Last Updated on July 29, 2021 by Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT
How do you get HIV-AIDS/How can you get it? Causes:
HIV (human immunodeficiency virus) is a type of virus called a retrovirus that changes a cell’s DNA. The retrovirus destroys the immune system and thus massively weakens the body’s ability to fight disease and infection, even common infections like flus and colds. AIDS (acquired immune deficiency syndrome) is an acquired syndrome, or a group of symptoms, that is caused by infection with the human immunodeficiency virus.
Two conditions must be met for the virus to pass from one person to another:
- The virus must be present in sufficient quantity. Five bodily fluids: blood, pre-ejaculate, semen, vaginal fluid, and breast milk can carry enough virus to cause infection. Saliva, tears, sweat, urine, feces, and vomit (unless they are mixed with blood) do not ordinarily contain enough virus to cause infection.
- The virus must have a way to get into the bloodstream. It can enter the body through the mucus membranes that line the vagina and rectum; directly into the blood from a shared needle; through skin via any open cut, wound, or scratch; through the mucus membranes in the eyes and nose; and through the opening of the penis. Oral sex, rimming, fisting, fingering, and deep kissing are considered lower-risk activities for transmission than penis-in-vagina and penis-in-rectum sex, unless blood is involved.
How to tell if you have HIV? Symptoms:
Initial infection may have symptoms that resemble mononucleosis or the flu within 2-4 weeks of exposure, but for most people, HIV infection does not show any symptoms for extended periods of time; and for some, it is asymptomatic for years.
When symptoms are present, they may include:
- Sore throat
- Fever
- Mouth sores or ulcers
- Aching or stiff muscles and joints
- Headaches
- Diarrhea
- Swollen glands
- Rashes or eczema
- Yeast infections
- Tiredness
- Rapid weight loss
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How to know if you have it? HIV Tests:
The human immunodeficiency virus is diagnosed with a saliva or blood test that looks for antibodies. Because it can take up to three months or more for antibodies to appear, a negative test should always be repeated, and an annual or semiannual HIV screening is strongly advised for sexually active people.
Relief spells (Rolaids?!) HIV Treatment:
Antiviral therapies (ART) may allow people to live with HIV for decades, possibly for a normal life span. The goal of ART is to reduce the amount of human immunodeficiency virus in the blood to undetectable levels. Achieving this allows the T-cell levels to rise, sometimes back to normal levels, enabling the body to resist opportunistic infections.
ART used to require taking multiple pills in multiple doses, but now it is sometimes as simple as taking one pill once a day. The increasing effectiveness of HIV treatment has dramatically reduced death rates and improved quality of life, and HIV is now often a manageable long-term illness. In addition, people who take their ART very consistently, without missing doses, are far less likely to pass the virus to a partner.
To compliment the highly effective antiretroviral medications, some people with the human immunodeficiency virus or acquired immunodeficiency syndrome use acupuncture, Chinese herbs, meditation, yoga, massage, and many other holistic approaches to healing. Some people find that these help reduce the side effects of the medications, bolster the immune system, and help cope with the stress of illness.
What’s going to happen to me?!!?! Expectations:
HIV is a chronic medical condition that can be treated, but not yet cured. There are effective ways to prevent complications and delay, but not always prevent, progression to AIDS.
Almost all people who contract the human immunodeficiency virus will develop AIDS if not treated. However, there is a small group of people who develop AIDS very slowly, or never at all. These patients are called long-term non-progressors.
Things to be aware of… HIV & AIDS Complications:
- Cancers
- Chronic wasting (weight loss) from HIV infection
- Dementia
- HIV lipodystrophy
- Opportunistic infections
- Detailed HIV Symptoms
- HIV Resources
- Pictures of HIV
- HIV Resources, Info, & Perspectives
- STI Interviews
- STD Hotlines
References
- Symptoms
- Earnshaw, Valerie A., et al. “HIV stigma and physical health symptoms: Do social support, adaptive coping, and/or identity centrality act as resilience resources?.” AIDS and Behavior 19.1 (2015): 41-49.
- Lyon, Maureen E., et al. “Advance care planning and HIV symptoms in adolescence.” Pediatrics 142.5 (2018): e20173869.
