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Two new qualitative studies from Toronto shed light on how stigma affects the uptake of pre-exposure prophylaxis PrEP and the experience of taking it. In the second study, early adopters described concealing their PrEP use because of what it might suggest to others about their sexual behaviour. Nonetheless, most had an overwhelmingly positive experience of taking PrEP. Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.
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'Raw Is Law' - How Anal Sex Without Condoms Is Going Mainstream

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Inner Contradictions Among Men Who Bareback

When Cameron moved to the UK from the Philippines in , he couldn't believe how openly MSM men who have sex with men spoke about barebacking. When he opened Grindr , he saw profiles with the bio "bb only": common shorthand for solely wanting "bareback", or condomless anal sex. Other profiles specified a preference for "raw" fucking — another synonym for condomless anal — or used the word "breeding" as a euphemism for "taking a load. Cameron was taken back because in his homeland, the idea of enjoying condomless anal sex with multiple partners is "very taboo" due to the rising HIV infection rate. But when he was asked on Grindr to join a private WhatsApp group for around MSM who enjoy regular barebacking, he was intrigued enough to say yes.
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Inner Contradictions Among Men Who Bareback

By study design three quarters of participants were HIV-uninfected and engaged in condomless receptive anal intercourse. In the course of face-to-face in-depth interviews, participants were asked what led them to have their first bareback experience as well as to continue with the behavior. Qualitative analysis identified the pivotal role that sexual pleasure and intimacy have in this population and how drives for sexual satisfaction, adventure, intimacy, and love overpower health concerns and condom use recommendations. Men interested in bareback sex use a variety of defense mechanisms to account for, justify, and exonerate their behavior. HIV-prevention interventions have paid insufficient attention to libidinal drives, a crucial element of psychological functioning.
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Participants were Australian MSM who all reported their bareback SEM consumption and read a vignette in which they were propositioned for sex by a hypothetical male target. Participants were randomly assigned to one of four vignettes, in which the target exclusively preferred either CAI or anal intercourse with condoms, and either did or did not disclose that they took pre-exposure prophylaxis PrEP. Perceived partner attractiveness was also measured as a potential moderator. Greater bareback SEM consumption was associated with reduced concerns about, and intentions to have, sex with a target who exclusively preferred CAI.
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