Gender functions in which HIV-positive homosexual men see for non-safe sex could help lower the scatter of HIV, but could include a danger of sexually carried bacterial infections and superinfection with resilient stresses of HIV, according to a pilot research done in New York and printed within the Oct model of Sexually Transmitted problems.
Although the learn is actually introduced in calculated language, and is also careful to highlight both potentially negative and positive wellness effects of gender people regarding HIV-positive gay men, or a€?POZ partiesa€? once the authors refer to them as, a media release from the editors in the journal put a great deal more sensational language and led to alarmist headlines such as a€?POZ events distributed extremely stress of HIVa€? into the well-known hit.
Occasions such POZ people may signify an effort by HIV-positive gay boys purchase sexual associates of the same HIV standing, so-called a€?serosortinga€?. Though there was extensive research inside intimate behaviour of homosexual males lately, little known about homosexual gender parties cheekylovers seznamka. Thus professionals set out to explain the properties of men which sign up for POZ activities, their own good reasons for this, the types of gender they involved with at this type of activities, their particular drug utilize at these events as well as their sexual conduct away from events which present additional HIV-positive guys.
Glossary
serosorting
Choosing intimate associates of the identical HIV standing, or restricting condomless sex to associates of the same HIV status. As a danger decrease method, the disadvantage for HIV-negative anyone is that they are only able to ensure of their HIV standing whenever they last got a test, whereas HIV-positive anyone can be confident they are aware her reputation
pilot research
Small-scale, initial learn, carried out to guage feasibility, energy, cost, bad activities, and enhance upon the style of a future full-scale research study.
superinfection
When anyone currently infected with HIV is actually subjected to another type of tension of HIV and gets contaminated along with it and their own present virus.
stress
A variant characterised by a certain genotype.
poppers
Amyl, butyl or isobutyl nitrite, tend to be leisure drugs sniffed while having sex to both heighten the feeling and loosen up rectal sphincter muscle groups.
Detectives questioned a total of 115 people at ten POZ celebration activities in nyc within the second half of 2003. Most males comprise white (70percent) and 97% said that they had intercourse exclusively together with other people. The median duration of HIV infection had been 10 years, even though this ranged between two months and two decades. Antiretroviral treatment had been taken by 69per cent of males therefore the typical get older was actually 42 decades. A sexually transmitted illness in before attending the intercourse party is reported by a 3rd of men.
Over a 3rd of males said that their unique main cause for attending a POZ celebration had been sometimes a€?dona€™t have to worry about disclosing my HIV statusa€? (35per cent) or a€?like having uninhibited or unrestricted sexa€? (35per cent). On top of that, 15per cent of males mentioned a€?dona€™t need to bother about infecting othersa€? because their major reason for going to case.
an earlier intercourse party regarding HIV-positive males have been attended by 75per cent of men, most of whom asserted that they attended their unique very first such show between 2000-03, suggesting that these types of occasions had gained in appeal in recent years. Men reported attending events in a large amount united states towns and in Europe.
Almost all of the people (88%) asserted that they had oral sex with one or more people at a POZ party, with 60percent stating that that they had unprotected open anal sex (with more than 75% of those people receiving climax) and 72percent stating that that they had had unprotected insertive anal sex at these types of a meeting (with 69% of these boys saying that they ejaculated inside their spouse).
There seemed to be little proof medicine utilize at POZ celebration happenings. Despite latest issue in america about methamphetamine and male impotence drugs fuelling sexual issues using, the investigators learned that merely 11percent of men reported the usage of any amphetamine and just 1percent of males said that they used Viagra before or during the party. Additionally, the investigators noticed small proof medication utilize besides poppers.
The investigators suck a number of inferences using their study. First of all, the activities they analyzed are an attempt at a€?serosortinga€?. Subsequently, medication usage is not a dominating function of the happenings; and, thirdly, sex events involving HIV-positive homosexual males may possibly provide an as but unrealised chance for health promotion.
a€?POZ activities have the potential to contribute to decrease when you look at the spread out of HIV issues through the self-selection of HIV-positive sexual partnersa€?, determine the investigators. But the benefits of such a€?serosortinga€? maybe compromised from the spread out of sexually transmitted problems as well as the a€?diffusion of HIV superinfection, both among HIV-positive boys at POZ people as well as their HIV-negative intercourse lovers in other spots.a€?
Clatts MC et al. an appearing HIV hazard atmosphere: an initial epidemiological profile of an MSM POZ celebration in nyc. Gender Transm Infect 81: 373 a€“ 376, 2005.