Gender people in which HIV-positive homosexual guys fulfill for non-safe sex may help decrease the scatter of HIV, but could involve a risk of intimately carried bacterial infections and superinfection with resilient stress of HIV, per a pilot study conducted in nyc and published into the Oct release of Sexually Transmitted problems.
Although the learn was recommended in measured code, and is also careful to highlight both the potentially positive and negative fitness effects of intercourse activities concerning HIV-positive homosexual guys, or a€?POZ partiesa€? as authors call them, a mass media launch from writers with the record utilized even more sensational words and led to alarmist headlines such as for example a€?POZ functions spreading very stress of HIVa€? from inside the common click.
Happenings such POZ events may represent an effort by HIV-positive gay men to select sexual partners of the same HIV position, so-called a€?serosortinga€?. Though there might considerable investigation into the intimate habits of gay people lately, very little is known about homosexual intercourse people. Consequently researchers set out to explain the characteristics of men just who attend POZ people, their particular reasons behind doing so, the sorts of gender they engaged in at such events, their unique medicine utilize at these happenings as well as their sexual behavior away from people which engaging additional HIV-positive males.
Choosing intimate lovers of the same HIV updates, or limiting condomless sex to partners of the same HIV status. As a danger decrease method, the disadvantage for HIV-negative men is senior match hledat the fact that they can only just be certain of these HIV condition if they past took a test, whereas HIV-positive people is generally positive they understand her standing
Minor, initial study, done to evaluate feasibility, opportunity, expenses, damaging happenings, and boost upon the design of a future full-scale scientific study.
Whenever anyone already infected with HIV try subjected to a unique tension of HIV and becomes infected with-it besides their particular current trojan.
A variant characterised by a particular genotype.
Amyl, butyl or isobutyl nitrite, is recreational medications sniffed during intercourse to both escalate the feeling and chill out sphincter muscles.
Investigators questioned a total of 115 males at ten POZ celebration events in New York when you look at the last half of 2003. Many boys had been white (70per cent) and 97% said that they had gender entirely along with other boys. The average time of HIV illness had been 10 years, although this varied between 2 months and two decades. Antiretroviral treatment had been used by 69% of men and the typical get older was actually 42 years. A sexually transmitted issues around before attending the intercourse party was reported by a 3rd of males.
Over a third of men mentioned that their own main cause for attending a POZ celebration had been sometimes a€?dona€™t need to worry about exposing my HIV statusa€? (35percent) or a€?like having uninhibited or unrestricted sexa€? (35%). And also, 15% of men reported a€?dona€™t have to worry about infecting othersa€? because their main cause for going to the function.
a past intercourse celebration regarding HIV-positive guys was attended by 75% of males, most of whom said that they attended their particular first these event between 2000-03, suggesting that this type of events had gained in appeal nowadays. Men reported participating in events in several united states urban centers and in Europe.
Most of the guys (88percent) asserted that they had oral sex with one or more individual at a POZ party, with 60percent saying that that they had exposed open rectal intercourse (with more than three quarters of those individuals obtaining ejaculate) and 72percent saying that that they had have unprotected insertive rectal intercourse at these an event (with 69percent of the boys saying that they ejaculated in their lover).
There seemed to be small evidence of medicine incorporate at POZ party occasions. Despite current issue in america about methamphetamine and erectile dysfunction medications fuelling sexual danger having, the detectives unearthed that best 11% of males reported using any amphetamine and just 1per cent of men mentioned that they utilized Viagra before or throughout the party. In addition to that, the investigators noticed small proof of medicine use apart from poppers.
The detectives suck several inferences off their learn. Firstly, the functions they examined are an attempt at a€?serosortinga€?. Subsequently, medicine utilize is certainly not a prominent feature of these activities; and, finally, sex parties concerning HIV-positive gay males may possibly provide an as however unrealised opportunity for wellness promotion.
a€?POZ events could potentially contribute to reductions inside the spread out of HIV infection through the self-selection of HIV-positive sexual partnersa€?, determine the detectives. But the key benefits of this type of a€?serosortinga€? could possibly be compromised because of the scatter of sexually sent bacterial infections plus the a€?diffusion of HIV superinfection, both among HIV-positive males at POZ parties in addition to their HIV-negative gender partners various other venues.a€?
Clatts MC et al. a promising HIV possibilities atmosphere: a preliminary epidemiological visibility of an MSM POZ party in New York City. Gender Transm Infect 81: 373 a€“ 376, 2005.