![]() ![]() ![]() Culturally-specific sexual health education, supportive sexual health services, and improved access to condom-compatible lubricants are important components of HIV/STI interventions for this population. Black South African MSM can be supported to reduce pain during RAI in ways that reduce their HIV/STI risk. The main strategies participants used to address pain during RAI were setting sexual boundaries and lubricant use a small number of participants reported purposefully consuming alcohol to prevent the pain associated with RAI. The participants attributed pain during RAI to partner characteristics, interpersonal dynamics, lack of lubricant, and alcohol use or non-use. Analysis of the interview transcripts revealed that pain was a common feature of first RAI experiences but was not limited to first-time experiences. Pain during RAI was brought up by many participants without specific prompting from the interviewer. The semi-structured interviews addressed sexual behavior and identity, alcohol use, and safer sex. In-depth interviews were conducted with 81 Black MSM (ages 20–39 years) who were purposively recruited from four townships. The purpose of this study was to identify attributions for and responses to painful RAI among Black MSM in South African townships. So I called Devorah Heitner, the author of “Growing Up in Public: Coming of Age in a Digital World,” to help me step back a bit from my punitive fury.Little is known about painful receptive anal intercourse (RAI) and its relationship to HIV risk and protective behaviors among men who have sex with men (MSM). But I wanted to hear from someone with more experience talking to teens and thinking deeply about the adolescent relationship with privacy and technology. ![]() I have to admit that my gut reaction to the Beverly Hills story was rage - I wanted the book thrown at the kids who made those fakes. The possibilities are especially frightening when the technology is used by teens and tweens, groups with notoriously iffy judgment about the permanence of their actions. And while I still think the subject is complicated, and that the research doesn’t always conclude that there are unfavorable mental health effects of social media use on all groups of young people, the increasing reach of artificial intelligence adds a new wrinkle that has the potential to cause all sorts of damage. I’m not a technophobe and have, in the past, been somewhat skeptical about the outsize negative impact of social media on teen girls. But the idea of such young children being dehumanized by their classmates, humiliated and sexualized in one of the places they’re supposed to feel safe, and knowing those images could be indelible and worldwide, turned my stomach. I had heard about this kind of thing happening to high school girls, which is horrible enough. The superintendent told NBC News the photos included students’ faces superimposed onto nude bodies.” On Tuesday, Kat Tenbarge and Liz Kreutz of NBC News reported that several middle schoolers in Beverly Hills, Calif., were caught making and distributing fake naked photos of their peers: “School officials at Beverly Vista Middle School were made aware of the ‘A.I.-generated nude photos’ of students last week, the district superintendent said in a letter to parents. ![]()
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