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Author Topic: Oral sex studies links please  (Read 1833 times)

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Offline Souledout

  • Member
  • Posts: 145
Oral sex studies links please
« on: January 22, 2013, 02:34:34 PM »
Hi could someone please link to the studies which point to the safety of oral sex? I've heard people reference them (usually they say 3 studies, so I assume that they're well known on here) but would like to have a look myself.

In the interests of balance, are there any which point to the possibility of transmission?
Infection sometime April-August, no noticable seroconversion symptoms
Not currently on medication
13/09/12 CD4 672 (33%) VL <40 (diagnosis date)
18/09/12 CD4 ?               VL 43
27/09/12 CD4 ?               VL 127
19/11/12 CD4 676 (38%) VL 959
03/03/13 CD4 642 (32%) VL 291
04/07/13 CD4 791 (33%) VL 26,437 (active cold sore, tooth infection)
18/07/13 ------retest------VL 3704
18/11/13 CD4 802 (36%) VL 65

Offline OneTampa

  • Member
  • Posts: 2,316
  • "Butterflies are free."
Re: Oral sex studies links please
« Reply #1 on: January 22, 2013, 04:09:27 PM »
Hi could someone please link to the studies which point to the safety of oral sex? I've heard people reference them (usually they say 3 studies, so I assume that they're well known on here) but would like to have a look myself.

In the interests of balance, are there any which point to the possibility of transmission?

Here are links that speak to HIV transmission (with notes about oral sex):

Centers for Disease Control (CDC):

http://www.cdc.gov/hiv/resources/qa/transmission.htm

New England Journal of Medicine (NEJM):

http://www.nejm.org/search?q=transmission+of+hiv

POZ.com:

http://www.poz.com/archive/2008_Mar_2168.shtml

University of California, San Francisco:

http://hivinsite.ucsf.edu/insite?page=pr-rr-05

i-Base:

http://i-base.info/qa/1629
« Last Edit: January 22, 2013, 04:21:18 PM by OneTampa »
"He is my oldest child. The shy and retiring one over there with the Haitian headdress serving pescaíto frito."

Offline Dr.Strangelove

  • Member
  • Posts: 214
Re: Oral sex studies links please
« Reply #2 on: January 22, 2013, 05:17:46 PM »
Here is a meta-analysis of previous studies of oral sex risks: link
(This paper is the basis for the numbers given in Wikipedia for MSM oral sex)

"Very few studies reporting HIV transmission probabilities through orogenital intercourse or reporting sufficient data to calculate it were found. This may be due to the difficulty in identifying individuals with orogenital intercourse as their sole exposure, the tendency to ascribe any transmission events that occur to any higher risk exposure that is identified, such as anal intercourse, and the assumption that the associated risk is very low. Although transmission risk per-act or per-partner through any type of orogenital intercourse activity remains poorly quantified and despite the high estimate from Giesecke et al. (1992), our review suggests a low but non-zero transmission probability."

"Conclusions: There are currently insufficient data to estimate precisely the risk from orogenital intercourse exposure. The low risk of transmission evident from identified studies means that more and larger studies would be required to provide sufficient evidence to derive more precise estimates."

Since you just asked for studies and not for personal opinions, I spare you with mine...  :)

Offline jkinatl2

  • Member
  • Posts: 6,007
  • Doo. Dah. Dipp-ity.
Re: Oral sex studies links please
« Reply #3 on: January 22, 2013, 05:18:21 PM »
Were you looking for these?


No incident HIV infections among MSM who practice exclusively oral sex.
Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. WePpC2072)??Balls JE, Evans JL, Dilley J, Osmond D, Shiboski S, Shiboski C, Klausner J, McFarland W, Greenspan D, Page-Shafer K?University of California, San Francisco, San Francisco, United States

Oral transmission of HIV, reality or fiction? An update
J Campo1, MA Perea1, J del Romero2, J Cano1, V Hernando2, A Bascones1
Oral Diseases (2006) 12, 219–228

AIDS:  Volume 16(17)  22 November 2002  pp 2350-2352
Risk of HIV infection attributable to oral sex among men who have sex with men and in the population of men who have sex with men

Page-Shafer, Kimberlya,b; Shiboski, Caroline Hb; Osmond, Dennis Hc; Dilley, Jamesd; McFarland, Willie; Shiboski, Steve Cc; Klausner, Jeffrey De; Balls, Joycea; Greenspan, Deborahb; Greenspan

Page-Shafer K, Veugelers PJ, Moss AR, Strathdee S, Kaldor JM, van Griensven GJ. Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, 1982-1994 [published erratum appears in Am J Epidemiol 1997 15 Dec; 146(12):1076]. Am J Epidemiol 1997, 146:531-542.

Studies which show the fallacy of relying on anecdotal evidence as opposed to carefully controlled study insofar as HIV transmission risk is concerned:

Jenicek M. "Clinical Case Reporting" in Evidence-Based Medicine. Oxford: Butterworth–Heinemann; 1999:117

Saltzman SP, Stoddard AM, McCusker J, Moon MW, Mayer KH. Reliability of self-reported sexual behavior risk factors for HIV infection in homosexual men. Public Health Rep. 1987 102(6):692–697.Nov–Dec;

Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior. Psychol Bull. 1990 Nov;108(3):339–362.

You can do an AEGIS search for links. Not at all certain what is behind a paywall

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

Welcome Thread

Offline Souledout

  • Member
  • Posts: 145
Re: Oral sex studies links please
« Reply #4 on: January 23, 2013, 03:57:16 AM »
Thanks, they'll make for interesting reading.
Infection sometime April-August, no noticable seroconversion symptoms
Not currently on medication
13/09/12 CD4 672 (33%) VL <40 (diagnosis date)
18/09/12 CD4 ?               VL 43
27/09/12 CD4 ?               VL 127
19/11/12 CD4 676 (38%) VL 959
03/03/13 CD4 642 (32%) VL 291
04/07/13 CD4 791 (33%) VL 26,437 (active cold sore, tooth infection)
18/07/13 ------retest------VL 3704
18/11/13 CD4 802 (36%) VL 65

 


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