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This study was undertaken to assess the frequency with which gay and bisexual men in New York City engage in intentional unprotected anal sex, or “barebacking,” and to examine explanations about the emergence of barebacking.

A total of 518 men completed a brief intercept survey.

Participants reported significantly more acts of seroconcordant bareback sex (intentional unprotected anal intercourse with a partner of the same HIV status) than those of serodiscordant bareback sex.

Men who reported barebacking also reported significantly more benefits associated with this behavior.