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Isn’t less disease better than more? I won’t argue with you about sex or other things that people have hangups about, but HIV is also transmissible through blood. There are people who got HIV and developed AIDS for reasons that are innocent in any reasonable context. If you’re a first responder or good Samaritan, doctor, nurse, or find yourself in some other context where it’s possible for uncontrolled mingling of blood, you’re at risk of contracting HIV. If particularly vulnerable people can be completely protected, then everyone’s odds will improve.
I imagine that part of it comes down to motivation. I pretended to be an adult on a special-interest forum when I was twelve years old because I needed an escape from my miserable existence. At that time, I had no control over my life and every morning I woke up meant I had a new chance for traumatic shit to happen. I desperately needed to be someone else, so I took my time, researched shit, and avoided any conversation where I might be outed. I’m sure I didn’t fool everyone, but I got some shocked responses when I went back as an adult and owned up to it.
Kids doing it for the authority boost or just as a childish fancy will be easier to spot. Kids doing it as a coping mechanism for their horrible lives will probably blend in a lot better.