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The emergence of barebacking intentional unprotected anal intercourse in situations where there is risk of HIV infection among men who have sex with men MSM has been partially attributed to a decrease in HIV-related concerns due to improved anti-retroviral treatment.

It is important to understand the level of concern these men have regarding HIV infection because it can affect their interest in risk reduction behaviors as well as their possible engagement in risk reduction interventions. As part of a study on MSM who use the Internet to seek sexual partners, 89 ethnic and racially diverse men who reported never having an HIV-positive test result completed an in-depth qualitative interview and a computer-based quantitative assessment.

Themes that emerged across the different levels of concern were their perceptions of the severity of HIV infection, having friends who are HIV positive, and their own vulnerability to HIV infection. However, these themes differed depending on the level of concern. Among the most frequently mentioned approaches to decrease risk of HIV infection, participants mentioned avoiding HIV-positive sex partners, limiting the number of partners with whom they barebacked, and not allowing partners to ejaculate inside their rectum.

Findings suggest that many MSM who bareback would be amenable to HIV prevention efforts that do not depend solely on condom use. The emergence of barebacking among men who have sex with men MSM over the past decade has caused concern, as it marked a shift from momentary lapses in using condoms to intentionally choosing not to use them for some or all sexual encounters Berg, ; Wolitski, A consensus on the definition of barebacking remains elusive.

Most study participants from gay community samples have used the term to describe any condomless anal intercourse, while some researchers have used it to refer to intentional condomless anal intercourse and other researchers to intentional condomless anal intercourse when there is risk of HIV infection-thus excluding HIV-negative MSM in monogamous relationships from the definition Carballo-Dieguez, et al.

However, the proportion of HIV-negative 2 Latinos Fuck Bare Tell They Cum participants who have reported engaging in bareback sex has been as high as Men who bareback "2 Latinos Fuck Bare Tell They Cum" that in doing so, they seek greater intimacy, connectedness, and physical pleasure in their sexual interactions and are thus willing to tolerate greater risk of HIV infection Carballo-Dieguez, el al.

However, researchers have proposed that a number of factors coalesced to facilitate the emergence of barebacking as a cultural phenomenon in the gay community, including: Although an extensive literature has emerged over the past 10 years on demographics of MSM who bareback, meanings and experiences of bareback sex, and possible reasons for engaging in barebacking, much less emphasis has been placed on interventions to reduce HIV risk among this population.

A recent review of the barebacking literature Berg, shows that although there are articles on possible HIV-risk reduction approaches, such as psychodynamic 2 Latinos Fuck Bare Tell They Cum Blechner, ; Cheuvrant, or Motivational Interviewing Parsons, ; Shernoff,and researchers have recommended public health and harm reduction interventions for this population Adam, et al.

Prior to developing such interventions, however, it is important to understand the level of concern that MSM who practice bareback sex have about HIV infection. As such, concern about a particular risk behavior would be necessary for the person to move from a pre-contemplation stage to contemplation. In the initial descriptions of barebacking there was often little differentiation between barebacking and bugchasing ie.

And Halkitis, et al.

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Although these quantitative findings tell us whether or not MSM who bareback are concerned about HIV infection, they do not allow a deeper understanding of how HIV negative MSM who bareback experience their own concerns about HIV infection, including how concerned they are about HIV infection, how important it is to them to remain HIV negative, and how they believe their lives would be impacted if they acquired HIV. Understanding these subjective experiences and meanings "2 Latinos Fuck Bare Tell They Cum" necessary in order to develop effective HIV prevention interventions Crossley, Given the high risk behavior in which these men have decided to engage, the aim of this paper is to explore concerns about HIV infection among HIV-negative men who bareback and to identify some of the risk reduction activities in which they currently engage.

This can provide valuable insights into how to best engage these men in reducing their risk of HIV infection and the types of risk reduction interventions to which they may be most amenable. Men were approached through emails or instant messages directing them to the study website and, if interested, were asked to call for an eligibility screening.

This paper focuses solely on these HIV-negative participants. 2 Latinos Fuck Bare Tell They Cum signing informed consent, participants underwent an in-depth interview with one of three doctoral-level clinical psychologists who have extensive experience in sexual interviewing.

In-depth interviews were audiotaped, transcribed by a transcription service, and verified for accuracy.

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A preliminary codebook, constructed from the structure of the interview guide, was developed by a six-person team of researchers involved with the study. The codebook specified the first level code headings, which were based on the different sections of the interviews i.

Four transcripts were coded independently to assess concurrence in coding using these first level codes. The concordance for this initial review was Subsequently, the two researchers discussed discrepancies in the categorization of specific participants until consensus was reached as to which category to place each participant. Once divided into the categories of concerns, thematic analysis was used to identify issues that emerged during the interviews.

For the Disease Prevention Strategies code, once the strategies used by participants were identified from the text of the interviews, they were tallied based on the number of participants who reported using each practice. A fourth theme, the impact of their HIV infection on family members, was mentioned by participants in the significant and moderate concerns, but not in the minimal concern group.

