ABSTRACT. Recent compelling evidence that HIV medication may decrease the chances of HIV transmission and acquisition bring to light once again the issue of ethical responsibilities of those infected and uninfected when engaging in sexual intercourse. Using data collected in New York City from 120 gay men who engaged in “barebacking” (operationalized as intentional unprotected anal intercourse in an HIV-risk context), we analyzed participants’ attributions of responsibility to self and/or others and how these attributions varied by HIV
Published: November 18, 2013
status. Nearly all participants concurred that ethical judgments were involved and frequently offered a two-tiered response based on the right to individual decision-making and recognition of one’s responsibility not to harm others. However, respondents merged the imperative for ethical action with an implicit requirement for communication, and their descriptions of sexual
negotiations suggested ambiguities and conflicting assumptions. The result was a frequent tendency to shift the ethical burden to the partner rather than oneself in the context of diminished community dialogue about HIV. New scientific knowledge about HIV transmission offers opportunities for community discussions of sexual fulfillment, rights and responsibilities.
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