Barebacking identity among HIV-positive gay and bisexual men: demographic, psychological, and behavioral correlates

  title={Barebacking identity among HIV-positive gay and bisexual men: demographic, psychological, and behavioral correlates},
  author={Perry N. Halkitis and Leo Wilton and Richard J. Wolitski and Jeffrey T. Parsons and Colleen C. Hoff and David S. Bimbi},
Objectives:To determine the correlates associated with barebacking identity among HIV-positive gay and bisexual men. Design:An analysis of data from the baseline quantitative assessment of a randomized controlled intervention study of 1168 HIV-positive gay and bisexual men from New York City and San Francisco. Methods:Participants were actively and passively recruited from mainstream gay venues, AIDS service organizations, and public and commercial sex environments. Participants completed a… 
Facilitators of barebacking among emergent adult gay and bisexual men: implications for HIV prevention.
The data suggest that lack of knowledge about HIV transmission is insufficient in explaining risk-taking, and rationalization processes may be a factor in the sexual risk- taking behaviors of young HIV-negative men, and moreover, deep intrapsychic processes, and the desire to please sexual partners may drive the decision-making of these men.
An Exploratory Study of Barebacking, Club Drug Use, and Meanings of Sex in Black and Latino Gay and Bisexual Men in the Age of AIDS
SUMMARY Current epidemiological trends demonstrate that Black and Latino men-who-have-sex-with-men (MSM) have increasingly disproportionate rates of HIV. The emergence of barebacking (intentional
Intentional Unprotected Anal Intercourse among Sex Who have Sex with Men: Barebacking—from Behavior to Identity
Unprotected sex among gay/bisexual men throughout the AIDS epidemic has usually been described as unintentional due to a relapse from safer sex behavior. The term “barebacking” emerged among
Attitudes Toward Unprotected Anal Intercourse: Assessing HIV-Negative Gay or Bisexual Men
SUMMARY HIV prevention programs and clinicians have a need to identify clients' attitudes toward unprotected anal intercourse (UAI). This study reports on the development of the Unprotected Anal
Sexual Satisfaction, Identity and Sero-adaptation: An Investigation into Personality and Behavioural Correlates of Bareback Identity and Behaviour in Men Who Have Sex with Men
Barebacking, or condomless anal intercourse in the presence of risk of contracting HIV, has emerged as a common phenomenon between men who have sex with men (MSM). The present cross-sectional study
Predictors of Identifying as a Barebacker among High-Risk New England HIV Seronegative Men Who Have Sex with Men
Findings suggest that barebacker identity is related to intentional HIV sexual risk taking and alcohol abuse and strategic positioning might be associated with barebacker identification and may indicate a harm-reduction strategy being used among some HIV-uninfected MSM to reduce their risk of becoming infected.
A Pilot Trial of a Sexual Health Counseling Intervention for HIV-Positive Gay and Bisexual Men Who Report Anal Sex without Condoms
Preliminary evidence is provided that this intervention may offer an efficient way of concurrently reducing CAS and mental health problems, such as sexual compulsivity and loneliness, for HIV+ gay and bisexual men.
Masculinity and Barebacker Identification in Men who have Sex with Men
Examination of the relationship between masculinity and self-identification as a barebacker and how these factors related to HIV risk practices in a sample of men who have sex with other men (MSM) found that having a high level of masculinity was associated with a greater likelihood of self-identified as abarebacker.
Prevention with gay and bisexual men living with HIV: rationale and methods of the Seropositive Urban Men's Intervention Trial (SUMIT)
SUMIT demonstrates the feasibility and acceptability of prevention research with HIV-seropositive gay and bisexual men and provides new information about the sexual behavior, serostatus disclosure practices, and the efficacy of an intervention to reduce HIV transmission risk.
Barebacking among MSM Internet Users
  • R. Berg
  • Psychology, Medicine
    AIDS and Behavior
  • 2007
Findings demonstrate men who engage in bareback sex are more likely to use alcohol in sexual contexts, use the Internet to meet sex partners, engage in any unsafe sex, and report higher degree of sexual sensation seeking.


Barebacking Among Gay and Bisexual Men in New York City: Explanations for the Emergence of Intentional Unsafe Behavior
HIV seropositive men were significantly more likely than HIV seronegative men to report this behavior and reported significantly more sexual partners with which they had engaged in intentional unprotected anal intercourse than those of serodiscordant bareback sex.
Intentional unsafe sex (barebacking) among HIV-positive gay men who seek sexual partners on the Internet
A significant correlation was observed between defining masculinity as sexual prowess and intentional unprotected anal sex and internet-based education should be a priority in order to reach men who rely on this mechanism to find sexual partners.
Correlates of sexual risk-taking behaviour among HIV seropositive gay men in concordant primary partner relationships
This study sought to understand how person, perceived health risks, psychosocial, and mental health factors relate to unprotected anal intercourse (UAI) among 91 HIV seropositive (HIV + ) gay men in
Correlates of sexual risk behaviors among HIV-positive men who have sex with men.
Analysis of correlates of unprotected sexual risk practices of an ethnically diverse sample of HIV-seropositive men who have sex with men from the New York City and San Francisco metropolitan areas indicated that men reporting unprotected anal insertive sex perceived less responsibility to protect their partners from HIV.
Other-Sensitive Motivation for Safer Sex Among Gay Men: Expanding Paradigms for HIV Prevention
Self-interest is not the only motivator to sexual safety among sexually active gay men. Indeed, limits to a self-interest prevention paradigm are significant, and growing. Semi-structured qualitative
Bareback sex and gay men: an HIV prevention failure.
Bareback sex, or actively seeking unprotected anal intercourse is occurring in the gay male community. This represents a new phenomenon, different from previously identified "relapse" unsafe sexual
The Emergence of Barebacking Among Gay and Bisexual Men in the United States: A Public Health Perspective
SUMMARY Barebacking (intentional unprotected anal sex) represents a significant threat to the health of gay, bisexual, and other men who have sex with men (MSM), which is not well defined and
‘Barebacking’ in a diverse sample of men who have sex with men
New approaches are needed to reduce bareback behavior and the risk of HIV transmission, including innovative health-promoting behavioral and biomedical interventions.
An Exploration of Perceptions of Masculinity among Gay Men Living with HIV
An ethnographic investigation was undertaken to explore the social construct of masculinity. Fifteen HIV seropositive gay men in New York City were interviewed via electronic medium in order to
What's in a Term? How Gay and Bisexual Men Understand Barebacking
SUMMARY This study examines conceptual understandings, definitions, and practices of barebacking in a sample of 227 gay and bisexual men recruited from four gay venues in the New York Metropolitan