No, you see it’s a question of odds.

HIV is hard to transmit. It’s a fragile virus. It takes intimate sexual contact to “catch” HIV.

If your pool of potential sexual partners is small and interconnected, then the chances of having sex with an infected person are much higher than if your pool of potential partners is large and mostly not connected.

We can see an object lesson now in sub-saharan Africa. It took decades, but the virus actually did spread heavily in some regions, to the point where as many as one out of every 4 or 5 adults is infected.

In those regions, where a potential sexual partner is highly likely to be infected, rates of new infections are predictably very high, even higher than among gay male populations in North America in the 1980s.

This despite that almost all transmission is among men and women having vaginal sex.

It’s not so much the specific sexual practice that heightens risk, you see, as it is how common the virus is in a population.

Written by

Writer. Runner. Marine. Airman. Former LGBTQ and HIV activist. Former ActUpNY and Queer Nation. Polyglot. Middle-aged, uppity faggot.

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