MSM engaging in RAI therefore may have an important role as far as expressing their preferences to partners during anal sex; many were quite capable of articulating their likes and dislikes to the study interviewers and could potentially be empowered to do the same during sexual encounters.
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Lutendo and Tumelo shared similar accounts. Yet the fact that many participants in this study recognized their same-sex attractions well before engaging in any same-sex sexual behavior suggests that there is an opportunity to deliver the relevant information before men first engage in anal intercourse. Implications for a rectal microbicide HIV prevention intervention. Putting the spotlight on this issue may yield added and renewed health and wellness benefits to individual men, but is also potentially an important part of HIV and STI prevention efforts focused on this population. Sexually Transmitted Diseases. As Tumelo explained, when describing how drinking affected his sexual behavior, the numbing effect of alcohol during a sexual encounter could sometimes have consequences later: Larco Museum Collection In Japan, records including detailed shunga show that some males engaged in penetrative anal intercourse with males,  and evidence suggestive of widespread male-female anal intercourse in a pre-modern culture can be found in the erotic vases, or stirrup-spout pots, made by the Moche people of Peru; in a survey, of a collection of these pots, it was found that 31 percent of them depicted male-female anal intercourse significantly more than any other sex act. Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities.
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