The men interviewed skilled multiple lovers along with a diverse sexual repertoire both abroad as well as house. Nevertheless, the behavior had been amplified in Berlin. The males failed to change their safer intercourse training according to should they had intercourse in Sweden or Berlin. The mobility that is high vulnerability for HIV/sexually sent illness (STI) among these males highlights the requirement of increased usage of antiretroviral treatment, pre-exposure prophylaxis for HIV and low-threshold HIV/STI testing solutions in European countries.

Talents and restrictions of the research

The look included interviews complemented with participatory observations in groups and sex groups in Berlin.

The interviewer balanced between emic and etic approaches to be able to gain trust through the individuals as well as the exact same time gain deep comprehension of the tradition described within the interviews.

A limitation is the fact that the number of Swedish men who’ve intercourse with males visiting Berlin had not been weighed against Berlin site visitors off their nations or Swedes whom travelled to many other destinations.


Gay males as well as other men that have intercourse with guys (MSM) carry a disproportional burden of HIV disease in Europe. 1 every year within the duration 2010–2014, an average of five Swedish MSM contracted HIV while going to Germany as well as in 2017, on typical one Swedish MSM per week reported having contracted gonorrhoea in Germany (supply: Public wellness Agency of Sweden, Sminet database). The HIV prevalence in Germany and Sweden varies, while not drastically. It really is projected at 5.0per cent–7.5% in MSM and below 0.2% one of the adult that is total in Germany 2 when compared with 3percent–6% in MSM and 0.07% within the total adult populace in Sweden. 3 The Joint un Programme on HIV/AIDS information declare that Germany includes a concentration that is high of in bigger towns and cities. This may be as a result of meeting that is MSM-oriented, such as for instance saunas and groups, which offer high variety of intimate lovers. 2 Some MSM in Berlin describe the town because the capital that is‘HIV of. The participants estimated that between 20% and 90% of all MSM living in Berlin were HIV positive in one study. 4 Despite such information, there aren’t any state-sponsored programmes for circulation of condoms. Other free condom circulation activities occur but there is however nevertheless insufficient option of condoms making them hard to access at sex venues. 4 The health that is sexual for the gay community is certainly caused by catered for by non-governmental organisations. 5

Pre-exposure prophylaxis (PrEP) for HIV is really a tool that is highly effective avoidance of HIV. 6 7 during the time of the information collection, PrEP had been authorized into the eu but no programmes taken care of immediately the PrEP requirements of MSM in Sweden 8 or Germany. 9

Studies on Swedish MSM’s health that is sexual been carried out on a frequent basis for the previous ten years but intimate practice while travelling has only been explored in detail within the latest Swedish nationwide study (data collected 2013). 10 Barebacking (defined in those studies as pre-agreed, condomless rectal intercourse) was more prevalent in Sweden in contrast to abroad (31% weighed against 17%) but team intercourse ended up being practised more frequently abroad compared to Sweden. 10 the absolute most countries that are common have experienced intercourse while travelling abroad had been Germany.

Travelling can be an crucial component of numerous homosexual men’s life style and increased globalisation and inexpensive airfare tickets facilitate that life style. 11 throughout the decade that is last a few efforts were made to review intercourse and travel among MSM with contradictory results. Lots of the identified studies are derived from studies. Current studies on travelling MSM address topics such as for instance examining danger profiles, 12 13 prevalence of condomless anal sex as well as other high-risk intimate techniques, 14–18 HIV knowledge and HIV preventive needs 19 20 and identity that is sexual. 21 22 a few studies offer knowledge on danger behavior, and medication use while away. 23–25 Zablotska et al 15 point out that ‘little is well known concerning the travel-associated dangerous sexual methods in community-based examples of gay males, nor for the factors that shape these practices’. There clearly was a need for further studies describing the goal of travel for MSM and characteristics that are‘context-related lead MSM to be intimately active while being abroad, 14 perhaps maybe not least to create interventions that target this team.