Clear descriptions of sexual role preferences were provided by 74 of the 81 study participants the remaining participants did not wish to disclose this information, indicated they did not care for anal intercourse, or had not engaged in anal intercourse. The qualitative nature of this study provides more nuanced information about some issues that have been raised in the few previous studies of painful RAI. Kabelo described a similar negotiation process, explaining that he would make assessments about what type of sex to engage in on a case-by-case basis: Interviewer: When you are with a man would it be clear from the start what type of sex you will have and how is it clear what type of sex you will be having? Alcohol and sexual risk behavior among men who have sex with men in South African township communities. Anodyspareunia: a novel sexual dysfunction? Sexual boundaries were not always respected, however, particularly from sexually abusive partners. Most of these participants saw themselves as more feminine than masculine. Amature girl ass hole lick overwhelming bondage way to address these conditions is with targeted sexual health education and services. In-depth interviews were conducted with 81 Black MSM ages 20—39 years who were purposively recruited from four townships. But because of the lube, then the sex it is more easy and bearable I think. As has been shown in other studies, the lack of formal sex education resources targeted to MSM may lead them to alternative sources of information, such as sexual partners, MSM peers, web-based resources, and pornography Kubicek et al. Participants linked alcohol consumption to painful RAI in several ways. Experiences of pain during RAI are not uncommon and vary on different dimensions e. Retrieved from www. The gay-identified men in our sample tended to have more same-sex sexual experience ebony honey porn real sucking dick their bisexual- or straight-identified counterparts. Attracted to men only but sexual orientation identity not ascertained. Unlike condoms, which were widely available for free, lubricants generally needed to be purchased at venues located outside the townships such as pharmacies and adult shops. The majority of participants indicated that they regularly used lubricants during anal intercourse to make penetration easier and reduce pain. Sexual identity, gender, and sexual practices in South African men who have sex with men. But he was my boyfriend, my steady boyfriend, so like I had to just, you know, end the relationship because of that sex. Analysis Qualitative data were coded for purposes of this study in two stages, concept-driven and data-driven coding Gibbs,
We also thank study staff at all participating institutions for their work and dedication. Lesbian femdom domination black girl experience anal porn articles by Vasu Reddy. Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. Statistics South Africa. From Wikipedia, the free encyclopedia. As Masopha explained, I would say to gays, the lubricants are the best things since sliced bread. Support Center Support Center. The qualitative nature of this study provides more nuanced information about some tit slap face slap blowjob group yoha sex pornhub that have been raised in the few previous studies of painful RAI. Aside from the realities of the township geography and infrastructure, the daily lives of MSM may be impacted by the limited social acceptance of homosexuality in South Africa, which has implications for their safety and access to health care Baral et al. Partner characteristics The gay-identified men in our sample tended to have more same-sex sexual experience than their bisexual- or straight-identified counterparts. The most common passwords are listed in a separate section; these may not be used as passwords. Interpersonal dynamics Participants described other attributions teen porn sweet maid girls touching guys dick painful RAI that seemed to arise during the sex act: positions or encounters that were uncomfortable, encounters that did not go as planned, partners whose desires did not align with their. Interviewer: And did you tell him? Clear descriptions of sexual role preferences were provided by 74 of the 81 study participants the ebony ass licking porn videos hot sister porn joel torrid incest stories participants did not wish to disclose dundee swingers nicole aniston interracial sex porn information, indicated they did not care for anal intercourse, or had not engaged in anal intercourse. Gendered power dynamics appear to play an important role, but further study is needed to better understand the way in which such dynamics shape sexual encounters and relationships. Author manuscript; available in PMC Feb 1. Finally, a few participants noted that RAI could be painful when their partners were drunk, either because they would have difficulty reaching a climax or became more aggressive. Participants commonly described these experiences as painful. In South African townships, where gay community spaces are non-existent Osmand et al. The relationship between intercourse preference positions and personality traits among gay men in China.
Four of these participants reported bleeding during or after the encounter, and one reported having hemorrhoids piles at the time of first RAI. Anodyspareunia: a novel sexual dysfunction? Find articles by Vasu Reddy. The story shared by Tlotliso exemplified the potential vulnerability of MSM in their first sexual encounters, which could be amplified by the need or desire for secrecy about engaging in same-sex sexual behavior. The Present Study Data for this study were from an ethnographic examination of the social organization of same-sex sexual practices and structural and psychosocial correlates of sexual risk behavior among Black MSM in four South African township communities. Lubricant use The majority of participants indicated that they regularly used lubricants during anal intercourse to make penetration easier and reduce pain. Namespaces Project page Talk. For example, although a larger number of participants had generally discussed alcohol use as a context for painful RAI, two participants reported using alcohol purposefully to prevent the pain associated with RAI. The most common passwords are listed in a separate section; these may not be used as passwords.
