The men interviewed skilled multiple lovers together with an easy repertoire that is sexual abroad and also at house. Nonetheless, the behavior had been amplified in Berlin. The guys would not change their safer intercourse training dependent on 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 therapy, pre-exposure prophylaxis for HIV and low-threshold HIV/STI testing solutions in European countries.
Talents and limits of the research
The look included interviews complemented with participatory observations in groups and intercourse clubs in Berlin.
The interviewer balanced between emic and etic approaches so that you can gain trust through the participants and also at the time that is same deep comprehension of the culture described into the interviews.
A limitation is the fact that combined set of Swedish men that have intercourse with guys visiting Berlin had not been weighed against Berlin site site visitors off their nations or Swedes whom travelled to many other locations.
Gay males as well as other males who possess intercourse with guys (MSM) carry a disproportional burden of HIV infection in European countries. 1 every year when you look at the duration 2010–2014, on average 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 in comparison with 3percent–6% in MSM and 0.07% into the total adult populace in Sweden. 3 The Joint un Programme on HIV/AIDS information claim that Germany possesses high concentration of MSM in bigger towns. This may be as a result of MSM-oriented conference places, such as for instance saunas and groups, which offer high variety of intimate partners. 2 Some MSM in Berlin describe the town once the ‘HIV capital of Europe’. In a single study, the individuals estimated that between 20% and 90% of most MSM living in Berlin had been HIV good. 4 Despite such information, there aren’t any nudelive programmes that are state-sponsored circulation of condoms. Other free condom circulation activities occur but there is 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 highly effective device for avoidance of HIV. 6 7 during the time of the information collection, PrEP was authorized into the eu but no programmes taken care of immediately the PrEP requirements of MSM in Sweden 8 or Germany. 9
Studies on Swedish MSM’s sexual wellness have been carried out on a consistent foundation when it comes to previous decade but intimate practice while travelling has just been explored in more detail in the newest Swedish nationwide study (data gathered 2013). 10 Barebacking (defined in those studies as pre-agreed, condomless rectal intercourse) was more prevalent in Sweden compared to abroad (31% weighed against 17%) but team intercourse had been practised more frequently abroad compared to Sweden. 10 the absolute most typical nations to have experienced intercourse while travelling abroad had been Germany.
Travelling is an essential part of several homosexual men’s life style and increased globalisation and low priced airfare tickets facilitate that life style. 11 within the last decade, a few efforts were made to analyze intercourse and travel among MSM with contradictory results. A number of the identified studies depend on studies. Present studies on travelling MSM address subjects such as for example examining danger pages, 12 13 prevalence of condomless anal sex 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 a few studies offer knowledge on risk behavior, and medication usage while away. 23–25 Zablotska et al 15 point out that ‘little is famous concerning the travel-associated risky intimate techniques in community-based examples of gay guys, nor associated with factors that shape these practices’. There was a necessity for further studies describing the goal of travel for MSM and characteristics that are‘context-related lead MSM to be sexually active while being abroad, 14 maybe maybe not least to develop interventions that target this team.