3 ms·

Yup, Prep just encourages everyone into not using protection

TheRealSteel 7y ago
I'd like to see your evidence for a) PrEP significantly decreasing condom use b) This being a net-negative when considering the hugely decreased risk of HIV transmission as a result. If you believe this, don't you also believe that seatbelts encourage dangerous driving?
- azinman2 7y ago
  https://www.ncbi.nlm.nih.gov/m/pubmed/29509889/ https://www.ncbi.nlm.nih.gov/m/pubmed/29509889/ Again, we’re not talking about HIV. We’re talking about all the other potential viruses (including those known and still mutating). To think that we’re done seeing new fatal STDs is to ignore the history of biology and epidemics.
gugagore 7y ago
I don't mean to nitpick, because any reductive statement ("just"), is _just_ wrong. but there are many people who would and do not use protection anyway. And taking PrEP means that's a less risky option than otherwise.
- klipt 7y ago
  I guess the question is, is the PrEP-protected infection rate among people having unprotected sex while on PrEP, lower or higher than the not-protected infection rate among those who would have unprotected sex even without PrEP?
  - digitallogic 7y ago
    It's lower. You're safer having unprotected sex with someone who is confirmed to have HIV but is taking PrEP, than you are when having unprotected sex with someone whose status is unknown.
    - woofyman 7y ago
      > You're safer having unprotected sex with someone who is confirmed to have HIV but is taking PrEP, than you are when having unprotected sex with someone whose status is unknown. PrEP is for hiv negative people. If you’re virus level is undetectable from treatment, then you’re not contagious.
      - foldr 7y ago
        >PrEP is for hiv negative people. It's a rather academic distinction given that it's the same drugs in either case. Definitionally, it's PrEP only if those drugs are being taken as a preventative measure.
        jt0 7y ago
        This is an actual distinction. At present PrEP only means Truvada. Truvada is not effective alone for treating HIV. It would be taken in combination with another drug. Also, There's a newer alternative to Truvada that is preferred/less toxic for HIV treatment, but is not yet approved for PrEP. To be clear there are many more drugs used for HIV treatment that are not used for PrEP.
        ingenium 7y ago
        Descovy was approved for PrEP about 2 month ago. At least in the US.
      - digitallogic 7y ago
        Correct! Wife works in the field (source for my anecdote), and she confirmed I was confusing PrEP with antiviral treatment.

I'd like to see your evidence for a) PrEP significantly decreasing condom use b) This being a net-negative when considering the hugely decreased risk of HIV transmission as a result. If you believe this, don't you also believe that seatbelts encourage dangerous driving?

azinman2 7y ago
https://www.ncbi.nlm.nih.gov/m/pubmed/29509889/ https://www.ncbi.nlm.nih.gov/m/pubmed/29509889/ Again, we’re not talking about HIV. We’re talking about all the other potential viruses (including those known and still mutating). To think that we’re done seeing new fatal STDs is to ignore the history of biology and epidemics.

gugagore 7y ago

I don't mean to nitpick, because any reductive statement ("just"), is _just_ wrong. but there are many people who would and do not use protection anyway. And taking PrEP means that's a less risky option than otherwise.

klipt 7y ago
I guess the question is, is the PrEP-protected infection rate among people having unprotected sex while on PrEP, lower or higher than the not-protected infection rate among those who would have unprotected sex even without PrEP?
- digitallogic 7y ago
  It's lower. You're safer having unprotected sex with someone who is confirmed to have HIV but is taking PrEP, than you are when having unprotected sex with someone whose status is unknown.
  - woofyman 7y ago
    > You're safer having unprotected sex with someone who is confirmed to have HIV but is taking PrEP, than you are when having unprotected sex with someone whose status is unknown. PrEP is for hiv negative people. If you’re virus level is undetectable from treatment, then you’re not contagious.
    - foldr 7y ago
      >PrEP is for hiv negative people. It's a rather academic distinction given that it's the same drugs in either case. Definitionally, it's PrEP only if those drugs are being taken as a preventative measure.
      - jt0 7y ago
        This is an actual distinction. At present PrEP only means Truvada. Truvada is not effective alone for treating HIV. It would be taken in combination with another drug. Also, There's a newer alternative to Truvada that is preferred/less toxic for HIV treatment, but is not yet approved for PrEP. To be clear there are many more drugs used for HIV treatment that are not used for PrEP.
        ingenium 7y ago
        Descovy was approved for PrEP about 2 month ago. At least in the US.
    - digitallogic 7y ago
      Correct! Wife works in the field (source for my anecdote), and she confirmed I was confusing PrEP with antiviral treatment.