Summary
The men interviewed skilled multiple lovers and had an easy intimate repertoire both abroad and also at house. But, the behavior ended up being amplified in Berlin. The guys would not change their safer intercourse training according to when they had intercourse in Sweden or Berlin. The high flexibility and vulnerability for HIV/sexually sent disease (STI) among these guys highlights the necessity of increased usage of antiretroviral treatment, pre-exposure prophylaxis for HIV and low-threshold HIV/STI testing solutions in European countries.
Skills and restrictions with this research
The style included interviews complemented with participatory observations in groups and intercourse groups in Berlin.
The interviewer balanced between emic and etic approaches to be able to gain trust from the participants and also at the time that is same deep comprehension of the tradition described within the interviews.
A limitation is the fact that set of Swedish males that have intercourse with guys going to Berlin had not been in contrast to Berlin site site site visitors off their nations or Swedes whom travelled with other locations.
Introduction
Gay males along with other males who possess intercourse with males (MSM) carry a disproportional burden of HIV illness in European countries. 1 every year when you look at the period 2010–2014, an average of five Swedish MSM contracted HIV while going to Germany plus in 2017, on typical one Swedish MSM per week reported having contracted gonorrhoea in Germany (supply: Public wellness Agency of Sweden, Sminet database). The HIV prevalence in Germany and Sweden varies, but not drastically. It really is believed at 5.0per cent–7.5% in MSM and below 0.2% one of the total adult populace in Germany 2 when compared with 3percent–6% in MSM and 0.07% into the total adult population in Sweden. 3 The Joint un Programme on HIV/AIDS information claim that Germany possesses high concentration of MSM in bigger towns and cities. This may be because of MSM-oriented meeting places, such as for instance saunas and groups, which offer high variety of intimate lovers. 2 Some MSM in Berlin describe the town once the capital that is‘HIV of. The participants estimated that between 20% and 90% of all MSM living in Berlin were HIV positive in one study. 4 Despite such information, there aren’t any state-sponsored programmes for circulation of condoms. Other condom that is free tasks occur but there is however nevertheless insufficient option of condoms making them hard to access at intercourse venues. 4 The health that is sexual associated with homosexual community is mainly catered for by non-governmental organisations. 5
Pre-exposure prophylaxis (PrEP) for HIV is just a impressive tool for avoidance of HIV. 6 7 during the time of the information collection, PrEP ended up being authorized into the eu but no programmes taken care of immediately the PrEP requirements of MSM in Sweden 8 or Germany. 9
Surveys on Swedish MSM’s health that is sexual been carried out on a typical foundation when it comes to previous decade but intimate practice while travelling has just been explored in more detail within the newest Swedish nationwide study (data gathered 2013). 10 Barebacking (defined in those studies as pre-agreed, condomless intercourse that is anal was more widespread in Sweden in contrast to abroad (31% weighed against 17%) but team intercourse ended up being practised more frequently abroad than in Sweden. 10 the absolute most typical countries to have experienced intercourse while travelling abroad had been Germany.
Travelling is an essential part of numerous gay men’s life style and increased globalisation and inexpensive flight tickets facilitate that life style. 11 within the last ten years, a few efforts have now been made to examine intercourse and travel among MSM with contradictory results. A number of the identified studies depend on studies. Current studies on travelling MSM cover topics such as for instance examining risk pages, 12 13 prevalence of condomless rectal intercourse as well as other high-risk intimate techniques, 14–18 HIV knowledge and HIV preventive needs 19 20 and identity that is sexual. 21 22 Several studies provide knowledge on danger behavior, and medication usage while away. 23–25 Zablotska et al 15 fuckcams point out that ‘little is well known concerning the travel-associated dangerous intimate techniques in community-based types of homosexual guys, nor regarding the factors that shape these practices’. There clearly was a necessity for further studies describing the objective of travel for MSM and ‘context-related faculties ‘that lead MSM to be intimately active while being abroad, 14 maybe not least to create interventions that target this team.
