Summary
The men interviewed skilled multiple lovers along with a broad intimate repertoire both abroad and also at home. Nonetheless, the behavior ended up being amplified in Berlin. The guys failed to change their safer sex training according to when they had sex in Sweden or fuckcams mobile Berlin. The mobility that is high vulnerability for HIV/sexually sent disease (STI) among these guys highlights the need of increased usage of antiretroviral therapy, pre-exposure prophylaxis for HIV and low-threshold HIV/STI testing solutions in European countries.
Skills and restrictions of the research
The look 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 through the participants and also at the time that is same deep knowledge of the tradition described when you look at the interviews.
A limitation is the fact that set of Swedish males that have intercourse with men going to Berlin wasn’t in contrast to Berlin site visitors off their nations or Swedes whom travelled with other destinations.
Introduction
Gay men as well as other males that have intercourse with males (MSM) carry a disproportional burden of HIV illness in European countries. 1 every year within the duration 2010–2014, an average of five Swedish MSM contracted HIV while going to Germany as well as in 2017, on average one Swedish MSM per week reported having contracted gonorrhoea in Germany (supply: Public Health Agency of Sweden, Sminet database). The HIV prevalence in Germany and Sweden varies, but not drastically. Its believed at 5.0percent–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% within the total adult population in Sweden. 3 The Joint United Nations Programme on HIV/AIDS information declare that Germany includes a high concentration of MSM in bigger towns and cities. This may be as a result of meeting that is MSM-oriented, such as for example saunas and groups, which offer high variety of intimate lovers. 2 Some MSM in Berlin describe the town given that 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 are no 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 for the homosexual community is mainly catered for by non-governmental organisations. 5
Pre-exposure prophylaxis (PrEP) for HIV is a noteworthy device for avoidance of HIV. 6 7 during the time of the info collection, PrEP ended up being authorized within the eu but no programmes responded to the PrEP requirements of MSM in Sweden 8 or Germany. 9
Studies on Swedish MSM’s sexual wellness have actually been carried out on a normal foundation when it comes to previous ten years but intimate practice while travelling has just been explored in more detail within the latest 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% in contrast to 17%) but team sex had been practised more frequently abroad compared to Sweden. 10 the absolute most countries that are common have experienced intercourse while travelling abroad were Germany.
Travelling is an essential part of numerous homosexual men’s life style and increased globalisation and airline that is cheap facilitate that life style. 11 within the final ten years, a few efforts were made to review intercourse and travel among MSM with contradictory results. A number of the identified studies derive from studies. Current studies on travelling MSM address topics such as for instance examining danger 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 intimate identification. 21 22 Several studies offer knowledge on danger behavior, and medication usage while away. 23–25 Zablotska et al 15 point out that ‘little is famous in regards to the travel-associated dangerous practices that are sexual community-based types of homosexual guys, nor regarding the factors that shape these practices’. There was a necessity for further studies describing the objective of travel for MSM and characteristics that are‘context-related lead MSM to be intimately active while being abroad, 14 perhaps maybe not least to develop interventions that target this team.