Three primary routes of HIV transmission in India: (i) unprotected sex (ii) injecting drug use (iii) unprotected anal
sex between men.
10) The increased risk of infection for HIV among MSM has been associated with sexual attitudes and behaviors like sex with casual partners, use of illicit drugs and alcohol during sex, receptive unprotected anal
sex, sex role versatility among MSM, and use of the internet to find sexual partners.
Today, we can perhaps be more objective in recognizing that gay liberation and the resulting increase in unprotected anal
sex effectively opened a transmission pathway for the virus, a virus that may have existed peripherally in Western society for decades but was prevented from widespread transmission by the social prohibition on gay penetrative sex.
Studies suggest that urethral infection is largely acquired from unprotected anal
sex, with perhaps one third of cases acquired by receiving oral sex (online Technical Appendix Table).
Withholding this information could have serious implications for a young persons medical treatment, particularly as unprotected anal
intercourse is the highest-risk behaviour for transmission of HIV.
Several factors were strongly and independently linked with both unprotected anal
sex and unprotected anal
sex with an HIV-negative partner, including problematic substance use, unemployment, previous incarceration, and nonblack race.
After fitting a mathematical model with surveillance and behavioral data, they estimated the effects of seven HIV interventions targeting MSM, including expanded testing, test-and-treat programs, antiretroviral PrEP, and measures to reduce sexual partners and unprotected anal
intercourse (Lancet HIV 2016 Jan 13.
Researchers in the IPERGAY trial, a double-blind, randomized, placebo-controlled study of 400 men who have sex with men (MSM), provided PrEP combination therapy to the study participants using tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) before and after unprotected anal
Colin Batrouney, Manager of Health Promotion at the Victorian Aids Council for Gay Mens Health, said that they were seeing an increase in unprotected anal
intercourse with casual partners that means that people were not using condoms during casual hook-ups.
In the study, eligible couples were defined as one HIV-negative partner not taking PReP and one undetectable HIV-positive partner on ART, who had had unprotected anal
or vaginal sex in the month prior to starting the study, expected to continue having sex with each other, and would come to a participating clinic for testing every six months.
Risky sex" was defined as any unprotected anal
intercourse with a partner with unknown or positive HIV status.
HIV transmission during unprotected anal
sex (approximately 18 times that of unprotected penile-vaginal sex ), early treatment should be considered even at high CD4+ counts to prevent onward transmission of infection, i.