How high is your risk of getting HIV
really? Whether you're gay, straight, HIV-positive or HIV-negative, you will
find the following tables very interesting. In fact, they may save your life.
Just like a condom could.
Your highest risk for contracting HIV, is having unprotected sex (anal,
vaginal, or oral) with someone who is busy becoming HIV-positive, who might
think he/she is HIV-negative, but is in fact seroconverting. This is the time
when the viral load is at its highest. In other words, it is actually
statistically safer to have protected sex with someone who is HIV-positive, than
it is to have unprotected sex with someone who thinks he/she is negative, but
who is actually seroconverting.
Estimated per act risk for acquisition of HIV, by exposure route
Exposure route
Risk per 10 000 exposures to an infected source
Percentage
Blood transfusion
9 000
90
Needle sharing IDU
67
0,67
Receptive anal intercourse
50
0,5
Percutaneous needle stick
30
0,3
Receptive penile-vaginal intercourse
10
0,1
Insertive anal intercourse
6,5
0,065
Insertive penile-vaginal intercourse
5
0.05
Receptive oral intercourse
1
0,01
Insertive oral intercourse
0,5
0,005
(Source: Centre for Disease Control)
The risk of HIV infection in heterosexual couples
HIV-positive woman with low viral load
None
Extremely low
Some
High
Only male with condom
Oral sex
Vaginal sex
Anal sex*
Only female with condom
Oral sex
Vaginal sex
Anal sex*
Both male and female with condom
Oral sex
Vaginal sex
Anal sex
No condom
Oral sex
Vaginal sex
Anal sex
HIV-positive woman with high viral load
None
Extremely low
Some
High
Only male with condom
Oral sex
Vaginal sex
Anal sex
Only female with condom
Oral sex
Vaginal sex
Anal sex*
Both male and female with condom
Oral sex
Vaginal sex
Anal sex
No condom
Oral sex
Vaginal sex
Anal sex
HIV-positive man with low viral load
None
Extremely low
Some
High
Only male with condom
Oral sex
Vaginal sex
Anal sex*
Only female with condom
Oral sex
Vaginal sex
Anal sex*
Both male and female with condom
Oral sex
Vaginal sex
Anal sex
No condom
Oral sex
Vaginal sex
Anal sex
HIV-positive man with high viral load
None
Extremely low
Some
High
Only male with condom
Oral sex
Vaginal sex
Anal sex*
Only female with condom
Oral sex
Vaginal sex
Anal sex*
Both male and female with condom
Oral sex
Vaginal sex
Anal sex
No condom
Oral sex
Vaginal sex
Anal sex
Both male and female HIV-positive
None
Extremely low
Some
High
Only male with condom
Oral sex
Vaginal sex
Anal sex*
Only female with condom
Oral sex
Vaginal sex
Anal sex*
Both male and female with condom
Oral sex
Vaginal sex
Anal sex
No condom
Oral sex
Vaginal sex
Anal sex
* It is safer to withdraw even with a condom
The risk of HIV infection in gay couples
HIV-positive woman with low viral load
None
Extremely low
Some
High
One female with condom
Oral sex
Clitoral rubbing
Shared sex toy
Both females with condom
Oral sex
Clitoral rubbing
Shared sex toy
No condom
Oral sex
Clitoral rubbing
Shared sex toy
HIV-positive woman with high viral load
None
Extremely low
Some
High
One female with condom
Oral sex
Clitoral rubbing
Shared sex toy
Both females with condom
Oral sex
Clitoral rubbing
Shared sex toy
No condom
Oral sex
Clitoral rubbing
Shared sex toy
HIV-positive man with low viral load
None
Extremely low
Some
High
One male with condom
Oral sex
Anal sex*
Shared sex toy
Both males with condom
Oral sex
Shared sex toy
Anal sex*
No condom
Oral sex
Anal sex
Shared sex toy
HIV-positive man with high viral load
None
Extremely low
Some
High
One male with condom
Oral sex
Anal sex*
Shared sex toy
Both males with condom
Oral sex
Anal sex*
Shared sex toy
No condom
Oral sex
Anal sex
Shared sex toy
Both females HIV-positive
None
Extremely low
Some
High
One female with condom
Oral sex
Clitoral rubbing
Shared sex toy
Both females with condom
Oral sex
Clitoral rubbing
Shared sex toy
No condom
Oral sex
Clitoral rubbing
Shared sex toy
Both males HIV-positive
None
Extremely low
Some
High
One male with condom
Oral sex
Anal sex*
Shared sex toy
Both males with condom
Oral sex
Anal sex*
Shared sex toy
No condom
Oral sex
Anal sex
Shared sex toy
(Source: Morbidity and mortality weekly report: January 2005, CDC)
* It is safer to withdraw even with a condom
Those
who have a higher viral load give their non-infected partners a higher risk of
being infected with HIV than those with a lower viral load. If you are unsure
about your partner's status, read on and you might just decide not to have
unprotected sex.
Estimates published in the annual
“UNAIDS Report on the Global HIV/AIDS Epidemic” in 2002 estimate that more
than 40 million adults and children were infected with HIV around the world in
2001. Africa south of the Sahara desert accounts for 28 million of these
adults and children. A recent study by the Human Sciences Research Council (HSRC)
which was published in December 2002 estimated that 11.4% of South Africans
(4.5 million people) are currently living with HIV/AIDS. Also this study
clearly demonstrated that young women in South Africa in the age group 25-29
are more at risk for HIV infection.
This data is also supported by the
annual Department of Health Ante-natal clinic (ANC) surveys that showed about
24.8% of pregnant women were HIV positive in 2001. This in turn indicates that
many thousands of babies would have been infected by their mothers in South
Africa during 1999 to 2001. By the end of 2003, it is estimated that there
were 1 100 000 AIDS orphans (mother or both parents lost to AIDS) under 15
years of age in South Africa. During 2003, 370 000 people died of AIDS in
South Africa.
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