Bareback sex and gay men: an HIV prevention failure

Freud originally called it "the death instinct," but is now commonly referred to as "the death drive. Thus in the immediate aftermath of the onset of AIDS, the community norms for sexual behavior shifted from the anything-goes realities of a pre-AIDS world to adopting safer sex, which allowed many men to remain sexually active.

I know that was eight years ago. In this discussion moderated by blogger fogcityjohn , a psychologist, a public-health veteran and an HIV education researcher hash out from their own perspectives the many factors that lead gay men to engage in unprotected anal sex -- and what needs to be done about it.

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  • Important questions are raised, however, about to whom the risk is acceptable and under what circumstances? Because you mentioned childhood trauma as a factor in this.
  • Why, in this era of widespread awareness of the risks of HIV, are men still having unprotected anal sex?

Health Psychol. Behavior, intention or chance? J Acquir Immune Defic Syndr. Participants in this study utilized a variety of seroadaptive strategies ranging from established modes of prevention — like serosorting and seropositioning — to methods less supported by scientific evidence [ 46 , 64 ] — such as withdrawal prior to ejaculation, urination after sex, and limiting the duration of sex while in the receptive role.

All authors read and approved the final manuscript.

Bareback sex and gay men: an HIV prevention failure
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