Is ‘bareback’ a useful construct in primary HIV‐prevention? Definitions, identity and research

Bibliographic Data

ID15099751
AuthorsAlex Carballo-Diéguez (0000-0001-5888-031X, New York Psychoanalytic Society and Institute, corresponding author), A Carballo‐Diéguez, Ana Ventuneac (0000-0002-5186-4875, Columbia University), Jose Bauermeister (0000-0002-9276-2306, Columbia University), G W Dowsett (0000-0002-0841-3964, La Trobe University), Curtis Dolezal (0000-0002-5980-1617, New York Psychoanalytic Society and Institute), Robert Remien (0000-0002-4491-5275, New York Psychoanalytic Society and Institute), R H Remien, Iván C Balán (0009-0003-9954-5720, New York Psychoanalytic Society and Institute), I Balan, M Rowe (0000-0002-2978-5222)
Year2009
Volume11
Issue1
Pages51-65
Publication date2009-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691050802419467
PMID19234950
PMCIDPMC2669431
OpenAlexW2098281080
LanguageEN
Citations received31
References cited37

The terms bareback and bareback identity are increasingly being used in academic discourse on HIV/AIDS without clear operationalization. Using in-depth, face-to-face interviews with an ethnically diverse sample of 120 HIV-infected and -uninfected men, mainly gay-identifying and recruited online in New York City, this study explored respondents' definitions of bareback sex, the role that intentionality and risk played in those definitions, and whether respondents identified as 'barebackers'. Results showed overall agreement with a basic definition of bareback sex as condomless anal intercourse, but considerable variation on other elements. Any identification as barebacker appeared too loose to be of use from a public health prevention perspective. To help focus HIV-prevention efforts, we propose a re-conceptualization that contextualises risky condomless anal intercourse and distinguishes between behaviours that are intentional and may result in HIV-primary transmission from those that are not

Construct (python library · Developmental psychology · Human immunodeficiency virus (HIV · Identity (music · Perspective (graphical · Qualitative research · Sociology · Computer Science · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology · Artificial Intelligence · Virology

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