caa a22 4500 606232818 CHVBK 20210128101229.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0365-4 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0365-4 "This Will Not Enter Me”: Painful Anal Intercourse Among Black Men Who Have Sex with Men in South African Townships [Elektronische Daten] [Kate Collier, Theo Sandfort, Vasu Reddy, Tim Lane] Little is known about painful receptive anal intercourse (RAI) and its relationship to HIV risk and protective behaviors among men who have sex with men (MSM). The purpose of this study was to identify attributions for and responses to painful RAI among Black MSM in South African townships. In-depth interviews were conducted with 81 Black MSM (ages 20-39years) who were purposively recruited from four townships. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. Pain during RAI was brought up by many participants without specific prompting from the interviewer. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. The participants attributed pain during RAI to partner characteristics, interpersonal dynamics, lack of lubricant, and alcohol use or non-use. The main strategies participants used to address pain during RAI were setting sexual boundaries and lubricant use; a small number of participants reported purposefully consuming alcohol to prevent the pain associated with RAI. Black South African MSM can be supported to reduce pain during RAI in ways that reduce their HIV/STI risk. Culturally specific sexual health education, supportive sexual health services, and improved access to condom-compatible lubricants are important components of HIV/STI interventions for this population. Springer Science+Business Media New York, 2014 Men who have sex with men nationallicence Africa nationallicence Sexual problems and anal intercourse nationallicence Lubricant use nationallicence Sexual orientation nationallicence Pain nationallicence Collier Kate Division of Gender, Sexuality, & Health and HIV Center for Clinical and Behavioral Studies,, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, 10032, New York, NY, USA aut Sandfort Theo Division of Gender, Sexuality, & Health and HIV Center for Clinical and Behavioral Studies,, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, 10032, New York, NY, USA aut Reddy Vasu Human and Social Development, Human Sciences Research Council, Pretoria, South Africa aut Lane Tim Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 317-328 0004-0002 44:2<317 2015 44 10508 https://doi.org/10.1007/s10508-014-0365-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0365-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Collier Kate Division of Gender, Sexuality, & Health and HIV Center for Clinical and Behavioral Studies,, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, 10032, New York, NY, USA aut NATIONALLICENCE 700 1- Sandfort Theo Division of Gender, Sexuality, & Health and HIV Center for Clinical and Behavioral Studies,, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, 10032, New York, NY, USA aut NATIONALLICENCE 700 1- Reddy Vasu Human and Social Development, Human Sciences Research Council, Pretoria, South Africa aut NATIONALLICENCE 700 1- Lane Tim Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, CA, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 317-328 0004-0002 44:2<317 2015 44 10508