Bareback sex is physical sexual activity, especially sexual penetration, without the use of a condom. [1] The topic primarily concerns anal sex between men without the use of a condom, and may be distinguished from unprotected sex because bareback sex denotes the deliberate act of forgoing condom use. [2] [3]
An LGBT slang term, bareback sex comes from the equestrian term bareback , which is the practice of riding a horse without a saddle.
It is not known when the term (as sexual slang) was first used, although its use did gain momentum in the 1960s with the first appearance in print (as analogous reference) occurring in 1968. [4] The term was used by G.I.s during the Vietnam War when sex without the use of a condom was known as "going in" or "riding" bareback. [5] The term was included in the 1972 publication, Playboy's Book of Forbidden Words: A Liberated Dictionary of Improper English. [6]
The term appeared occasionally in print until the 1980s and then in context to the AIDS epidemic and the discussion of sexual practices. It did not have widespread use in LGBT culture until 1997, when there was an increase of discussion regarding condomless sex (as reflected in print publications). [7]
The term bareback sex is now used less frequently among heterosexuals. [8] A 2009 survey by the New York City Department of Health and Mental Hygiene found that heterosexual women are more likely to have unprotected anal intercourse than gay and bisexual men. [9] [10]
Initially used for contraceptive purposes, condoms also came to be used to limit or prevent sexually transmitted infections (STIs), even after other contraceptive methods were developed. As AIDS emerged and the sexual transmission of HIV became known in the 1980s, the use of condoms to prevent infection became much more widespread, especially among men who have sex with men (MSM) who engage in anal sex. At the beginning of the AIDS crisis, in the context of the invention and development of safe sex, the uptake of condoms among Western MSM was so widespread and effective that condom use became established as a norm for sex between men. From 1995, several high-profile HIV positive men[ who? ] declared their refusal to wear condoms with other HIV positive men in gay publications, dubbing the practice barebacking. While these early articulations of barebacking expressed a concern for HIV prevention, in that they generally referred to dispensing with condoms in the context of sex between people of the same HIV status, the moral panic which ensued was so pronounced that barebacking came to be framed as a rebellious and transgressive erotic practice for HIV positive and HIV negative people alike, irrespective of the risks of HIV transmission. [11]
A resurgence of barebacking in first-world gay communities during the 1990s has been a frequent topic for gay columnists and editorialists in The Advocate , Genre magazine, and Out magazine. [12] Many of these articles express concern over bareback sex's popularity, and liken it to irresponsible and reckless behavior, despite the fact that a third of gay men take part in the practice. [12] Some of the reasons listed for the resurgence are: the recent perception of HIV as a treatable illness one can live with, insufficient sex education, use of drugs such as methamphetamine in sexual settings, and fetishization of bareback sex on various porn and dating sites. [13]
Academic works suggest that barebacking is a way to reach for transcendence, to overcome the boredom of everyday average life in a hyper-rationalized society. [14] Some men are dispensing with condoms in the context of seroconcordant sex (sex between two men of the same HIV status). Early articulations of barebacking generally refer to sex between two HIV-positive men, whereby barebacking could be considered an early harm reduction strategy, similar to serosorting, which was later endorsed by some public health authorities in the USA. [11]
Bareback sex has also become more acceptable since the introduction of pre-exposure prophylaxis (PrEP). One of the most popular forms of PrEP is Truvada, a medication previously taken for HIV treatment that, when taken properly, has been shown to prevent HIV-negative users from contracting HIV from infected partners. While these drugs do not necessarily prevent the transmission of other STIs, they have stirred a discussion on what "safe" sex without the use of condoms really entails.
A 2005 study concluded that the resurgence of barebacking led to an increase in sexually transmitted infections among the MSM community. The study found that of the 448 men who were familiar with barebacking, nearly half reported they had bareback sex in the last three months. In the San Francisco study, fewer men reported engaging in barebacking when the behavior was defined as intentional unprotected anal intercourse with a non-primary partner. Using this definition, 14% of the 390 men who were aware of barebacking reported engaging in the behavior in the past two years. The study also found that HIV-positive MSM were more likely to have bareback sex than were HIV-negative MSM. [15]
Bareback gay pornography was standard in "pre-condom" films from the 1970s and early 1980s. As awareness of the risk of AIDS developed, pornography producers came under pressure to use condoms, both for the health of the performers and to serve as role models for their viewers. By the early 1990s new pornographic videos usually featured the use of condoms for anal sex. However, beginning in the 1990s, an increasing number of studios have been devoted to the production of new films featuring men engaging in unprotected sex. [16] Mainstream gay pornographic studios have also continued to feature the occasional bareback scene. Also, mainstream studios that consistently use condoms for anal sex scenes may sometimes choose editing techniques that make the presence of condoms somewhat ambiguous and less visually evident, and thus may encourage viewers to fantasize that barebacking is taking place, even though the performers are following safer-sex protocols. (In contrast, some mainstream directors use close-up shots of condom packets being opened, etc., to help clearly establish for the viewer that the sex is not bareback.)
