twenty or twenty-five. They don’t even have to commit
suicide, though some of them do. They know that death will
surprise them some morning, on the way to school, or at night
after a club or rave. They’ll be gay-bashed, or shot
in a drive-by, or hit by a terrorist bomb, or drowned in a
tidal wave when an asteroid hits Earth.
Indeed, our society and our government have done little to
convince these young GLBT people that life is worth living.
After all, the U.S.A. still insists that gay people can’t
marry or serve their country openly. In most states, gay people
can’t adopt children or get benefits. Many schools still
declare open season on GLBT students by refusing to protect
them from harassment or physical harm. Indeed, religious righters
are working hard to repeal every last shred of civil protection
that gays won over fifty years. Is it any wonder that many
gay kids feel they’re dead meat? Why should they care
about their lives when society tells them their lives aren’t
worth a nickel?
As for the GLBT world, it is equally guilty—it has done
little to convince young people that there’s life after
twenty-five. Gay media that run editorials lamenting the rise
in unsafe sex are the same media that glamorize being young.
As a writer who talks to young people, I’m now meeting
the twenty-five-year-old males who have computed the message
and try to look fifteen. They shave three times a day so their
chins look pre-pubescent. They stay away from the gym so they
can keep that flat-chested young-boy look. They don’t
want to be men. Past twenty-five, even twenty-eight, they’re
still trying to look and act like teenage boys. It’s
Peter Pan of post-2001.
One young man of twenty-eight whom I’ve known for
years, who is incredibly bright and talented, had an incredibly
jarring wake-up that he survived. He now works in HIV-prevention
programs. And he’s having his own moment of truth.
“The kids aren’t listening,” he told me,
brokenhearted. “The soft ads with the cute, little healthy
penises aren’t working. The hard ads that show dying
guys aren’t working either. No matter what you say,
or how you say it, the kids hit the remote.”
With America in a get-tough-on-kids mood, I can guess what’s
coming next. State “safer sex” laws will be enforced
with a rigor worthy of fighting terrorism. The South Dakota
epic of jailing an HIV-positive college basketball player
named Nikko Briteramos will be repeated with other kids in
other states. The philosophy is, “If they insist on
having unsafe sex, we’ll put them in shackles.”
Don’t get me wrong—I’m not saying that safer
sex is a lost cause or a waste of time. Sexual health is definitely
worth having. But we won’t achieve it by punishing kids
for doing things we make attractive to them. America’s
political and religious leaders, our media leaders—and
yes, many GLBT leaders too—have failed to see what messages
our young people are really listening to. When the current
fad for punishing kids has run itself out, we will have the
social equivalent of a successful carpet-bombing campaign
and a lost war. We will have a lot of kids behind bars for
a long time. Their bodies will be in custody, but we will
have lost their emotions and minds and spirits, not to mention
their trust and respect for us. Most important, we will lose
the chance to be there for them, as we always said we wanted
to be.
There has to be a better strategy for prevention campaigns.
Figuring out what it could be would require a whole other
article. But meanwhile we shouldn’t be telling kids
not to put beans up their nose.
Patricia Nell Warren writes about young people in the bestselling
novel Billy’s Boy. Her editorials are archived at patricianellwarren.com.
Reach her by e-mail at patriciawarren@aol.com.
Copyright © 2003 Patricia Nell Warren.
All rights reserved.
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