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showed overall agreement with a basic definition of bareback sex as condomless anal intercourse, but considerable variation on other elements. Any identification as barebacker appeared too loose to be of use from a public health prevention perspective. To help focus HIV-prevention efforts, we propose a re-conceptualisation that contextualises risky condomless anal intercourse and distinguishing between behaviours that are intentional and may result in HIV-primary transmission from those that are not. Some commentators have called the barebacking a failure of HIV prevention Goodroad et al.

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