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Barebacking: Psychosocial and Public Health Approaches [Paperback]

Jack Drescher , Perry Halkitis , Leo Wilton

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Book Description

April 11 2006 0789021749 978-0789021748 1
Go beyond the statistics to discover why many gay and bisexual men take the health risk—and what can be done about it

The rate of new HIV diagnoses and other sexually transmitted infections among men having sex with men has increased sharply, especially in men of color. Barebacking: Psychosocial and Public Health Approaches examines in depth the reasons why so many gay and bisexual men indulge in “barebacking,” or intentional unprotected sex. Respected experts reveal the latest studies that explore every facet of this alarming trend that apparently began as a phenomenon confined to those who had already been infected.

The mounting likelihood of a renewed epidemic is a troubling public health issue that reaches beyond gays and bisexuals into the heterosexual community. The aim of Barebacking: Psychosocial and Public Health Approaches is to provide clinicians with some insights to foster strategies for addressing these unsafe sexual behaviors. This book presents the studies of researchers working in the field as well as those who can provide both research and clinical perspectives. Thoroughly researched and richly referenced, this book is an essential resource for health and mental health professionals.

In Barebacking: Psychosocial and Public Health Approaches, you’ll find discussion and research on:
  • the public health perspective of the emergence of barebacking among gay and bisexual men
  • how the term “barebacking” differs between various gay and bisexual men
  • how club drug use has posed a public health threat
  • HIV transmission risks among men who meet through the Internet
  • barebacking among Internet-based male sex workers
  • assessing HIV-negative gay or bisexual men
  • a treatment model for barebackers
  • psychotherapy considerations for individual gay men and male couples having unsafe sex

Barebacking: Psychosocial and Public Health Approaches is an insightful and comprehensive research source, essential for psychologists, researchers, public health officials, counselors, psychotherapists, and anyone concerned with the HIV epidemic in the United States.

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In the late 1970s, a deadly virus which could be transmitted via sex appeared in the midst of an unsuspecting, sexually active community. Read the first page
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Amazon.com: 4.3 out of 5 stars  3 reviews
1 of 1 people found the following review helpful
4.0 out of 5 stars an important issue number-crunched Sept. 29 2006
By Jeffery Mingo - Published on Amazon.com
Often when a gay issue appears in the news, ideas come out that every gay person is doing it. During the 1990s, there were misconceptions that every gay person wanted to enter the U.S. military. In this decade, many think that every gay person wants to get married, though for decades, many lesbian and gay activists have condemned marriage as an institution. Keith Boykin, a black gay leader, has done a wonderful job in criticizing the hysteria about the "down-low" phenomena. He points to the fact that there could be about seven definitions of that term, yet no one has worked to separate the issues at stake. Here, researchers explore the issue of "barebacking." They crunch numbers to ask who does it, how widespread is it, what's the motivation for it, how can it be curbed, etc.

Many anthologies are catch-as-catch-can: if someone writes a paper even remotely related to an issue, it ends up getting published. This book, thankfully, was the opposite. The researchers peel the onion of this issue. I definitely think someone must have overseen this and told the authors, "Okay, you study aspect X and I'll study aspect Y and our colleague over there will study aspect Z." This provided for a very coherent and thoughtful compilation.

The cover shows an interracial couple, a black man and a white man, in an affectionate embrace. This may be a considerate move by the contributors to attract both men of color and white men to read this book. Gay, interracial couples may love seeing this portrayal. However, nowhere in these studies do the contributors posit that the barebacking phenomenon is especially practiced interracially. There is a chapter focused on Black and Latino men and it never implies that they consider the race of their partners when choosing to partake in this act. Thus, the cover may be misleading, even if it was chosen for altruistic reasons.

I love that the researchers are non-judgmental. There is discussion of anonymous sex, drug use, promiscuity, and other stigmatized acts that the writers never attack. However, sometimes I felt that the book implied "It's okay to bareback if it's with your primary partner." Guess what? Primary partners can catch HIV. Individuals who kick it with other men beside their primary partner can catch HIV. Thus, this is a strategy that should have been pointed to as faulty or dangerous. This book is a bit New York City-focused, but this is logical given that the city is an epicenter of American AIDS cases.

Warning: this book is all about numbers-crunching! Those who are afraid of chi squares, regression analyses, assessing standards of deviation, and all that jazz from college-level statistics classes may be afraid of this book. Still, there are chapters that have "qualitative" discussions that anyone can understand. If a numbers-hater skips the methods sections and sticks to the introduction and discussion sections, they may understand what is being said. Further, if you can get beyond the numbers, the chapters actually move very quickly. Remember, these researchers are trying to see if this phenomenon is widespread and dangerous.

I am thankful that researchers take gay men's lives seriously and want to study them. This book may actually help homophobic statisticians to overcome their prejudices.
4.0 out of 5 stars useful research July 14 2013
By P. Ursery - Published on Amazon.com
Format:Paperback|Verified Purchase
This book is a collection of various research conducted on sexual behaviors without protection and speaks on the mentality behind various reasoning gay couple and straight take risk or avoid the risk.
1 of 2 people found the following review helpful
5.0 out of 5 stars VERY IMPORTANT June 4 2006
By L. L. Smith - Published on Amazon.com
In this day and age it is easy to gloss over the issues of HIV & its spread. This book is an important, well documented and well written wake up call not just to the gay community but the community at large

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