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While these drugs do not necessarily prevent the transmission of other STIs, they have stirred a discussion on what "safe" sex without the use of condoms really entails. Halkitis concluded that the resurgence of barebacking led to an increase in sexually transmitted infections among the MSM community.Using this definition, 14% of the 390 men who were aware of barebacking reported engaging in the behavior in the past two years.Halkitis and Richard Wolitski also found that HIV-positive MSM were more likely to have bareback sex than were HIV-negative MSM.On this account, barebacking could be considered an early harm reduction strategy, similar to serosorting, which was later endorsed by some public health authorities in the USA.

Bareback sex has also become more acceptable since the introduction of pre exposure prophylaxis (Pr EP).Early articulations of barebacking generally refer to sex between two HIV-positive men.