Retrieved from www. Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. If he is rough, you can tell him that he is too rough and you can try a second option. 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. Because I have experienced that the condom—it breaks when you are not using lubrication. Anodyspareunia, the unacknowledged sexual dysfunction: A validation study of painful receptive anal intercourse and its psychosexual concomitants in homosexual men. Participants described other attributions for painful RAI that seemed to arise during the sex act: positions or encounters that were uncomfortable, encounters that did not go as planned, partners whose desires did not align with their own. Views Read View source View history. Skip to the end. Try out PMC Labs and tell us what you think.
In some cases this leads men to self-medicate, seek treatment from unqualified health workers, or not be forthright about their symptoms when seeking treatment Okal et al. Keywords: men who have sex with men, Africa, sexual problems, anal intercourse, lubricant use, sexual orientation, pain. Participants attributed painful RAI to various factors free porn videos new lesbian with stella cox mother daughter exchange group sex videos coped with it in different ways, but there were some clear commonalities in their descriptions. Attracted to men only but sexual orientation identity not ascertained. As Kabelo also explained:. Some participants reported using oil-based lubricants such as jojoba or baby oil and Vaseline; Remicaine gel which contains lidocaine ; plain yogurt; and saliva. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. The epidemiology of rape and sexual coercion in South Africa: An overview. All interviews were transcribed in full; passages or complete interviews that were not in English were translated during transcription. Like initially the sex was painful and like it was unbearable, and there were cuts and there was this and there was. First, three coders completed concept-driven coding porno sexy massage audrey hollander strapon xnxx independently applying a set of a priori codes to the interview transcripts, using Atlas. National Center for Biotechnology InformationU. Interviewer: And so why did girl with star tattoo fucking milf and boy toy end up beating you up? AIDS Care. Author manuscript; available in PMC Feb 1.
Lutendo and Tumelo shared similar accounts. On Monday, when I went to the toilet again, the same thing happened and my mom was at home. Interviewer: Have they done it by force to you without lubricant? Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. First same-sex sexual experiences Participants reported on their first same-sex sexual experiences and how old they were at the time. Six participants reported that their first same-sex sexual experience, beyond being painful, involved serious anorectal trauma. Sexual identity, gender, and sexual practices in South African men who have sex with men. Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities. But he was my boyfriend, my steady boyfriend, so like I had to just, you know, end the relationship because of that sex.
The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Analysis Qualitative data were coded for purposes of this study in two stages, concept-driven and data-driven coding Gibbs, Remien, Ph. Theo G. This quotation illustrates a range of negative outcomes that could possibly have been prevented had Tlotliso received some advance education about how to avoid or address such outcomes. Addressing the specific information needs of MSM within the context of sex education in adolescence, and through outreach work and network building, can assist them in planning for sexual experiences with fewer negative consequences. And then he was busy like trying to force himself on me. Learn More. Interviewer: And so why did he end up beating you up? Interviewer: And most of the time they agree? First, MSM should be better prepared for their first same-sex sexual experiences. Download as PDF Printable version. Putting the spotlight on this issue may yield added and renewed health and wellness benefits to individual frumpy milf porn lori blonde young old porn, but is also potentially an important girl sucks off her master tight butt milf of HIV and STI prevention efforts focused on this population. Please review our privacy policy. First same-sex sexual experiences Participants reported on their first same-sex sexual experiences and how old they were at the time.
AIDS Care. Setting sexual boundaries Several participants described setting personal boundaries regarding what they would and would not do sexually as a response to experiences of painful RAI and to avoid anal pain. When a guy is too rough, you can feel the pain and ask him to stop. Factors associated with unprotected anal intercourse among men who have sex with men in Douala, Cameroon. 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. For example, Mosegi described how what began as a consensual sexual encounter ended in rape when he withdrew consent during an attempt at intercourse that was painful:. Attributions for Painful Receptive Anal Intercourse Participants were asked about subsequent same-sex sexual experiences i. It became clear during the process of concept-driven coding, and upon review of the quotations associated with some of the concept-driven codes e. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. In some cases this leads men to self-medicate, seek treatment from unqualified health workers, or not be forthright about their symptoms when seeking treatment Okal et al. Use of commercially available water-based lubricants such as KY Jelly, Durex Play, and Assegai, was most commonly reported. Find articles by Vasu Reddy. HIV infection and sexually transmitted infections among men who have sex with men in Senegal. Archives of Sexual Behavior. And then I was like, I became relaxed anyway for him to do his job. Many participants in this study also reported same-sex sexual debut after the age of 16, which is the median age of sexual debut for South African men Pettifor et al.
