In some states, you can be charged with a crime if you don’t tell your partner your HIV status, even if your partner doesn’t become infected. In addition, to promote safe and voluntary HIV disclosure and address the barriers that may prevent some people living with HIV from disclosing their status, the President’s Advisory Council on HIV/AIDS (PACHA) and the CDC/HRSA Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Care (CHAC) have issued Joint Recommendations on Safe and Voluntary Disclosure of HIV in the United States.
Some people living with HIV choose to practice “serosorting”—having sex only with partners of the same HIV status, often to engage in unprotected sex, in order to reduce the risk of transmitting the virus to an HIV-negative person.
^ The first chapter is a study of female fertility in rural Senegal according to whether the women are living in monogamous or polygynous unions.
The fertility of each wife decreases with the number of wives in the union; the wife of highest rank is more likely to have given birth in the previous year than her co-wives; age of the husband appears to have a stronger effect for monogamists than for polygynists, for whom it is substantial only after 60; childbearing by one wife during the previous year increases the probability of a birth to a co-wife; finally, the presence of a first wife past the age of childbearing has no effect on the fertility of her co-wives.
There is also the risk of HIV re-infection (infection with another strain of HIV), which can result in harder-to-treat HIV superinfection.