In addition to sexually transmitted infections, mechanical trauma are the same as in anal sex. Unprotected anal sex is a risk factor for formation of antisperm antibodies (ASA) in the recipient. In some people, ASA may cause autoimmune infertility. Antisperm antibodies can impair fertilization, negatively affect the implantation process, and impair growth and development of the embryo. [17] [18]
Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure. Other forms of anal sex include anal fingering, the use of sex toys, anilingus, pegging, as well as electrostimulation and erotic torture such as figging. Although anal sex most commonly means penile–anal penetration, sources sometimes use anal intercourse to exclusively denote penile–anal penetration, and anal sex to denote any form of anal sexual activity, especially between pairings as opposed to anal masturbation.
Safe sex is sexual activity using methods or contraceptive devices to reduce the risk of transmitting or acquiring sexually transmitted infections (STIs), especially HIV. "Safe sex" is also sometimes referred to as safer sex or protected sex to indicate that some safe sex practices do not eliminate STI risks. It is also sometimes used colloquially to describe methods aimed at preventing pregnancy that may or may not also lower STI risks.
Frot or frotting is a sexual practice between men that usually involves direct penis-to-penis contact. The term was popularized by gay male activists who disparaged the practice of anal sex, but has since evolved to encompass a variety of preferences for the act, which may or may not imply particular attitudes towards other sexual activities. This can also be used as some type of foreplay.
Men who have sex with men (MSM) are men who engage in sexual activity with other men, regardless of their sexual orientation or sexual identity. The term was created by epidemiologists in the 1990s, to better study and communicate the spread of sexually transmitted infections such as HIV/AIDS between all sexually active males, not strictly those identifying as gay, bisexual, pansexual or various other sexualities, but also for example male prostitutes. The term is often used in medical literature and social research to describe such men as a group. It does not describe any specific kind of sexual activity, and which activities are covered by the term depends on context. The alternative term "males who have sex with males" is sometimes considered more accurate in cases where those described may not be legal adults.
Bugchasing is the rare practice of intentionally seeking human immunodeficiency virus (HIV) infection through sexual activity.
Oral sex, sometimes referred to as oral intercourse, is sexual activity involving the stimulation of the genitalia of a person by another person using the mouth. Cunnilingus is oral sex performed on the vulva while fellatio is oral sex performed on the penis. Anilingus, another form of oral sex, is oral stimulation of the anus.
Serosorting, also known as serodiscrimination, is the practice of using HIV status as a decision-making point in choosing sexual behavior. The term is used to describe the behavior of a person who chooses a sexual partner assumed to be of the same HIV serostatus to engage in unprotected sex with them for a reduced risk of acquiring or transmitting HIV/AIDS.
Pre-exposure prophylaxis for HIV prevention, commonly known as PrEP, is the use of antiviral drugs as a strategy for the prevention of HIV/AIDS by people that do not yet have HIV/AIDS. PrEP is one of a number of HIV prevention strategies for people who are HIV-negative but who have a higher risk of acquiring HIV, including sexually-active adults who are at increased risk of contracting HIV, people who engage in intravenous drug use, and serodiscordant sexually-active couples.
The Caribbean is the second-most affected region in the world in terms of HIV prevalence rates. Based on 2009 data, about 1.0 percent of the adult population is living with the disease, which is higher than any other region except Sub-Saharan Africa. Several factors influence this epidemic, including poverty, gender, sex tourism, and stigma. HIV incidence in the Caribbean declined 49% between 2001 and 2012. Different countries have employed a variety of responses to the disease, with a range of challenges and successes.
Party and play (PnP), also known as chemsex or wired play, refers to the practice of consuming drugs to enhance sexual activity. This sexual subculture involves recreational drug users engaging in high-risk sexual behaviors under the influence of drugs, often within specific sub-groups. Activities may include unprotected sex with multiple partners during sessions over extended periods, sometimes lasting days. The drug of choice is typically methamphetamine, commonly referred to as crystal meth, tina, or T. Other substances like mephedrone, GHB, GBL, ketamine, and alkyl nitrites are also used. The term slamsex is used for injection drug users.
Michael Shernoff was an American openly gay psychotherapist who specialized in serving the mental health needs of gay, lesbian, and bisexual people and was author of several influential publications on the topics of HIV/AIDS prevention and the mental health concerns of gay men.
Gay pornography is the representation of sexual activity between males. Its primary goal is sexual arousal in its audience. Softcore gay pornography also exists; which at one time constituted the genre, and may be produced as beefcake pornography directed toward heterosexual female, homosexual male, and bisexual audiences of any gender.
