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Отсутствие случаев передачи ВИЧ в дискордантных гей парах

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Отсутствие случаев заражения ВИЧ-инфекцией в гей-парах по результатам австралийского исследования

В рамках наблюдения, проводимого в Австралии, Таиланда и Бразилии среди 152 гомосексуальных серодискордантных пар (так называемые «противоположно-полюсные» пары), до сих пор не было выявлено ни одного случая заражения ВИЧ-инфекцией среди партнёров, в целом совершивших, по оценке исследователей, 6000 актов незащищенного анального секса.

58% пар в исследовании «Противоположности притягиваются» (Opposites Attract study) заявили о незащищённом анальном сексе, доля которого в диапазоне всех половых отношений в парах составляла 40%, при чем ВИЧ-негативный партнёр выступал в роли «принимающего» (пассивного) партнера. Большинство (84%) ВИЧ-инфицированных партнеров принимали антиретровирусную терапию (АРТ), и почти все из них имели неопределяемую вирусную нагрузку. Доля незащищенного секса с ВИЧ-инфицированными партнерами, не принимающими АРТ или с неадекватным уровнем вирусологического контроля, составила всего 4%.

Отсутствие случаев передачи инфекции не означает отсутствие риска заражения. С учетом того, что до настоящего времени в исследование зачислено относительно небольшое число мужчин, исследователи подсчитали, что максимально вероятный уровень заболеваемости составил бы 4% в год (7% в год - в отношении негативных «принимающих» партнеров). Эти данные отражают статистическую вероятность, а не фактический риск заражения. По данным более крупномасштабного исследования «PARTNER», о котором сообщалось на КРОИ 2014, максимально вероятный риск передачи инфекции в исследовании составил 1% (2,5% для ВИЧ-негативных «принимающих» партнёров).

Отсутствие случаев передачи ВИЧ в дискордантных гей парах

Комментарий AIDSMAP.COM: Оба исследования все еще продолжаются. Ожидается, что с накоплением данных максимальная статистическая вероятность заражения приблизится к нулю, если только ситуации не изменится в результате появления неожиданных случаев инфекции. Отбрасывая в сторону споры на тему абсолютного уровня риска заражения, результаты австралийского исследования, так же как и данные исследования «PARTNER», подкрепляют идею о том, что по каким бы причинам не происходило заражение участников исследования, оно не возникало в результате передачи инфекции от ВИЧ-инфицированных партнёров на лечении (АРТ)

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