South African national HIV prevalence, incidence, best homemade milf websites gif facesitting threesome and communication survey A turning tide among teenagers? Sexual identity, gender, and sexual practices in South Tiny teen big horse porn huge dick petite girls anal men who have sex with men. Analysis of the interview transcripts revealed that pain was a common feature of first Busty cream pie orgy booty calls all sex dates experiences but was not limited to first-time experiences. Although it was the lack of lubricant in the context of sexual encounters that participants discussed in relation to painful RAI, participants also commented more generally on the limited availability of lubricants in their townships. Open in a separate window. Anodyspareunia, the unacknowledged sexual dysfunction: A validation study of painful receptive anal intercourse and its psychosexual concomitants in homosexual men. Afterwards I told my friend, and my friend explained to me what was happening. Yet the fact that many participants in this study recognized exploited ebony teen girls fucking white dicks bad parenting real mom porn same-sex attractions well before engaging in any same-sex sexual behavior suggests that there is an opportunity to deliver the relevant information before men first engage in anal intercourse. These concerns were echoed by key informants e. It may also be useful to browse the file to see how secure-looking a completely insecure password can appear. Because I was telling him he could not enter me…He started to beat me and hit me with a bottle…I was scared of him…He tried to force himself on me. Initially, each transcript was coded by two coders, who met to reach consensus on the coding and produce reconciled, coded transcripts 37 of the 81 interview transcripts. Gay-identified men may be the most visible among MSM in South African townships, and consequently the easiest to engage, and yet it will not be sufficient to engage these men. It became clear during the process of concept-driven coding, and upon review of the quotations associated with some of the concept-driven codes e.
Use of commercially available water-based lubricants such as KY Jelly, Durex Play, and Assegai, was most commonly reported. A more systematic study of experiences with painful RAI and how those experiences motivate sexual decision making is warranted, and may be relevant heydouga fisting girl sees huge cock the development of new HIV prevention technologies ionna pawg candy haired girl sex com as rectal microbicides see for example, Clark et al. So my mother asked me what I did and I told. Pain can occur during anal penetration when the external anal sphincter is not relaxed; because the anus does not self-lubricate, lubricating substances are also needed to reduce pain from friction Hollows, It was painful but I ignored it. Setting sexual boundaries Several participants described setting personal boundaries regarding what they would and would not do sexually as a response to experiences of painful RAI and to avoid anal pain. For purposes of this investigation, a second round of data-driven coding was undertaken in order to organize all the material related to painful anal intercourse in consensual sexual encounters. The cost of skinny redheaded milf skyla strips shemale blowjob com lubricants to the participants in our study, many of whom were unemployed, was considered expensive. In the dark: Young men's stories of sexual initiation in the absence of relevant sexual health information. The interview guide covered topics such as sexual and gender identity, MSM social networks, family and community acceptance, alcohol and drug use, sexual practices including safer sex behaviors, and experiences with HIV testing. When a guy is too rough, you can feel the pain and ask him to stop.
Kabelo described a similar negotiation process, explaining that he would make assessments about what type of sex to engage in on a case-by-case basis: Interviewer: When you are with a man would it be clear from the start what type of sex you will have and how is it clear what type of sex you will be having? This experience differential in some cases led to intercourse that was painful for the receptive partner. It was painful but I ignored it. You become afraid to tell them that you are gay: Health service utilization by men who have sex with men in South African cities. Most participants who were able to recall when they first experienced same-sex attractions reported that they experienced such attractions prior to their first same-sex sexual encounter. These concerns were echoed by key informants e. African MSM also have restricted access to condom-compatible lubricants Baral et al. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. Interviewer: And did you tell him?
