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Nightclubs, Adultery and HIV

(Blogmensgo, February 22, 2013) A team of researchers led by Steve E. Bellan, University of Texas at Austin publishedFebruary 5, 2013, in The Lancet , the preliminary findings of a study to measure the proportion of HIV infections due with adultery. Although the panel studied by researchers consists solely of heterosexual couples in sub-Saharan Africa, the findings are of interest because this is the first scientific measurement of the phenomenon.

The Lancet : summary (Free) | Full text (surcharge)

Marital infidelity is the cause of HIV infection in 27% to 61% of men, 21% to 51% of cases among women. In 2011 alone, approximately 32% to 65% of new HIV cases were attributable to extramarital transmission between men, against 10% to 47% of women. These are the main conclusions of figures which was led by the team of Steve Bellan.

To achieve this, the researchers studied a sample of 27,201 couples married or cohabiting in 18 sub-Saharan countries. Results comparing the responses on the one hand and on the other declarative more objective data. A mathematical model has been specially used to include facts such as the prevalence of HIV in this country, the average duration of exposure to HIV and antiretroviral coverage. Declarative side, a compilation of data for each couple: age of man and woman, status and prior serological, age at first sex, level of fidelity, etc..

If a scientific calculation of the rate of contamination due to adultery is a world first, it only confirms the generally accepted intuitions.

The interest of the study concerns mainly reusable elements in strategies for HIV prevention in general, using ARVs. The team of Steve Bellan recommends not limited only to the prevention serodiscordant couples, but to extend it to the entire sexually active population, precisely because of the high rate of contamination from extramarital.

This is more or less for these reasons Aides, in a interview with Stubborn (5 February 2013), confirms its desire that Truvada be used as a preventive treatment. For "the people of sub-Saharan communities and gay," because "there are in these groups, people who have difficulties with condom use, at some point in their lives."

But no question that Truvada be used to replace the hood, because antiretroviral prophylactic low efficacy against HIV / AIDS and they do not protect against other sexually transmitted infections.

The effectiveness of antiretroviral prophylactic administration has not yet demonstrated the long term. United States, Truvada as a preventive treatment is indeed authorized since July 2012.

While browsing in The Lancet I also found an article in the January 12, 2013 (available in full text ) mentions in the gay clubs of London, the increase in risk practices and their addictive potential epidemiological consequences.

This article has been translated from our French blog, to view the original, click here.

Philca & Matt / MensGo
(via Stubborn (Truvada) February 5 and The Economist February 9, 2013 [adultery])

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