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["Sex buddies": a high risk behavior for contracting HIV among homo/bisexual men].

Abstract：

OBJECTIVE:Despite prevention efforts, the prevalence of unprotected anal intercourse (UAI) remains substantial among men who have sex with men (MSM). This study describes and analyzes how a group of MSM manages sexual risk with sexual partners. METHOD:Qualitative study by means in-depth, semi-structured interviews with 20 MSM, aged 21 to 40 years old, who had had at least one episode of UAI within the previous 3 months. A grounded theory approach was used to understand sexual risk management with sexual partners as seen by the MSM interviewed. RESULTS:Most MSM were involved in UAI when they established relationships with as a way to balance their need for sexual expression with their need for sexual security. In these relationships, the partner's serostatus was assessed on the basis of trust and the assumption of sharing the same serologic status. CONCLUSIONS:Subjective evaluations (e.g. trust, intuition) played a key role in the decision to engage in UAI with without precise knowledge of their HIV serostatus. Future approaches need to include the role of subjectivity in making decisions related to risk management and the specific contexts (e.g. type of sexual partner) in which UAI takes place.

journal_name

Gac Sanit

journal_title

Gaceta sanitaria

authors

Fernández-Dávila P

doi

10.1157/13112240

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

471-8

issue

6

eissn

0213-9111

issn

1578-1283

pii

13112240

journal_volume

21

pub_type

杂志文章

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