Sex people in which HIV-positive homosexual boys satisfy for unprotected sex could help lower the scatter of HIV, but could involve a threat of sexually carried bacterial infections and superinfection with resilient stresses of HIV, in accordance with a pilot research carried out in New York and printed when you look at the October version of Sexually sent problems.
Although the study is presented in measured code, and is also careful to highlight both the possibly positive and negative fitness effects of intercourse people including HIV-positive homosexual males, or a€?POZ partiesa€? once the authors refer to them as, a media release from publishers regarding the record made use of a lot more sensational language and resulted in alarmist headlines instance a€?POZ parties spread very stress of HIVa€? when you look at the prominent click.
Activities including POZ events may represent an attempt by HIV-positive homosexual people to choose sexual partners of the identical HIV status, alleged a€?serosortinga€?. Even though there was extensive data into the intimate behavior of homosexual people lately, little is known about gay sex events. Thus experts attempted to explain the features of men which attend POZ events, their grounds for doing this, the sorts of gender they engaged in at these events, their particular medication need at these occasions and their intimate behavior outside of functions which present various other HIV-positive guys.
Selecting sexual partners of the identical HIV position, or limiting condomless gender to associates of the identical HIV standing. As a danger decrease technique, the disadvantage for HIV-negative folk is because they is only able to be sure of their HIV condition if they past grabbed a test, whereas HIV-positive men and women can be self-confident they understand their unique position
Minor, preliminary study, done to evaluate feasibility, time, price, damaging occasions, and fix upon the appearance of another full-scale scientific study.
When someone already infected with HIV are confronted with a separate tension of HIV and becomes contaminated with it in addition to their unique existing malware.
A variant characterised by a particular genotype.
Amyl, butyl or isobutyl nitrite, are leisurely medications sniffed during sex to both intensify the experience and chill out rectal sphincter muscle tissue.
Detectives interviewed all in all, 115 people at ten POZ party occasions in nyc into the second half of 2003. The majority of boys are white (70per cent) and 97per cent asserted that that they had gender solely together with other people. The median time of HIV issues is ten years, even though this ranged between 8 weeks and two decades. Antiretroviral treatment was being taken by 69per cent of men and the typical age had been 42 many years. A sexually transmitted issues in the year prior to participating in the gender celebration is reported by a third of males.
Over a 3rd of men mentioned that their own biggest cause for attending a POZ celebration got often a€?dona€™t need to bother about exposing my personal HIV statusa€? (35%) or a€?like having uninhibited or unrestricted sexa€? (35%). And also, 15percent of males mentioned a€?dona€™t need to worry about infecting othersa€? since their major cause for attending the big event.
a past sex party involving HIV-positive men was attended by 75% of males, most of who mentioned that they went to their unique first such event between 2000-03, indicating that such occasions had gained in popularity lately. People reported attending activities in a number of us places and also in European countries.
Almost all of the guys (88percent) said that that they had oral intercourse with at least one person at a POZ party, with 60% proclaiming that they’d unprotected open anal intercourse (with more than three-quarters of those people obtaining climax) and 72% saying that they had got unprotected insertive anal sex at this type of an event (with 69% of these guys stating that they ejaculated inside their partner).
There was clearly little proof of medicine usage at POZ party events. Despite latest focus in the United States about methamphetamine and erectile dysfunction medication fuelling sexual possibilities having, the investigators found that only 11percent of males reported the application of any amphetamine and only 1per cent of men said that they made use of Viagra before or during the party. In addition, the investigators noticed little proof medicine use besides poppers.
The investigators suck numerous inferences using their learn. Firstly, the events they evaluated seem to be an effort at a€?serosortinga€?. Furthermore, drug use is certainly not a dominant feature of these occasions; and, finally, sex people involving HIV-positive homosexual people may provide an as but unrealised chance for fitness advertising.
a€?POZ parties could potentially play a role in decreases into the spread out of HIV illness through self-selection of HIV-positive intimate partnersa€?, conclude the detectives. But the great benefits of this type of a€?serosortinga€? might be compromised by the spread of sexually carried bacterial infections in addition to a€?diffusion of HIV superinfection, both among HIV-positive men at POZ parties in addition to their HIV-negative sex lovers in other sites.a€?
Clatts MC et al. a growing HIV chances conditions: an initial epidemiological visibility of an MSM POZ party in nyc. Gender Transm Infect 81: 373 a€“ 376, 2005.