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The emergence of barebacking intentional unprotected anal intercourse in situations where there is risk of HIV infection among men who have sex with men MSM has been partially attributed to a decrease in HIV-related concerns due to improved anti-retroviral treatment. It is important to understand the level of concern these men have regarding HIV infection because it can affect their interest in risk reduction behaviors as well as their possible engagement in risk reduction interventions. As part of a study on MSM who use the Internet to seek sexual partners, 89 ethnic and racially diverse men who reported never having an HIV-positive test result completed an in-depth qualitative interview and a computer-based quantitative assessment. Themes that emerged across the different levels of concern were their perceptions of the severity of HIV infection, having friends who are HIV positive, and their own vulnerability to HIV infection. However, these themes differed depending on the level of concern. Among the most frequently mentioned approaches to decrease risk of HIV infection, participants mentioned avoiding HIV-positive sex partners, limiting the number of partners with whom they barebacked, and not allowing partners to ejaculate inside their rectum.
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Sex without condoms with your steady partner

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Bugchasing - Wikipedia

In certain situations, it is possible to stop using condoms in steady relationships: Are you both HIV negative, as far as you know? Get tested for HIV to find out if that is still the case for both of you. Afterwards, you can stop using condoms with each other if you both agree to always have only safe sex with others. Does one of you have HIV?
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Bugchasing

Bugchasing , also known in slang as charging , is a practice, typically among gay men or men who have sex with men , of pursuing sexual activity with HIV-positive individuals in order to contract HIV. Individuals engaged in this activity are referred to as bugchasers. Bugchasers seek sexual partners who are HIV-positive for the purpose of having unprotected sex and becoming HIV-positive; giftgivers are HIV-positive individuals who comply with the bugchasers' efforts to become infected with HIV. Bugchasing is a relatively fringe practice with potentially substantial public health ramifications. Among HIV-positive men who specifically seek unprotected sexual encounters online, the prevalence of giftgivers, who engage in the complementary practice of deliberately infecting others, is 4.
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