Motivation and activity
Bugchasers are men who have sex with men (MSM) [upper-alpha 1] who eroticize HIV infection, particularly through engaging in online sexual fantasies of being infected with HIV, or who actually pursue infection with the virus. Since little is understood about the practice in general, the motivations for developing bugchasing identity and behavior remain largely undefined. However, at least four motivations have been suggested.
Once the initial shock dissipated, he felt relieved, like he had been given a free pass to have consensual bareback sex without worry of being infected.
— Journalist Bobby Box on a bugchaser's reaction to HIV-positive diagnosis (2020)
First, some men may become bugchasers as a result of fear of HIV infection, which had previously altered their sexual behavior, such as men abstaining from sex entirely, committing to one partner, or using preventative measures such as condoms. In this way, bugchasers may view their actions as empowering, both sexually and personally; the transformation of bugchasers from HIV-negative to HIV-positive status is understood by the group as masculinizing, which grants them additional status. Second, some men view HIV-positive status as erotic or sexually stimulating. It may be a subject of pleasure or the ultimate taboo to overcome. [18] Third, bugchasers may understand HIV-positive status (or its pursuit) as granting a shared identity and sense of community. And fourth, bugchasing has been described as a political device and action against social norms (such as those tied to heteronormativity) through transgression of—or rebellion against—popular sentiments about gay life. There is a fifth possible motivation—suicide—but this remains an unclear or imprecise explanation for bugchasing behavior.
Bugchasing is a rare sexual taboo. Many self-identified bugchasers do not deliberately seek out sex with HIV-positive people. Many men who self-identify as bugchasers never attempt to become HIV-positive.
The widespread availability of pre-exposure prophylaxis (PrEP), capable of preventing HIV infection in otherwise unprotected sexual encounters, has not resulted in the disappearance of bugchasing. Some men incorporate taking PrEP alongside bugchasing behavior, others experiment with bugchasing while on PrEP, and others view it as emasculating and refuse to use it.
Group dynamics
While barebacking and bugchasing are both centered in risky sexual activity, they are distinct activities. Bugchasing is a subculture of barebacking, and intent is a distinguishing characteristic between bugchasers and barebackers: most barebackers do not intend to be infected (or infect others) with HIV, which is the apparent focus of bugchasing behavior.
In the view of ethnologist Jamie García-Iglesias and researcher Tim Dean, bugchasers circulate several metaphors that distinguish their identity from other MSM communities: insemination, pregnancy, and paternity. According to Dean and the psychological researcher Hugh Klein, since HIV is able to spread and reproduce through the sexual activity belonging to bugchasing, its cultural dimensions—institutions, norms, practices, and forms of kinship that, taken together, form a community situated around HIV status—may be transmitted through viral infection, similar to cultural propagation through birth and paternity.
Similarly, bugchasing spaces may reinforce certain notions of masculinity. The sex researcher Ellie Reynolds writes that HIV-positive men who purposely seek out others to infect with HIV—known as giftgivers—are constructed as hypermasculine through a penetrative sexual role, while bugchasers are understood to lack masculinity: penetrated (rather than penetrating), having their rectums described with words relating to women such as "pussy" and "mancunt", they occupy a feminine role in the social order. Whether giftgivers continue to exist is uncertain, given what García-Iglesias calls their "statistically rare" population and "biological implausib[ility] (on the basis of widespread successful treatment)".
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.
The AIDS epidemic, caused by HIV, found its way to the United States between the 1970s and 1980s, but 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. Treatment of HIV/AIDS is primarily via the use of multiple antiretroviral drugs, and education programs to help people avoid infection.
Biphobia is aversion toward bisexuality or people who are identified or perceived as being bisexual. Similarly to homophobia, it refers to hatred and prejudice specifically against those identified or perceived as being in the bisexual community. It can take the form of denial that bisexuality is a genuine sexual orientation, or of negative stereotypes about people who are bisexual. Other forms of biphobia include bisexual erasure. Biphobia may also avert towards other sexualitities attracted to multiple genders such as pansexuality or polysexuality, as the idea of being attracted to mutiple genders is generally the cause of stigma towards bisexuality.
Down-low is an African-American slang term specifically used within the African-American community that typically refers to a sexual subculture of Black men who usually identify as heterosexual but actively seek sexual encounters and relations with other men, practice gay cruising, and frequently don a specific hip-hop attire during these activities. They generally avoid disclosing their same-sex sexual activities, even if they have female sexual partner(s), they are married to a woman, or they are single. The term is also used to refer to a related sexual identity. Down-low has been viewed as "a type of impression management that some of the informants use to present themselves in a manner that is consistent with perceived norms about masculine attribute, attitudes, and behavior".
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.
Bareback sex is physical sexual activity, especially sexual penetration, without the use of a condom. 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.
Syndemics is the evaluation of how social and health conditions arise, in what ways they interact, and what upstream drivers may produce their interactions. The word is a blend of "synergy" and "epidemics". The idea of syndemics is that no disease exists in isolation and that often population health can be understood through a confluence of factors that produces multiple health conditions that afflict some populations and not others. Syndemics are not like pandemics ; instead, syndemics reflect population-level trends within certain states, regions, cities, or towns.
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.
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.
Abstinence-only sex education is a form of sex education that teaches not having sex outside of marriage. It often excludes other types of sexual and reproductive health education, such as birth control and safe sex. In contrast, comprehensive sex education covers the use of birth control and sexual abstinence.
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.
The Gift is a 2003 documentary film by filmmaker Louise Hogarth documenting the phenomenon of deliberate HIV infection; such practices are known colloquially as bugchasing, for seeking and providing voluntary HIV infection, respectively. The film follows the stories of two "bug chasers" who are seeking "the gift" of HIV infection. Interviews are also conducted with AIDS activist and author, Walt Odets, PhD, and HIV positive and negative men. The film explores the normalization and glamorization of HIV/AIDS and discusses the isolation and division caused by HIV status in the gay community.
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.
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.
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.
Jeffrey T. Parsons is an American psychologist, researcher, and educator; he was a Distinguished Professor of Psychology at Hunter College and The Graduate Center of the City University of New York (CUNY) and was the Director of Hunter College's Center for HIV/AIDS Educational Studies & Training, which he founded in 1996. Parsons was trained as a developmental psychologist and applied this training to understand health, with a particular emphasis on HIV prevention and treatment. He was known for his research on HIV risk behaviors of gay, bisexual, and other men who have sex with men (GBMSM), HIV-related syndemics, and sexual compulsivity. He resigned his positions at CUNY on July 3, 2019, following a year-long university investigation of misconduct allegations against him. In 2023, the U.S. Attorney's Office announced that he was required to pay a $375,000 settlement for engaging in fraud against the federal government for many years.
"Bug Chasers: The men who long to be HIV+" is a Rolling Stone magazine article written by Gregory Freeman and originally published on February 6, 2003, that describes a purportedly large group of gay men who desire to be infected with human immunodeficiency viruses (HIV). The article profiled an HIV-negative gay man—"Carlos"—who discussed his sexual fantasy of bugchasing, a practice of intentionally seeking HIV through unprotected sex with other men. Freeman interviewed two doctors for the article, who alleged that 25 percent of new HIV infections among gay men are from men who actively sought to contract the virus.
The Sluts is a 2004 novel by American author Dennis Cooper. It is about an online community discussing Brad, a gay male sex worker, and ascertaining his identity; eventually, the online community becomes obsessed with the "Brad saga" and stories of sexual and physical violence are reported, though they are eventually found to be a ruse. The novel won the Lambda Literary Award in 2005 and the Sade Prize in 2007.
