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Health service utilization by men who have sex with men in South African cities. The publisher's final edited version of this article is available at Arch Sex Behav. He was so controlling to me and he wanted whatever he wanted. Experiences of pain during RAI are not uncommon and vary on different dimensions e. However, more feminine, gay-identifying MSM were best represented in the sample and it was their voices that were dominant on the issue of painful RAI; the perspectives of MSM engaging in insertive AI should be solicited as part of future studies of this topic.

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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.

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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:. Taverns, bars and shebeens: 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. See other articles in PMC that cite the published article. The majority of participants indicated that they regularly used lubricants during anal intercourse to make penetration easier and reduce pain.

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