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"This will not enter me": painful anal intercourse among black men who have sex with men in South African townships

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dc.date.accessioned 2014-09-29 en
dc.date.accessioned 2020-02-19T18:16:22Z
dc.date.available 2020-02-19T18:16:22Z
dc.date.issued 2015-08-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/2235
dc.description.abstract Little is known about painful receptive anal intercourse (RAI) and its relationship to HIV risk and protective behaviors among men who have sex with men (MSM). The purpose of this study was to identify attributions for and responses to painful RAI among Black MSM in South African townships. In-depth interviews were conducted with 81 Black MSM (ages 20-39 years) who were purposively recruited from four townships. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Pain during RAI was brought up by many participants without specific prompting from the interviewer. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. The participants attributed pain during RAI to partner characteristics, interpersonal dynamics, lack of lubricant, and alcohol use or non-use. The main strategies participants used to address pain during RAI were setting sexual boundaries and lubricant use; a small number of participants reported purposefully consuming alcohol to prevent the pain associated with RAI. Black South African MSM can be supported to reduce pain during RAI in ways that reduce their HIV/STI risk. Culturally specific sexual health education, supportive sexual health services, and improved access to condom-compatible lubricants are important components of HIV/STI interventions for this population. en
dc.format.medium Print en
dc.publisher Springer en
dc.subject MEN en
dc.subject SEXUAL BEHAVIOUR en
dc.subject RISK BEHAVIOUR en
dc.subject HOMOSEXUALITY en
dc.subject TOWNSHIP en
dc.subject HIV/AIDS en
dc.title "This will not enter me": painful anal intercourse among black men who have sex with men in South African townships en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber SGATCA en
dc.Volume September en
dc.BudgetYear 2014/15 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle Archives of Sexual Behavior en
dc.PlaceOfPublication New York, US en
dc.ArchiveNumber 8370 en
dc.PageNumber Online en
dc.outputnumber 7107 en
dc.bibliographictitle Collier, K.L., Sandfort, T.G.M., Reddy, V. & Lane, T. (2014) "This will not enter me": painful anal intercourse among black men who have sex with men in South African townships. <i>Archives of Sexual Behavior</i>. September:Online. en
dc.publicationyear 2014 en
dc.contributor.author1 Collier, K.L. en
dc.contributor.author2 Sandfort, T.G.M. en
dc.contributor.author3 Reddy, V. en
dc.contributor.author4 Lane, T. en


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