Saturday, November 19, 2005

Tested together. Negotiated safety.

In quotes, enter the phrase...
tested together

Negotiated safety is not same as the strategy of let's get tested together before we have sex for sexually transmitted infections.

By implication negotiated safety involves each other saying to
one another that they are negative.

People making claims about their status.

They each make the claim that they are negative.

The strategy is for them before having sex to get tested together
in a transparent way. Make the results of those tests available
to each other

With claims, there is no transparency. either one could be lying
for example.

The strategy of let's get tested together before we have sex
for sexually transmitted infections is not the same as what
> called "Negotiated Safety"... it is a
> process by which two uninfected men decide together
> to not use condoms.
> Negotiated Safety was first described in the
> professional literature by Kippax et al in 1993 from
> research they conducted among gay men in Sydney,
> Australia.
> It is an agreement between two gay men in a
> relationship to have a process of getting ready to
> stop using condoms when they have anal sex.
> The basis of this agreement is an explicit
> understanding that both know each other's HIV status
> and are both uninfected.

There's ambiguity when you say
explicit quote "understanding" unquote.
There's not transparency.
Which means there's a wink involved when you use the word
"understanding" in this context.

Because there's a way for both people to have the same knowledge.

It doesn't mean that the information could be false,
but there's no mendacity in it.
The test could be false, the doctor could be wrong.
But the same tests are used to ensure the safety of the blood

The strategy is about passing the information
to the other person.

No objection for people to choose to have sex when one or both
have an infection.

The problem today is that people have no idea if they are
infected or when they got infected.

The moral equivalent of saying about your blood donation,
no don't test that blood, I don't care just give me the blood I
need, no testing. How many people would take a blood transfusion
under those conditions today? A very small number.

No amount of negotiation will generate concrete knowledge about
somebody's status.

How much talk between two people, for example, will give you the
same results as a test? There isn't any amount of talk.

> In order to insure the men go together to be tested
> at least three months after either has had any
> unprotected sex.

Okay, it's complicated.

Why the three month figure?

For example, with the blood supply they don't wait three months
after the test.

They test once when they get the blood.
They test immediately.
They try to use the blood as soon as possible.
Why the three month wait?

> They also go together to get their HIV test results.
> The only time that both partners do not use condoms
> is when they have sex with each other, making this an
> acceptable safer sex option.
> There must be no unprotected sex outside the
> relationship; if either partner does so, then he must
> immediately inform his partner prior to their having
> sex again.
> They resume using condoms until subsequent HIV tests
> prove that the partner who had unprotected sex is
> still negative.
> Follow up research has shown that 90% of men in
> negotiated safety agreements adhere to them, making
> this an effective risk reduction strategy.

Sure just like the strategy, of course it would work
provided you follow it.

The problem is the complexity
with this whole arrangement, this protocol.

> But the 10% who are not compliant with this agreement
> are a major source of new HIV infections.

Because you're dependent on interviews how can you possibly
come up with ten percent?...

> One study showed that young gay men in committed
> relationships in the Netherlands were becoming
> infected at high rates by their partners.

They have created this complex process involving a lot of time
and trouble between two people where the real problem is the
compelling nature of sexuality. When what you need to do is
reduce the complexity and the amount of time because sexual urges
compel you to act in spite of all the danger.

So, get the tests together before having sex, learn the results,
then you can make a decision

> Davidovich, Udi
> de Witt, John B.F.
> Stroebe, Wolfgang
> (2004) Behavioral and cognitive barriers to safer sex
> between men in steady relationships:
> Implications for prevention strategies.
> AIDS Education & Prevention,
> v16n4, 304-314 August 2004

> Kippax, Susan
> Slavin, Sean
> Ellard, Jeanne
> Hendry, Olympia
> Richters, Juliet
> Grulich, Andrew E
> Kaldor, John
> (2003) Seroconversion in context.
> AIDS Care,
> v15n6, 839-852 December 2003

> Xiridou, Maria
> Geskus, Ronald
> de Wit, John B.F.
> Coutinho, Roel
> Kretzschmar, Mirjam
> (2003) The contribution of steady and
> casual partnerships to the incidence of HIV infection
> among homosexual men
> in Amsterdam.
> v17n7, 1029-1038 May 2, 2003

> Crawford, June M
> Rodden, Pamela
> Kippax, Susan
> Van de Ven, Paul
> (2001) Negotiated safety and other agreements
> between men in relationships:
> risk practice redefined.
> International Journal of STD & AIDS,
> v12n3, 164-170 March 2001

> Davidovich, Udi
> de Witt, John B.F.
> Albrecht, Nel
> Geskus, Ronald
> Stroebe, Wolfgang
> Coutinho, Roel
> (2001) Increase in the share of steady partners
> as a source of HIV infection:
> A 17-year study of seroconversion among younger and
> older gay men.
> v15n10, 1303-1308 July 6, 2001

> Davidovich, Udi.,
> de Wit, John B.F, &
> Stroebe, Wolfgang.
> (2000) Assessing sexual risk behavior of
> young gay men in primary relationships:
> The incorporation of negotiated safety and
> negotiated safety compliance.
> v14n6, 701-706 April 14, 2000

> Kippax, Susan
> Noble, Jason
> Prestage, Garrett
> Crawford, June
> Campbell, Danielle
> Baxter, Don
> Cooper, David
> (1997) Sexual negotiation in the AIDS era:
> negotiated safety revisited.
> v11n2, 191-197 February 11, 1997

> Kippax, Susan
> Crawford, June M
> Davis, Mark
> Rodden, Pamela
> Dowset, Gary W
> (1993) Sustaining safe sex:
> A longitudinal study of a sample of homosexual men.
> v7n2, 257-263 February 1993

No comments:

Post a Comment