HIV in San Francisco

• On average, two gay/bisexual men in San Francisco become infected with HIV every day.
• Nearly 1/3 of all men who have sex with men in San Francisco are HIV+.
• Most men in San Francisco who test HIV+ believed they were negative.
• Gay and bisexual men in their 30’s and 40’s account for the majority of new HIV infections in San Francisco.
• Gay and bisexual men of color in San Francisco are more likely to become infected with HIV.

Anal Sex

• Most new HIV infections in San Francisco happen during anal sex without condoms.
• Positive bottoms can infect negative tops with HIV.
• Positive tops can infect negative bottoms with HIV.
• Condoms break more often when we don’t use water-based lube.
• Using water-based lube reduces anal tearing.

Oral Sex

• People can become infected with HIV from oral sex with an HIV+ partner.
• Cuts, sores and oral herpes will increase the likelihood of HIV transmission from oral sex.
• Men with gonorrhea of the throat, herpes and other stds are more likely to become infected with HIV from oral sex.
• HIV can be present in pre-cum.

Recreational Drug Use

• Men who use crystal are more likely to have condoms break during anal sex.
• Men who use crystal are more likely to get HIV.
• Alcohol breaks down inhibitions. Guys who mix sex and alcohol are more likely to become infected with HIV.
• Poppers, crystal and Viagra increase blood supply to areas of your body where HIV infection is likely to occur.

HIV Medications

• Drug therapy for people with HIV involves dozens of pills every day, forever.
• HIV medications can cause diarrhea, loss of appetite and weight loss.
• HIV medications can cause body fat redistribution (lipodystrophy).
• AIDS is a fatal illness.
• No drugs will cure you if you have HIV.
• Combination therapies for HIV don’t work forever, or for everyone.