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Author Topic: low or low risk leading to hiv  (Read 813 times)

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Offline reader786

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low or low risk leading to hiv
« on: July 24, 2019, 04:01:47 am »
I was reading your forums to get assurance on my HIV risk. Now, I noticed that there is a reason that nobody is infected in this forum because once they test positive their thread is moved to the Just tested positive one.

I spend more than 2 days to go through all the posts in Just tested positive. I have found cases with people getting infected by following:

1. Kissing
2. Frottage, naked grinding hetersexually
3. Protected intercourse
4. Oral
5. people on PreP

My question is why you guys ask people not to test over these incidents when you have seen people in your forums getting infected this way. Statistically you may be right, but I think you should not ask people to skip testing over these incidents.


Offline Jim Allen

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Re: low or low risk leading to hiv
« Reply #1 on: July 24, 2019, 04:51:42 am »
Hiya,

Look ill comment but then the topic stops, your choice here is to ask about your situation and, we will provide a risk assessment or move on if you don't like/agree with the service. 

If you are looking for stories I have added some I like to read at the end of my post. Including 20% of men denying any anal sex yet having rectal infections and 50% of women & 40% of men having risks events but calming to have had none

Risk assessments are not based on stories, they also vary depending on the details posted. There are also near negligible or negligible risks in assessment, that simply don't warrant specifically testing over or testing outside of standard routine screening, then there are theoretical risks i.e never happened before over the 40 odd years, not worth stressing about each time outside of routine either, falls under wearing a steal hat when walking down the street out of fear a meteorite might hit you in the head. 

There are also stories that are just that, stories. I have people claiming to have acquired HIV from the household pet (Cats & Dogs) & Aliens and, recently a virgin who only had vaginal intercourse a few times ;D or people who dismissed true risk events and focus on no-risk situations ... Sneezing was mentioned once as well but the context/topic was what to tell people when not wanting to say how you acquired HIV.

Our risk assessment are not going to be including stories or warnings about next door's cats, aliens, toilet seats etc.

Long story short, stories are not facts, there are many reasons why someone would rather not admit to an exposure, incorrectly dismiss or not disclose a true exposure or admit the full truth. Being newly diagnosed is difficult enough time on its own, for some it is a time of struggling with a deep fear of HIV stigma, social judgment & self-stigma but also things like sexuality, religion, family, sexual relationships etc etc come into play as well and for others even legal fears.

Here's what you need to know in order to avoid hiv infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time,no exceptions. Consider starting PrEP as an additional layer of HIV protection going forward

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

Kind regards

Jim

Please Note.
As a member of the AM I Infected Forum you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post and it will take you here. It helps us to help you when you keep all your thoughts or questions in one thread and it helps other readers to follow the discussion. Any additional threads will be deleted.


2018
https://doi.org/10.1016/j.eclinm.2018.08.001

STI Risk Perception in the British Population and How It Relates to Sexual Behaviour and STI Healthcare Use: Findings From a Cross-sectional Survey (Natsal-3)

We have identified falsely optimistic views of personal STI risk among a substantial proportion of those at risk of STIs in the British population, which could have a negative impact on efforts to promote safe sex and STI testing, and the control of STIs.

Among those classed as having ‘unsafe sex’ in the past year (comprising approximately 1 in 5 sexually-active 16–44-year-olds), 39.2% of men and 51.0% of women rated themselves as not at all at risk of STIs

2018
http://journals.sagepub.com/doi/abs/10.1177/0032885517753163

Underreporting in HIV-Related High-Risk Behaviors: Comparing the Results of Multiple Data Collection Methods in a Behavioral Survey of Prisoners in Iran

Participants reported more sexual contact in prison for their friends than they did for themselves. In men, NSU provided lower estimates than direct questioning, whereas in women NSU estimates were higher. Different data collection methods provide different estimates and collectively offer a more comprehensive picture of HIV-related risk behaviors in prisons.