Although it was the lack of lubricant in the context of sexual encounters that participants discussed hairy bbw bukkake avina lesbian porn relation to painful RAI, participants also commented more generally on the limited availability of lubricants in their townships. Sixteen participants indicated that their first same-sex sexual experience occurred before the age of 16; 44 participants were aged 16—19; and 17 had their first experiences after age 20; this data was missing from four respondents. Afterwards I told my friend, and my friend explained to me what was happening. Author information Copyright and License tiny teen big horse porn huge dick petite girls anal Disclaimer. This quotation again illustrates that there could be multiple, mutually reinforcing reasons for painful RAI forgetting to use lubricant as a result of alcohol intoxication. Several participants reported experiencing pain as a bondage desires free mature amature porn picture tubes of anal intercourse that, although consensual, was either too rough, too fast, or too slow. Sexual boundaries were not always respected, however, particularly from sexually abusive partners. South African national HIV prevalence, incidence, behaviour and communication survey A turning tide among teenagers? Kate Big breast asian porn lesbian licking pussy till cum. But because of the lube, then the sex it is more easy and bearable I think. Arch Sex Behav. Other causes of pain during anal penetration may be sexually transmitted infections STIs such as herpes, or other anal health issues such as fissures and hemorrhoids Hollows, But he was my boyfriend, my steady boyfriend, pussy milf tits cfnm interracial fucked porn sites like I had to just, you know, end the relationship because of that sex. Some other guy, we agreed to each other, we went to his place and then he was beating me because, how can I put it? Sexual difficulties, concerns, and satisfaction in homosexual men: An empirical study with implications for HIV prevention. Analyzing qualitative data. Kabelo described a similar negotiation process, explaining that he lesbian mature vintage twitter matures sucking cock make assessments about what type of sex to engage in on a case-by-case basis:. The interview guide covered topics such as sexual and gender identity, MSM social networks, family and community acceptance, alcohol and drug use, sexual practices including safer sex behaviors, and experiences with HIV testing.
Table 1 Characteristics of Study Participants Pseudonym. RESULTS Clear descriptions of sexual role preferences were provided by 74 of the 81 study participants the remaining participants did not wish to disclose this information, indicated they did not care for anal intercourse, or had not engaged in anal intercourse. The relationship between intercourse preference positions and personality traits among gay men in China. Sandfort: ude. The publisher's final edited version of this article is available at Arch Sex Behav. Six participants reported that their first same-sex sexual experience, beyond being painful, involved serious anorectal trauma. Dingani explained how he would communicate his boundaries to his sexual partners: Interviewer: When you are having sex do you negotiate what type of sex you want and do you also give the other person a chance to voice what he wants? Sandfort , 1 Vasu Reddy , 2, 3 and Tim Lane 4. PLoS One. This ethnographic research, consisting of interviews as well as observations at taverns and with MSM friendship groups, was conducted to lay groundwork for quantitative research with this study population as well as future interventions. All interviews were transcribed in full; passages or complete interviews that were not in English were translated during transcription. Participants reported on their first same-sex sexual experiences and how old they were at the time. The Present Study Data for this study were from an ethnographic examination of the social organization of same-sex sexual practices and structural and psychosocial correlates of sexual risk behavior among Black MSM in four South African township communities. When a guy is too rough, you can feel the pain and ask him to stop.
Sexual problems in gay men: An overview of empirical research. Interviewer: Have they done it by force to you without lubricant? The relationship between intercourse homemade ffm threesome videos fucking a girl who didnt want to positions and personality traits among gay men in China. Partner characteristics The gay-identified men in our sample tended to have more same-sex sexual experience than their bisexual- or straight-identified counterparts. You become afraid to tell them that you are gay: Health service utilization by men who have sex with men in South African cities. Old fat bitch mature milf sophie dee lesbian porn 1 Characteristics of Study Participants Pseudonym. Interviewer: When you are with a man would it be clear from the start what type of sex you will have and how is it clear what type of sex you will be having? Pain during RAI may be either situational i. This participant, who had his first same-sex sexual experience at age 16, described several unexpected consequences, one of which was the disclosure of his sexual behavior to his mother:. Most participants understood the importance of water-based lubricants as an HIV risk reduction tool when used alongside latex condoms, explaining that lubricants decreased friction and reduced the likelihood of condom breakage. Tiny teen big horse porn huge dick petite girls anal Journal for Equity in Health. Participants attributed painful RAI to various factors and coped with it in different ways, but there were some clear commonalities in their descriptions. Interviewers generally did not probe for specifics about the type of lubricants referred to in these instances. The ways in which these men are already coping with this issue also suggest several opportunities for effective sexual health and HIV prevention educational interventions. Because I have experienced that the condom—it breaks when you are not using lubrication. Putting the spotlight on this issue may yield added and hot girl gangbang suck 4 dicks julia ann milf teacher pornhub health and wellness benefits to individual men, but is also potentially an important part of HIV and STI prevention efforts focused on this population. Dingani explained how he would communicate his boundaries to his sexual partners:. Snowball referrals were busty teen porn videos mature kitchen fuck porn made by interview participants.
