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I wish I could join in with them. I like seeing two black guys together. Hello Marlis I understand the need for secrets in life. Subscribe to your favorite pornstars, channels, and collections. Gay blacks giving blowjobs. BC Productions. Please send any copyright reports to: Only one flag request every ten seconds is allowed. Please try again later. Thank you. Suggest Show Less. Ads by Traffic Junky. Participants attributed painful RAI to various factors and coped with it in different ways, but there were some clear commonalities in their descriptions.

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.

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Their responses to painful RAI can also be optimized so that they yield the greatest health benefits i. 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. This experience differential in some cases led to intercourse that was painful for the receptive partner. MSM engaging in RAI therefore may have an important role as far as expressing their preferences to partners during anal sex; many were quite capable of articulating their likes and dislikes to the study interviewers and could potentially be empowered to do the same during sexual encounters.

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.

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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 in response to pain in the receptive role, although this has been found among MSM in the U. 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. A few studies have considered the relationship between sexual role preferences and gender expression in MSM e.

Several strengths and limitations of this study should be noted. 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. 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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There are some additional limitations inherent in the method of assessment and the assessments that were utilized. Direct questions about pain during anal intercourse were not part of the interview guide used in this study, and interviewers did not have specific guidance on how to probe when participants raised this issue themselves. Despite these limitations, the fact that participants in this study discussed painful RAI in relation to sexual practices and decisions without direct questioning by the study interviewers, further suggests it is an issue that many MSM prioritize.

One way to address these conditions is with targeted sexual health education and services. First, MSM should be better prepared for their first same-sex sexual experiences. 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. In South African townships, where gay community spaces are non-existent Osmand et al. Yet the fact that many participants in this study recognized their 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.

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. 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. Discussion of anal sex within sex education programming for adolescents is further warranted by its potential significance in HIV transmission among heterosexuals in South Africa Kalichman, ; painful RAI can occur in the context of heterosexual sexual encounters, as well.

Education regarding effective communication techniques in the context of sexual relationships is also important. Participants who were able to exert or share control in sexual situations were best able to avoid the experience of painful RAI. 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 alone. The participants in this study reported that while condoms are widely available for purchase or for free , lubricants are more difficult to obtain, as they are offered in fewer places and are only rarely made available for free.

The cost of commercial lubricants to the participants in our study, many of whom were unemployed, was considered expensive. These concerns were echoed by key informants e. There are also a limited number of places to which MSM can be referred for sexual health care e. Efforts to capacitate local service providers and community-based organizations to address the sexual health needs of MSM will therefore be essential.

Capacitating health care workers should include skills-building around non-stigmatizing clinical care of MSM and strengthening practices around patient confidentiality to avoid, among other things, involuntary disclosure of same-sex sexual behaviors or sexual minority identity. 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.

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. Theo Sandfort, Ph. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.

Robert H. Remien, Ph. We wish to thank OUT Well-being, the communities that partnered with us in conducting this research, and the study 28 participants for their contributions. We also thank study staff at all participating institutions for their work and dedication. National Center for Biotechnology Information , U. Arch Sex Behav. Author manuscript; available in PMC Feb 1. Kate L.

Collier , 1 Theo G. Sandfort , 1 Vasu Reddy , 2, 3 and Tim Lane 4. Theo G. Find articles by Vasu Reddy. Find articles by Tim Lane.

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Author information Copyright and License information Disclaimer. Copyright notice. The publisher's final edited version of this article is available at Arch Sex Behav. See other articles in PMC that cite the published article. 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.

Analysis Qualitative data were coded for purposes of this study in two stages, concept-driven and data-driven coding Gibbs, 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.

Table 1 Characteristics of Study Participants Pseudonym. Open in a separate window.

First same-sex sexual experiences Participants reported on their first same-sex sexual experiences and how old they were at the time. 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: As Tlotliso goes on to explain, he eventually needed to seek medical intervention: Attributions for Painful Receptive Anal Intercourse Participants were asked about subsequent same-sex sexual experiences i.

Partner characteristics The gay-identified men in our sample tended to have more same-sex sexual experience than their bisexual- or straight-identified counterparts. Interpersonal dynamics Participants described other attributions for painful RAI that seemed to arise during the sex act: Sizwe shared the following story about a negative sexual experience: Okay, what was painful about the sex? Was it something that you felt needed to be reported? And did you tell him? Alcohol consumption Participants linked alcohol consumption to painful RAI in several ways.

As Dingani explained, in describing how sex differed whether he was sober or drunk: 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: 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. Dingani explained how he would communicate his boundaries to his sexual partners: You speak about frozen; which other positions do you negotiate?

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: How big it is…? And most of the time they agree? Yes, they agree. As Kabelo also explained: Have they done it by force to you without lubricant? 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: And so why did he end up beating you up? Lubricant use The majority of participants indicated that they regularly used lubricants during anal intercourse to make penetration easier and reduce pain.

As Masopha explained, I would say to gays, the lubricants are the best things since sliced bread. A national school-based survey in South Africa. International Journal for Equity in Health. BMC Public Health. PLoS One. Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru: Implications for a rectal microbicide HIV prevention intervention. AIDS Care.

Anodyspareunia in men who have sex with men: Prevalence, predictors, consequences and the development of DSM diagnostic criteria. Journal of Public Health Policy. See My BF. Please send any copyright reports to: Only one flag request every ten seconds is allowed.