Nicaragua has 0.2 percent of the adult population estimated to be HIV-positive. Nicaragua has one of the lowest HIV prevalence rates in Central America.
A creampie is a sexual act featured in hardcore pornography in which a man ejaculates inside his partner's vagina without the use of a condom, resulting in visible seeping or dripping of semen from the orifice.
The affected community is composed of people who are living with HIV and AIDS, plus individuals whose lives are directly influenced by HIV infection. This originally was defined as young to middle aged adults who associate with being gay or bisexual men, and or injection drug users. HIV-affected community is a community that is affected directly or indirectly affected by HIV. These communities are usually influenced by HIV and undertake risky behaviours that lead to a higher chance of HIV infection. To date HIV infection is still one of the leading cause of deaths around the world with an estimate of 36.8 million people diagnosed with HIV by the end of 2017, but there can particular communities that are more vulnerable to HIV infection, these communities include certain races, gender, minorities, and disadvantaged communities. One of the most common communities at risk is the gay community as it is commonly transmitted through unsafe sex. The main factor that contributes to HIV infection within the gay/bisexual community is that gay men do not use protection when performing anal sex or other sexual activities which can lead to a higher risk of HIV infections. Another community will be people diagnosed with mental health issues, such as depression is one of the most common related mental illnesses associated with HIV infection. HIV testing is an essential role in reducing HIV infection within communities as it can lead to prevention and treatment of HIV infections but also helps with early diagnosis of HIV. Educating young people in a community with the knowledge of HIV prevention will be able to help decrease the prevalence within the community. As education is an important source for development in many areas. Research has shown that people more at risk for HIV are part of disenfranchised and inner city populations as drug use and sexually transmitted diseases(STDs) are more prevalent. People with mental illnesses that inhibit making decisions or overlook sexual tendencies are especially at risk for contracting HIV.
How to Have Sex in an Epidemic: One Approach is a 1983 manual by Richard Berkowitz and Michael Callen, under the direction of Joseph Sonnabend, to advise men who have sex with men (MSM) about how to avoid contracting the infecting agent which causes AIDS. It was among the first publications to recommend the use of condoms to prevent the transmission of STDs in men having sex with men, and has even been named, along with Play Fair!, as one of the foundational publications in the advent of modern safe sex.
A rectal microbicide is a microbicide for rectal use. Most commonly such a product would be a topical gel inserted into the anus so that it make act as protection against the contract of a sexually transmitted infection during anal sex.
Since reports of emergence and spread of the human immunodeficiency virus (HIV) in the United States between the 1970s and 1980s, the HIV/AIDS epidemic has frequently been linked to gay, bisexual, and other men who have sex with men (MSM) by epidemiologists and medical professionals. It was first noticed after doctors discovered clusters of Kaposi's sarcoma and pneumocystis pneumonia in homosexual men in Los Angeles, New York City, and San Francisco in 1981. The first official report on the virus was published by the Center for Disease Control (CDC) on June 5, 1981, and detailed the cases of five young gay men who were hospitalized with serious infections. A month later, The New York Times reported that 41 homosexuals had been diagnosed with Kaposi's sarcoma, and eight had died less than 24 months after the diagnosis was made.
Sexual activities involving men who have sex with men (MSM), regardless of their sexual orientation or sexual identity, can include anal sex, non-penetrative sex, and oral sex. Evidence shows that sex between men is significantly underreported in surveys.
Risky sexual behavior is the description of the activity that will increase the probability that a person engaging in sexual activity with another person infected with a sexually transmitted infection will be infected, become unintentionally pregnant, or make a partner pregnant. It can mean two similar things: the behavior itself, and the description of the partner's behavior.
Bareback – to engage in sex without a condom.
Risk or no risk, boys are generally hostile to the idea of prophylaxis. One objection is phrased purely in terms of the pleasure principle, most colorfully by a Chicago boy who explains why he never uses anything like a rubber, 'I tried it once. It's like riding a horse with a saddle instead of bareback.'
(under "Ride Bareback") "GI slang for having sexual intercourse without using a condom. See also p. 66 (under "Boom-Boom") "A GI that had his sex without the use of a condom was known as 'going in' or 'riding' bareback."
BAREBACK - Intercourse without any form of contraception, as in "They went at it bareback."
See also The Advocate (Jul 8, 1997) p. 34 (and other various references in 1997; Out [Magazine] (6:1-6) 1997 (various references throughout.)
Whatever happened to that condom moment? 'Bareback', or unprotected, sex is still practiced by up to a third of gay men - because, despite the dangers, it feels liberated, sensuous and like one in the eye for 'sex police'
Barebacking, the deliberate practice of unprotected anal intercourse, is a new reality for many gay men.