Balán Iván C, Carballo-Diéguez Alex, Ventuneac Ana, Remien Robert H
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, New York, NY 10032, USA.
AIDS Educ Prev. 2009 Feb;21(1):14-24. doi: 10.1521/aeap.2009.21.1.14.
Data on intentional condomless anal intercourse in risky contexts, also known as "barebacking," among ethnic minority MSM, whose rates of HIV infection continue to rise, are extremely limited. In this study, 31 Latino MSM who seek barebacking partners via the Internet underwent in-depth interviews about bareback sex and its association to pleasure, substance use, HIV concerns, and cultural identity. Participants reported engaging in bareback sex owing to the physical and emotional pleasure they experience. They expressed concern about HIV infection and took steps to reduce risk of infection. Although a majority of participants reported using alcohol or drugs in the context of bareback sex, substance use did not appear to propel the behavior. Crystal methamphetamine use, prevalent only among our HIV-positive participants, was related to very high HIV risk behavior. In this sample, culture did not seem to play a large role in barebacking.
在感染艾滋病毒率持续上升的少数族裔男男性行为者中，关于在危险情境下故意无保护肛交（也称为“无套肛交”）的数据极其有限。在本研究中，31名通过互联网寻找无套肛交伴侣的拉丁裔男男性行为者接受了关于无套肛交及其与快感、药物使用、对艾滋病毒的担忧和文化认同之间关联的深入访谈。参与者报告称，由于体验到的身体和情感快感而进行无套肛交。他们表达了对感染艾滋病毒的担忧，并采取措施降低感染风险。尽管大多数参与者报告在无套肛交时使用了酒精或药物，但药物使用似乎并非该行为的推动因素。仅在我们的艾滋病毒阳性参与者中普遍存在的冰毒使用，与极高的艾滋病毒风险行为有关。在这个样本中，文化在无套肛交中似乎并未发挥很大作用。
