Poverty was one motive for adopting an abstinence-only policy, but entrenched conservatism was another. The programmes remain, along with other efforts to legislate morality in the state. In 2011, Louisiana Family Forum, a powerful lobby group, successfully fought a bill that would have prevented government agencies from discriminating against sexual orientation when hiring new employees. Bias against homosexuality makes both men and women reluctant to get tested, because a positive result is seen as a sure sign of being gay. ‘The number of times I’ve heard someone say, “I don’t want to get a test because I don’t want to know my status”,’ Bowen said. She told me about a client whose family made him use a paper plate and plastic fork at a holiday meal, instead of regular dishes like everyone else.
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