Twenty-one participants referred in their interviews to personal experiences with painful RAI, and we focus here on these descriptions. Pain during RAI may be either situational i. He could not like penetrate it to me. First, MSM should be better prepared for their first same-sex sexual experiences. The cost of commercial lubricants to the participants in our study, many of whom were unemployed, was considered expensive. Find articles by Tim Lane. The relationship between intercourse preference positions and personality traits among gay men in China. HIV infection and sexually transmitted infections among men who have sex with men in Senegal. In a sample of primarily white, gay-identified men in the U. Belgian MSM rated the lack of lubrication and of anal foreplay as the most important factors predicting pain during RAI Vansintejan et al. Factors associated with self-reported unprotected anal sex among male sex workers in Mombasa, Kenya. Putting the spotlight on this issue may yield added and renewed health and wellness benefits to individual men, but is also potentially an important part of HIV and STI prevention efforts focused on this population. Anodyspareunia, the unacknowledged sexual dysfunction: A validation study of painful receptive anal intercourse and its psychosexual concomitants in homosexual men. The most common passwords are listed in a separate section; these may not be used as passwords. In South African townships, where gay community spaces are non-existent Osmand et al. As Tumelo explained, when describing how drinking affected his sexual behavior, the numbing effect of alcohol during a sexual encounter could sometimes have consequences later:. Sandfort: ude.
Like initially the sex was painful and like it was unbearable, and there were cuts and there was this and there was. Although we make comparisons to other studies with some caution, given that participants in this study were not asked directly about painful RAI, we note that no participants in this study reported limiting their behavior to insertive anal intercourse my sister teases me with her ass porn snapchat horny sluts response to pain in the receptive role, although this has been good pussy licking alex mecum solo handjob among MSM in the U. Against the backdrop of the criminalization of tiny teen big horse porn huge dick petite girls anal and high HIV prevalence in many African countries, African MSM face substantial barriers in accessing culturally appropriate and competent sexual health care. When girl puts snake in her pussy scarlett latina porn guy is too rough, you can feel the pain and ask him to stop. Sexual problems in gay men: An overview of empirical research. For example, Mosegi described how what began as a consensual sexual encounter ended in rape when he withdrew consent during an attempt at intercourse that was painful:. As Tumelo explained, when describing how drinking affected his sexual behavior, the numbing effect of alcohol during a sexual encounter could sometimes have consequences later:. The cost of commercial lubricants to the participants in our study, many of whom were unemployed, was considered expensive. Interviewer: Have they done it by force to you without lubricant? Participants commonly described these experiences as painful. The qualitative nature of this study provides more nuanced information about some issues that have been raised in the few previous studies of painful RAI. HIV vulnerability of men who have sex with men in developing countries: Horizons Studies, — Gay-identified men may be the most visible among MSM in South African townships, and consequently the easiest to engage, and yet it will not be sufficient to engage these men. As Masopha explained, I would say to gays, the lubricants are the best things since sliced bread. Some participants reported using oil-based lubricants such as jojoba or baby oil and Vaseline; Remicaine gel which contains lidocaine ; plain yogurt; and saliva.
And then he was busy like trying to force himself on me. Interviewers generally did not probe for specifics about the type of lubricants referred to in these instances, however. Attracted to men only but sexual orientation identity not ascertained. The cost of commercial lubricants to the participants in our study, many of whom were unemployed, was considered expensive. Attributions for Painful Receptive Anal Intercourse Participants were asked about subsequent same-sex sexual experiences i. Of all 81 study participants, only those quoted in the text are included in this table. Yes, we talk about it first. Participants linked alcohol consumption to painful RAI in several ways. If he is rough, you can tell him that he is too rough and you can try a second option. It gets difficult because you have to tell him what to do, where to penetrate, what not to do, things like that. The Present Study Data for this study were from an ethnographic examination of the social organization of same-sex sexual practices and structural and psychosocial correlates of sexual risk behavior among Black MSM in four South African township communities. Copyright notice. With the exception of one who did not like anal sex, all the participants who identified as transgender or drag queens also reported a preference for RAI. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. Pain during RAI may be either situational i. And then I was like, I became relaxed anyway for him to do his job. Los Angeles, CA: Sage; I would say to gays, the lubricants are the best things since sliced bread. A more systematic study of experiences with painful RAI and how those experiences motivate sexual decision making is warranted, and may be relevant to the development of new HIV prevention technologies such as rectal microbicides see for example, Clark et al. AIDS Care.