2018
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268760/

Socially desirability response bias and other factors that may influence self-reports of substance use and HIV risk behaviors: A qualitative study of drug users in Vietnam

The accuracy of self-report data may be marred by a range of cognitive and motivational biases, including social desirability response bias

2018
http://emj.bmj.com/content/35/1/46
Self-perceived risk of STIs in a population-based study of Scandinavian women

Subjective perception of risk for STI was associated with women’s current risk-taking behaviours, indicating women generally are able to assess their risks for STIs. However, a considerable proportion of women with multiple new partners in the last 6 months and no condom use still considered themselves at no/low risk for STI.

2018
https://www.tandfonline.com/doi/abs/10.1080/09540121.2017.1384787

Social desirability bias and underreporting of HIV risk behaviors are significant challenges to the accurate evaluation of HIV prevention programs for orphans and vulnerable children (OVC) in sub-Saharan Africa

2018
https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(18)30062-6/fulltext

Non-disclosed men who have sex with men in UK HIV transmission networks: phylogenetic analysis of surveillance data

Jim: In short they analysed the genetic code of the virus from HIV-positive people and came to the conclusion that some of the self-reported heterosexual mens HIV was more than likely actually non-disclosed MSM.

2017
https://www.ncbi.nlm.nih.gov/pubmed/28509997

Social Desirability Bias and Prevalence of Sexual HIV Risk Behaviors Among People Who Use Drugs in Baltimore, Maryland: Implications for Identifying Individuals Prone to Underreporting Sexual Risk Behaviors.

2017 --In regards to STI's
https://journals.lww.com/stdjournal/toc/2017/07000
Sexually Transmitted Diseases: July 2017 - Volume 44 - Issue 7 - p 390–392

Is Patient-Reported Exposure a Reliable Indicator for Anogenital Gonorrhea and Chlamydia Screening in Young Black Men Who Have Sex With Men?

Among 485 young black men who have sex with men recruited in Jackson, MS, 90-day anal sexual exposure significantly predicted rectal infection, but 19.4% of rectal infections would have been missed among men denying receptive anal sex. Reports of consistent condom use were associated with lower infection rates only in men reporting insertive anal sex.

2016
https://www.sciencedirect.com/science/article/pii/S0010782416305418
Could misreporting of condom use explain the observed association between injectable hormonal contraceptives and HIV acquisition risk?

Jim - Not a conclusive or in depth study but under the study participants it did find: 9 out of every 20 sex acts reported with condoms are actually unprotected

2013

Rollins School of Public Health, Emory University, and the Kensington Research Institute, Silver Spring, MD 20910, USA https://www.ncbi.nlm.nih.gov/pubmed/14655794

"At risk" women who think that they have no chance of getting HIV: self-assessed perceived risks.


more than one-half of the "no perceived risk of HIV" sample had engaged in at least one risky practice during the preceding year and more than one-quarter had engaged in at least two such behaviors


2009
The Validity of Teens’ and Young Adults’ Self-reported Condom Use
https://jamanetwork.com/journals/jamapediatrics/articlepdf/380711/poa80067_61_64.pdf

A significant degree of discordance between self-reports of consistent condom use and YcPCR positivity was observed. Several rival explanations for the observed discordance exist, including (1) teens and young adults inaccurately reported condom use; (2) teens and young adults used condoms consistently but
used them incorrectly, resulting in user error; and (3) teens and young adults responded with socially desirable answers

BMC Public Health 2007
https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-7-60

Analyses of data from the Demographic and Health Surveys, Sexual Behaviour Surveys and from other countries show a similar pattern indicating under-reporting
It is probable that as HIV campaigns encouraging delayed sexual debut and abstinence before marriage reach the population, people will report behaviour
assumed to be more socially desirable.

there are some signs of differential reporting bias in our study. We found that controlling for less risky sexual behaviour substantially reduced the association between HIV and survey time among urban men, but less so among women; this may suggest that self-reports from men about sexual behaviour are more reliable. Studies suggest that respondents, especially women, tend to under-report the number of lifetime sexual partners . Therefore, analyses of associations with, and changes in, self-reported sexual behaviour should be interpreted with caution.

