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It was pain from behind. Sandfort1 Vasu Reddy2, 3 and Tim Lane 4. This quotation illustrates a range of negative outcomes that could possibly have been prevented had Tlotliso received some advance education about how to avoid or address such outcomes. See other articles in PMC that cite the published article. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. Table 1 Characteristics of Study Participants Pseudonym.

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Journal of Public Health Policy.

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Young people's sexual health in South Africa: The interview guide covered topics such as sexual and gender identity, MSM social networks, family and community acceptance, alcohol and drug use, sexual practices including safer sex behaviors, and experiences with HIV testing. Sexual boundaries were not always respected, however, particularly from sexually abusive partners. Use of commercially available water-based lubricants such as KY Jelly, Durex Play, and Assegai, was most commonly reported. Perhaps some Black South African MSM are unlikely to switch their sexual roles to manage sexual pain given the importance of sexual role to overall sexual and gender identity. A few studies have considered the relationship between sexual role preferences and gender expression in MSM e. Alcohol consumption Participants linked alcohol consumption to painful RAI in several ways.

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