- Garey, Lorra, et al. “Anxiety, depression, and HIV symptoms among persons living with HIV/AIDS: the role of hazardous drinking.” AIDS care 27.1 (2015): 80-85.
- Webel, Allison R., et al. “A cross-sectional relationship between social capital, self-compassion, and perceived HIV symptoms.” Journal of pain and symptom management 50.1 (2015): 59-68.
- Braksmajer, Amy, et al. “Effects of Discrimination on HIV-Related Symptoms in Heterosexual Men of Color.” American journal of men’s health 12.6 (2018): 1855-1863.
- Testing
- World Health Organization. Guidelines on HIV self-testing and partner notification: supplement to consolidated guidelines on HIV testing services. World Health Organization, 2016.
- Arya, Monisha, et al. “The Promise of Patient-Centered Text Messages for Encouraging HIV Testing in an Underserved Population.” The Journal of the Association of Nurses in AIDS Care: JANAC 29.1 (2018): 101-106.
- Greensides, Dawn R., et al. “Alternative HIV testing methods among populations at high risk for HIV infection.” Public health reports (2016).
- Granich, Reuben M., et al. “Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model.” The Lancet 373.9657 (2009): 48-57.
- Kalichman, Seth C., and Leickness C. Simbayi. “HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa.” Sexually transmitted infections 79.6 (2003): 442-447.
- Treatment
- Cihlar, Tomas, and Marshall Fordyce. “Current status and prospects of HIV treatment.” Current opinion in virology 18 (2016): 50-56.
- Gonzalez, Jeffrey S., et al. “Depression and HIV/AIDS treatment nonadherence: a review and meta-analysis.” Journal of acquired immune deficiency syndromes (1999) 58.2 (2011).
- Callaghan, Mike, Nathan Ford, and Helen Schneider. “A systematic review of task-shifting for HIV treatment and care in Africa.” Human resources for health 8.1 (2010): 8.
- Benjamin, Laura A., et al. “HIV, antiretroviral treatment, hypertension, and stroke in Malawian adults: a case-control study.” Neurology 86.4 (2016): 324-333.
- Levi, Jacob, et al. “Can the UNAIDS 90-90-90 target be achieved? A systematic analysis of national HIV treatment cascades.” BMJ global health 1.2 (2016): e000010.
- Prevention
- Cohen, Myron S., et al. “Antiretroviral therapy for the prevention of HIV-1 transmission.” New England Journal of Medicine 375.9 (2016): 830-839.
- World Health Organization. Policy brief: Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. No. WHO/HIV/2017.05. World Health Organization, 2017.
- Baeten, Jared M., et al. “Use of a vaginal ring containing dapivirine for HIV-1 prevention in women.” New England Journal of Medicine 375.22 (2016): 2121-2132.
- Fowler, Mary G., et al. “Benefits and risks of antiretroviral therapy for perinatal HIV prevention.” New England Journal of Medicine 375.18 (2016): 1726-1737.
- World Health Organization. “Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations–2016 update.” (2016).
- Transmission
- Rodger, Alison J., et al. “Sexual activity without condoms and risk of HIV transmission in serodifferent couples when the HIV-positive partner is using suppressive antiretroviral therapy.” Jama 316.2 (2016): 171-181.
- Landefeld, C. C., et al. “Prevention of Mother-to-Child Transmission of HIV in Yaounde: Barrier to Care.” AIDS care 30.1 (2018): 116-120.
- Zafer, Maryam, et al. “Effectiveness of semen washing to prevent human immunodeficiency virus (HIV) transmission and assist pregnancy in HIV-discordant couples: a systematic review and meta-analysis.” Fertility and sterility 105.3 (2016): 645-655.
- Cohen, Myron S., et al. “Antiretroviral therapy for the prevention of HIV-1 transmission.” New England Journal of Medicine 375.9 (2016): 830-839.
- Poon, Art FY, et al. “Near real-time monitoring of HIV transmission hotspots from routine HIV genotyping: an implementation case study.” The lancet HIV 3.5 (2016): e231-e238.
Jenelle Marie
I didn’t see this comment right away as it ended up in my spam filter accidentally. Thanks so much for the positivity and encouragement!! 🙂