HIV can also be found in vaginal fluids, including menstrual blood, and breast milk. Despite these limitations, the fact that participants in this study discussed painful RAI in relation to sexual practices and decisions without direct questioning by the study interviewers, further suggests it is an issue that many MSM prioritize. See other articles in PMC that cite the published article. For example, Mosegi described how what began as a consensual sexual encounter ended in rape when he withdrew consent during an attempt at intercourse that was painful:. More than three-quarters of participants described first same-sex sexual experiences that involved anal intercourse.
As is common among South Africans who live in township communities, discussions were sometimes conducted in more than one language, and most other interviews were conducted in a combination of English and Tswana Setswana or Northern Sotho Sepedi.
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