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Barebacking among MSM Internet users.

Rigmor C Berg1

  • 1Department of Kinesiology, Rice University, 6100 S. Main St., MS-545, Houston, TX 77005, USA. berg@rice.edu

AIDS and Behavior
|August 7, 2007
PubMed
Summary
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Forty percent of men who have sex with men (MSM) engage in bareback sex, increasing HIV risk. This behavior is linked to alcohol use, online partner seeking, and lower perceived safer sex norms.

Area of Science:

  • Sexual health
  • Public health
  • Sociology

Background:

  • Barebacking, a form of unprotected anal intercourse, is a sexual practice among some men who have sex with men (MSM).
  • Understanding the motivations and correlates of barebacking is crucial for HIV prevention strategies.
  • The internet has become a significant platform for MSM to connect with sexual partners.

Purpose of the Study:

  • To explore the phenomenon of barebacking among MSM internet users.
  • To identify characteristics and risk factors associated with engaging in bareback sex.
  • To understand the perception of social norms and self-efficacy related to safer sex practices.

Main Methods:

  • A theory-driven study utilizing a web-based survey.
  • Recruitment of 240 geographically diverse men who have sex with men online.

Related Experiment Videos

  • Analysis of self-reported data on sexual behaviors, risk perceptions, and social norms.

    • Main Results:

    • Forty percent of the surveyed MSM reported engaging in bareback sex.
    • Barebackers were more likely to use alcohol in sexual contexts and use the internet to find partners.
    • Compared to non-barebackers, men engaging in bareback sex reported higher sexual sensation seeking, lower perception of safer sex norms, and lower self-efficacy for HIV risk reduction.

    Conclusions:

    • Barebacking may represent a neologism reflecting evolving sexual risk-taking behaviors among some MSM.
    • The lack of conceptual distinction between unprotected anal intercourse and barebacking highlights a need for targeted risk communication.
    • Interventions should address alcohol use, online partner-seeking behaviors, and enhance self-efficacy for safer sex practices to reduce HIV transmission rates among MSM.