To assess the prevalence of and factors associated with "Barebacking" as a sociocultural phenomenon in a sample of HIV-positive and -negative men who have sex with men MSM , and to assess the reasons for barebacking and venues for meeting partners. Barebacking, defined as "intentional anal sex without a condom with someone other than a primary partner", was assessed among men who had heard of the term. Participants were recruited outside multiple venues and interviewed later at community locations.
Chi-square and multivariate logistic regression were used for analysis. Seventy per cent of the men had heard of barebacking. Men tended to report bareback partners who had the same HIV serostatus; however, a sizeable proportion of men had partners of different or unknown serostatus. Increased physical stimulation and emotional connectedness were the primary reasons for barebacking. New approaches are needed to reduce bareback behavior and the risk of HIV transmission, including innovative health-promoting behavioral and biomedical interventions.
Citations References De acordo com uma pesquisa realizada por Mansergh et al. Full-text available. Nov Adriana Nunan. Most of the published studies in this area have examined the relationship of self-esteem, depression, impulsivity, or coping to risk taking.
Mental health functioning among men who use the Internet specifically to find partners for unprotected sex. Feb Hugh Klein. Previous studies have shown a link between mental health functioning and involvement in HIV risk practices.
The present research examines how well one specific group of men who have sex with other men MSM fare in terms of their mental health functioning, and then focuses on how mental health functioning relates to HIV risk practices in this population.
The study was based on a national random sample of MSM who use the Internet to seek men with whom they can engage in unprotected sex. Data collection was conducted via telephone interviews between January and May Depression is more common among men in this population than in the adult male population-at-large.
All other measures of mental health functioning that were examined self-esteem, impulsivity, current life satisfaction, optimism about the future indicated low rates of mental health problem. Contrary to expectations, in nearly all instances, mental health functioning was not related to HIV risk practices. More work needs to be done to understand the causes of depression among these men, and to assess how, if at all, depression relates to risk practices in this population.
These findings suggest that factors other than mental health problems must be considered if one wishes to understand HIV risk taking in this population. Condom use has never been an especially welcome addition to gay men's sexual repertoires and there has never been total compliance with the use of condoms. The men who bareback frequently cite treatment optimism and knowing fewer people developing AIDS as motivating factors Mansergh, Race suggested that some gay men understand the risk of HIV infection relationally in a dynamic 'that involves intimate negotiation Jan Dec A growing body of research in public health and the social sciences is focused on improving our understanding of the barebacking phenomenon among men who have sex with men MSM , which was first described in the gay press in the mids [1,2].
These empirical works have investigated emic understandings of barebacking, the role of the Internet in its proliferation [7,8], the prevalence of barebacking in a variety of gay and bisexual populations [5, 14 , as well as psychosocial e.
Rather than resulting from episodic lapses in otherwise consistent condom use, barebacking is characterized by " intentional condomless anal sex in HIV-risk contexts " [17, p. These empirical works have investigated emic understandings of barebacking, the role of the Internet in its proliferation [7,8], the prevalence of barebacking in a variety of gay and bisexual populations [5,, as well as psychosocial e.
Purpose: Barebacking is a term that is used to refer to intentional involvement in unprotected anal sex. This paper examines the relationship between masculinity and self-identification as a barebacker, and how these factors related to HIV risk practices in a sample of men who have sex with other men MSM. Results: A number of factors differentiated men who self-identified as barebackers from those who did not, and barebacking identity was linked with greater involvement in HIV risk practices. Multivariate analysis revealed that having a high level of masculinity was associated with a greater likelihood of self-identifying as a barebacker.
Conclusions: HIV prevention and intervention efforts targeting MSM ought to address issues of self-identification as a barebacker as well as the extent to which men adhere to a masculine ideology. The phenomenon of barebacking has been examined from the perspective of sociology , psychology    , and public health , among other sciences.
Despite the disparate perspectives, most of these reports agree on addressing definitional issues and factors that may explain the popularity of unprotected barebacking sex. Due to the hidden nature of the MSM population, bareback prevalence rates cannot be retrieved accurately. Risk behaviors for HIV infection. A review of emerging trends. May HIV infection, acquired with the conscious participation of the recipient, is a complex problem of international concern, especially among men who have sex with men. A group of emerging risk behaviors for HIV infection was characterized.
It is necessary to work with individual behaviors that draw individuals close to infection. Sep For the most part, most men do not appear to be willfully risking HIV infection or transmission through these acts of UAIC, often employing other non-condom-based forms of risk reduction to minimize this possibility Jin et al.
Cum play was not uncommon and highlights the narrowness or danger of focusing on condom use without considering the implications of broader sexual practices and their meaning for sexual health promotion. Le bareback : affirmation identitaire et transgression.
In Internet-based studies, between Preferred aspects of sexually explicit media among men who have sex with men: where do condoms fit in? Though research has investigated the link between SEM and sexual risk behaviour, little has been published about preferences for characteristics of SEM. In an Internet-based cross-sectional study, adult MSM completed an online survey about their preferences for nine characteristics of SEM and ranked them in order of importance.
Respondents preferred free, Internet-based, anonymous SEM portraying behaviours they would do. Cost and looks were the most important characteristics of SEM to participants, while condom use and sexual behaviours themselves were least important.
Results suggest that while participants may have preferences for specific behaviours and condom use, these are not the most salient characteristics of SEM to consumers when choosing. Other researchers defined it as: 'intentional anal sex without a condom with someone other than a primary partner' Mansergh et al.
Lacking a standard definition of, and consensus on, the role that intentionality of condomless sex and HIV-transmission risk or lack of it play in bareback sex, some researchers went back to the sources, i. Jul Indeed, many community-based organizations and government agencies have been struggling to adapt their response as familiar approaches appear increasingly ineffective and out-dated.
Apr Since its initial conception in , numerous initiatives have been launched worldwide, and in public health, there has been growing recognition of sexual minorities as a group with distinctive health needs. A more cohesive picture is emerging, but recommendations call for additional research to bolster the evidence base, and in particular, sexual orientation should be introduced as a routine socio-demographic indicator in large surveys.
Such data will help document health disparities and facilitate a syndemic approach in analyzing a complex system of multi-morbidity with multiple factors at multiple levels, supporting good policy and effective action in improving the health of sexual minorities. Key explanations for unsafe sex may include psychological distress, need for cognitive escape, sensation seeking, sexual compulsivity, and inadequate social capital, all of which are exacerbated by substance use Clatts et al.
These explanations are directly relevant to truckers and their diverse contacts on the road Apostolopoulos and Sonmez, Mapping U. Yorghos Apostolopoulos. Using mixed methods, we collected ethnoepidemiological and biological data from long-haul truck drivers and their risk contacts in inner-city trucking milieux in Atlanta, Georgia, United States. Inner-city neighborhood location, short geographic distance among risk contacts, and trucker concurrency can potentially exacerbate transmission via bridging higher-risk individuals with lower-risk populations at disparate geographic and epidemiological locations.
All rights reserved. That fact often eclipses the practices communities employ to adapt to risk and the dialectical relationship between identities and institutions, between discourses and lived experiences, and well-being and marginalizing places.
Fetishizing the health sciences: Queer theory as an intervention. Queer theory often falls impotent in its palatability across disciplinary lines. I offer a conceptual article that interrogates the dis-ease and divide when considering queer theory in and for the health sciences. In so doing, I look to foster a process of making queer theory more tenable to applied practice—and to make practice in social work, at least, more queer. The exemplar of HIV is deconstructed as a preeminent discourse and health disparity.
In the end, it is argued that queer theory may be an essential intervention in the arsenal of the helping professions.