2010
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957626/

Self-presentation bias (wishing to be viewed in a positive light) may result in patients underreporting behaviors they perceive to be stigmatizing

Approximately a third of the men in the sample reported that they did not disclose all of their risk behaviors to the HIV counselor during the face-to-face risk assessment. These results echo similar studies of risk disclosure to medical providers


« Last Edit: July 24, 2019, 04:55:23 am by Jim Allen »
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Offline reader786

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Re: low or low risk leading to hiv
« Reply #2 on: July 24, 2019, 07:07:12 am »
Thanks Jim for your detailed reply.

The reason I researched all the post on website is because I was worried.

My risk goes as follows:
I went for sensual massage at Asian parlour with high HIV prevelance.

1. Full body to body massage
2. Handjob without protection
3. excessive genital to genital rubbing with girl on top
4. close mouth kiss on breast nipples and Neck

High risk factors: My skin has some scratches etc. There is a possibility of vaginal fluid entering through those cuts as well as through urethra and foreskin ( I am uncircumcised).

Symptoms:
1. 3 days: Rash breakthrough in chest, shoulders and upper arms (non itchy)
2. 10 days: change in voice
3.a  10 days Herpes breakout on mouth or maybe angular chettilnis
3.b 14 days: oral thrush
4. 15 days white patches on back of throat
5. 28 days: itchiness and rash on forearms
6. pain in neck near voice box from outside maybe due to swollen nodes
7. random muscle pains in legs in thigh and calves
8. Dry mouth
all these symptoms are continuing till no 36 days. I had night sweats initially but that can be due to stress as well. Important to note that I didn't have fever throughout. Pain in spleen for 15 min on 24th day only.

Please tell my exposure risk. Is it low, negligence or no risk. I will skip testing only if its no risk. I will test even its negligeable risk because of all ARS symptoms.






Offline Jim Allen

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Re: low or low risk leading to hiv
« Reply #3 on: July 24, 2019, 07:15:36 am »
Hiya

What you posted is not an HIV risk.

So if this was your one and, only sexual encounter in life then HIV is not an issue, I am sorry to hear you are feeling unwell however best to see your GP and, let them treat you if it continues.

Best, Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline reader786

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Re: low or low risk leading to hiv
« Reply #4 on: July 24, 2019, 07:29:19 am »
Hello Jim,

Thanks for your quick response. Is naked grinding negligeable or no risk?

Also getting all ARS symptoms makes me worry.

Even if there is proven case of hiv with naked grinding, its doesn't become highlighted because if someone is hiv+ , he will not fight for this, rather focus on the treatment.

I had no exposure to sex or needles from February. got Hiv negative test in May. Had this only exposure in month of June. So if I get paoitive test, this will be the cause. And then I will not fight for this, rather will plan my life ahead. That's why I become nervous when i read post with people getting positive this way or threads ending in inconclusive way.

I will buy subscription to continue discussion because I trully appreciate the work this site does.

Offline Jim Allen

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Re: low or low risk leading to hiv
« Reply #5 on: July 24, 2019, 07:39:34 am »
Hiya,

Asked and answered.

It's simple, what you posted lacks all the biological conditions required for acquiring HIV. So if you ever do acquire HIV it was not from this event.

In addition, it takes HIV the better part of a week for HIV to infect the human body, let alone for your body to cause initial symptoms,  your reported symptoms started within 3 days, now they are not related to HIV from this event, as;  A) There was no HIV risk from this event B) It was far too soon.

Stop reading stories and, thinking they are somehow facts or apply to you, they don't. Instead, see your GP and, treat whatever is making you sick and, i hope you feel better soon.

Best, Jim

Quote
I will buy a subscription to continue the discussion because I truly appreciate the work this site does.

Don't because there is nothing to discuss, you have had a full risk assessment, and you know how to avoid HIV .

« Last Edit: July 24, 2019, 07:41:40 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

 


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