Below, we expand upon the themes identified, presenting them 2 Latinos Fuck Bare Tell They Cum level of concern. When asked about how big of a concern HIV infection was, these participants strongly stated that they did not want to become infected with HIV. Although these participants recognized the discrepancy between their concerns and their sexual behavior, most elaborated spontaneously on the concerns they expressed.

HIV is a big concern. For some, the concerns about HIV came after engaging in bareback sex as they recollected the sexual event and, in retrospect, focused on the risk of HIV infection. These participants spoke of HIV testing as a highly stressful event, as they assessed their level of HIV risk 2 Latinos Fuck Bare Tell They Cum over the past months. A lot [of HIV concerns], but only in retrospect.

While the event is happening, you know, not too much. I go in there, they draw the blood, take a test for any other, you know, STDs. And I go there about a week later, get the results.

Especially what I do.

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For these participants, their experiences with friends or acquaintances who are HIV positive reinforced their desire to avoid HIV infection by highlighting the challenges faced by these individuals in terms of treatments, side effect, and stigmatization. You get all the issues internally and, you know, outside yourself. You get all sorts of issues. For others, the increased vulnerability stemmed from prior experiences with sexually transmitted infections or situations in which they thought they had been infected with HIV.

So it was very strange for me. Three participants also spoke of wanting to remain HIV negative for their families, who would be distraught if they seroconverted and felt a responsibility to not bring distress onto their family by becoming infected with HIV.

Responses from these participants often reflected a decreased concern about HIV and a greater perception of HIV as a manageable disease to which one would have to adapt, but, given treatment advances, would no longer be a death sentence. Compared to the men who expressed significant concern about HIV infection, the majority of these "2 Latinos Fuck Bare Tell They Cum" did not specifically state that they did not want to be infected with HIV and often qualified their expressions of concerns with statements such as those that follow.

You know, like, why go there? Even one of my best friends from college…I can remember him telling me, like inthat 2 Latinos Fuck Bare Tell They Cum was HIV positive. And what a huge drama that was.

For some participants, not having been infected with HIV in spite of their sexual risk behavior has contributed to a sense of diminished vulnerability to HIV infection. I was doing AIDS education and… I really began wondering…how are you debilitating your immune system through heavy drug use?

Actually, my very first bareback experience -- And you would think that this would have turned me off to barebacking completely. But I think it kind of like enforced it.

But my very first bareback experience was in college. And I had fucked him. And this was right when I was like really just -- I think he was like my third person I was ever with…and I fucked him, and he let me come inside him. And it was raw. And that was the first time I was actually able to come while fucking someone. Before, I was always a bottom. And I thought that was really hot. And then subsequently, he then proceeded to fuck me.

Then I went to school overseas. And I get a phone call from my best friend at the time. And so, you know, I was just absolutely frightened. Here I was like stuck overseas in a country that not everybody spoke my language. And you know how long it takes for you to get a positive result-- you know, an absolute result, six months at least.

And so for six months I was just agonizing. What do I have? And two participants expressed concern about HIV, but placed a greater emphasis on pleasure. But again, I tend to be very shortsighted, for the most part. I mean, I just want to be able to enjoy sex without thinking that sex is going to be a death sentence. When questioned about concerns of HIV infection, participants who were rated as having minimal concerns embodied a sense of acceptance of their risk behavior and the possibility of current or future HIV infection as a result of their behavior.

Sooner or later, you will get it. So you just already have a mindset, just live with that, just live with that, you know. Only three of the ten participants who were categorized as having minimal concerns mentioned improved HIV treatments as part of their discussion on this topic. I just let things happen. If I get sick, I get sick, and all that good stuff. For others, their barebacking, coupled with numerous HIV-negative test results, reinforced a belief that they were immune to infection, thereby decreasing their perceived vulnerability to infection and concerns thereof.

HIV is a concern. So, finally, join the club. As depicted in Table 3HIV-negative men who bareback practice a number of strategies to reduce their risk of HIV infection, with most using multiple strategies. While for some participants this discussion consisted of a quick question 2 Latinos Fuck Bare Tell They Cum an Internet chat to arrange a meeting for sex, others reported asking again when they spoke with the potential partner on the phone or when they met in person, since participants believed it would be easier for them to sense any dishonesty through these means than through e-mail or an Internet chat session.

Ten participants 2 Latinos Fuck Bare Tell They Cum specific cleansing acts in which they would engage ie.

All participants except one reported using at least one approach to reduce risk, with approximately half the participants reporting using one or two approaches. There was no pattern of differences in the types of risk reduction approaches taken by participants at different levels of concern.

2 Latinos Fuck Bare Tell They Cum the men who participated in this study regularly engage in sexual behavior which places them at very high risk of HIV infection, none sought to be infected with HIV, and the great majority expressed concern about HIV infection and attempted to reduce their risk of infection through various means. Our findings suggest that the stereotype of men who bareback as rejecting prevention efforts and unconcerned about HIV infection applies to a small subset of these men, many of whom have accepted that they are or will be infected with HIV.

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