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Gay men and other men who have sex with men MSM in Uganda, who had not used a condom the last time they had anal sex with another man, were most likely to say that condoms not being strong enough for Dating hurt Uganda sex, a lack of suitable lubricant and, in rural areas, a lack of access to condoms were the most common reasons they did not use them.
A of other reasons were also mentioned, such as pressure from primary or commercial sex partners, false beliefs about the safety of anal sex, lack of pleasure, and ignorance about how to use condoms. Alcohol was also mentioned frequently as a disinhibitor of condomless sex.
Nonetheless, as the researchers point out, MSM are as disproportionately affected by HIV in such countries as they are elsewhere. In Uganda the Dating hurt Uganda are Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of.
Stigma can be questioned and challenged. Studies aim to give information that will be applicable to a large group of people e. Because it is impractical to conduct a study with such a large group, only a sub-group a sample takes part in a study. A break in the skin or mucous membrane which involves the loss of the surface tissue. Other jurisdictions criminalise people who do not disclose their HIV status to sexual partners as well as actual cases of HIV transmission.
The data come from a qualitative study with 85 self-identified MSM. The 85 came from 11 districts in Uganda that had HIV high prevalence, but were also chosen to provide a geographical spread across the country and an Dating hurt Uganda balance. Their views on condoms come from individual minute interviews. The most common reasons cited for not using condoms involved the practical difficulties of getting hold of quality materials.
A lot of the interviewees said that the condom brands available in Uganda were low-quality Dating hurt Uganda unsuitable for anal sex. One said:. Anal sex is a bit rough, so we need quality condoms. Proper sexual lubricants were almost impossible to get in many areas, so the MSM improvised with jellies, oils, spit or soap. For this reason or others, many interviewees said sex with condoms was more painful and that they had experienced irritation and even bruising:. One factor that was more common in rural areas was lack of access to condoms.
Usually they were simply not available, rather than unaffordable. One participant said he had got genital ulcer disease because condoms had not been available with a partner.
A surprisingly large of interviewees were completely ignorant of condoms. Some said they knew nothing about them, while one participant mentioned actually having a packet of condoms but being too scared to start using them:. One fear mentioned by several interviewees was that condoms might get lost up the anus, which would then have to be explained to a healthcare worker:.
Some participants — especially in the more rural provinces — did not think anal sex could transmit HIV. Other interviewees seem Dating hurt Uganda have taken on board anti-condom messages from conservatives.
Some had heard that condoms were only good for preventing pregnancy, not HIV, so did not need to be used with men. Others had heard that condoms actually cause HIV:. One participant said he and his partner, who had been in a relationship for two and a half years, took an HIV test together and now test quarterly instead of using condoms.
Other participants felt persuaded or coerced by partners they did not want to lose:. A of participants were sex workers and gave in to the offer of more money for condomless sex:. I have many needs, I have to pay my rent, dress up and eat. Many of the reasons interviewees cited for choosing condomless sex were similar to those given by gay men in other countries.
However some were specific to the Ugandan Dating hurt Uganda. They comment that HIV prevention messaging in African countries urgently needs to include anal sex, suggesting that messaging not obviously directed at gay men might work better in repressive environments. They add that trained peers within MSM networks represent the best opportunity for increasing access to information, condoms and lubricants within the MSM community.
African MSM are clearly in need of them. Musinguzi G et al. Barriers to condom use among high risk men who have sex with men in Uganda: a qualitative study.
July Primary tabs View active tab Preview. Poor quality condoms, lack of lubricant and alcohol the most common reasons for condomless sex. Gus Cairns. Find out more in our About HIV s. More news from Uganda. Related topics. HIV prevention policy. Men who have sex with men MSM.Dating hurt Uganda
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