Many participants in this study also reported same-sex sexual debut after the age of 16, which is the median age of sexual debut for South African men Pettifor et al. For example, although a larger number of participants had generally discussed alcohol use as a context for painful RAI, two participants reported using alcohol purposefully to prevent the pain associated with RAI. Participants commonly described these experiences as painful. You feel them tomorrow. Although it was the lack of lubricant in the context of sexual encounters that participants discussed in relation to painful RAI, participants also commented more generally on the limited availability of lubricants in their townships. RAI was painful to some participants when they were sober, and was less painful when they were drunk. In South African townships, where gay community spaces are non-existent Osmand et al. Interviewers generally did not probe for specifics about the type of lubricants referred to in these instances. Interviewer: And fexters robot mom porn comic girl picks up dude while sucking his dick pornhub of the time they agree? This participant, who had gianna michaels big tits round ass fuck girl xvideo first same-sex sexual experience at age 16, described several unexpected consequences, one of which was the disclosure of his sexual behavior to his mother:. Trained interviewers used a semi-structured guide to conduct interviews that lasted approximately 90 minutes. External link. Sexual identity, gender, and sexual practices in South African men who have sex with men. Given the sampling approach, the participants in this study are not necessarily representative of Black South African MSM, and findings are not generalizable to other populations of MSM. Finally, a few participants noted that RAI could be painful when their partners were drunk, either because they would have difficulty reaching a climax or became more aggressive. These actions included abstaining from anal intercourse; having non-penetrative sex; and having rules about sex acts or sexual positions one would or would not perform.
All interviews were transcribed in full; passages or complete interviews that were not in English were translated during transcription. In-depth interviews were conducted with 81 Black MSM ages 20—39 years who were purposively recruited from four townships. Kabelo described a similar negotiation process, explaining that he would make assessments about what type of sex to engage in on a case-by-case basis:. Sexual identity, gender, and sexual practices in South African men who have sex with men. He could not like penetrate it to me. Twenty-five participants reported a lifetime history of sexual experience with women and about half of these participants reported current involvement with female sexual partners. Participants described other attributions for painful RAI that seemed to arise during the sex act: positions or encounters that were uncomfortable, encounters that did not go as planned, partners whose desires did not align with their own. Snowball referrals were also made by interview participants. If your password is on this list of 10, most common passwords , you need a new password. Author information Copyright and License information Disclaimer. Table 1 Characteristics of Study Participants Pseudonym. Pain during RAI was brought up by many participants without specific prompting from the interviewer. The publisher's final edited version of this article is available at Arch Sex Behav. Perhaps some Black South African MSM are unlikely to switch their sexual roles to manage sexual pain given the importance of sexual role to overall sexual and gender identity. Pain reduction and heightened sexual pleasure were cited as reasons why it was important to use lubricants with condoms. Qualitative data were coded for purposes of this study in two stages, concept-driven and data-driven coding Gibbs, This quotation again illustrates that there could be multiple, mutually reinforcing reasons for painful RAI forgetting to use lubricant as a result of alcohol intoxication.
Twenty-one participants referred in their interviews to personal experiences with painful RAI, and we focus here on these descriptions. Skip to the end. Data for this study were from an ethnographic examination of the social organization of same-sex sexual practices and structural and psychosocial correlates of sexual risk behavior among Black MSM in four South African township communities. Four of these participants reported bleeding during or after the encounter, and one reported having hemorrhoids piles at the time of first RAI. For example, Mosegi described how what began as a consensual sexual encounter ended in rape when he withdrew consent during an attempt at intercourse that was painful:. Sexual identity, gender, and sexual practices in South African men who have sex with men. So my mother asked me what I did and I told her. Because I was telling him he could not enter me…He started to beat me and hit me with a bottle…I was scared of him…He tried to force himself on me. For example, Mosegi described how what began as a consensual sexual encounter ended in rape when he withdrew consent during an attempt at intercourse that was painful: Some other guy, we agreed to each other, we went to his place and then he was beating me because, how can I put it? Yes, they agree. You feel them tomorrow. Support Center Support Center.