Unprotected sex among men who have sex with men in Canada: exploring rationales and expanding HIV prevention
2009; Taylor & Francis; Volume: 19; Issue: 3-4 Linguagem: Inglês
10.1080/09581590802566453
ISSN1469-3682
AutoresDenise Gastaldo, Dave Holmes, Anthony P. Lombardo, Patrick O’Byrne,
Tópico(s)Sexuality, Behavior, and Technology
ResumoIn Canada, there have been recent increases in HIV infections among men who have sex with men (MSM), making HIV transmission among MSM a continuing public health concern. In this paper, we explore the rationales of MSM for the practice of unprotected sex in casual or anonymous encounters. We found that the men in our sample acknowledged their 'transgressive' behaviour, engaged in numerous harm-reduction strategies, and offered varied yet connected rationales for unprotected sex related to pleasure, knowledge, and social and physical locations. Based on these data, we offer a critical perspective on the traditional, psychological approaches to the design of HIV prevention, and contend that HIV prevention needs to become more inclusive and innovative by recognizing, addressing and engaging men's diverse rationales for unprotected sex.
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