November 16, 2015
The risk of getting HIV varies widely depending on the type of exposure. Some exposures, such as exposure to HIV during a blood transfusion, carry a much higher risk of transmission than other exposures, such as oral sex. For some exposures, risk of transmission, while biologically plausible, is so low that it is not possible to provide a precise number.
Different factors can increase or decrease transmission risk. For example, taking antiretroviral therapy (i.e., medicines for HIV infection) can reduce the risk of an HIV-infected person transmitting the infection to another by as much as 96%,1 and consistent use of condoms reduces the risk of getting or transmitting HIV by about 80%.2 Using both condoms and antiretroviral therapy reduces the risk of HIV acquisition from sexual exposure by 99.2%.3 Conversely, having a sexually transmitted infection or a high level of HIV virus in the blood (which happens in early and late-stage infection) may increase transmission risk.
The table below lists the risk of transmission per 10,000 exposures for various types of exposures.
|Estimated Per-Act Probability of Acquiring HIV from an Infected Source, by Exposure Act*|
|Type of Exposure||Risk per 10,000|
|Needle-sharing during injection drug use||63|
|Receptive anal intercourse||138|
|Insertive anal intercourse/td>||11|
|Receptive penile-vaginal intercourse||8|
|Insertive penile-vaginal intercourse||4|
|Receptive oral intercourse||low|
|Insertive oral intercourse||low|
|Throwing body fluids (including semen or saliva)||negligible|
|Sharing sex toys||negligible|
* Factors that may increase the risk of HIV transmission include sexually transmitted diseases, acute and late-stage HIV infection, and high viral load. Factors that may decrease the risk include condom use, male circumcision, antiretroviral treatment, and pre-exposure prophylaxis. None of these factors are accounted for in the estimates presented in the table.
† HIV transmission through these exposure routes is technically possible but unlikely and not well documented.