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The results revealed a low use of HIV prevention interventions and high levels of sexual risk behaviour as well as high levels of stigma around both sexuality and HIV.In cases where both partners reported high levels of stigma, frequent substance use, and poor communication skills, there was a significantly lower knowledge of HIV prevention and they were less likely to use condoms with each other or with outside partners.The negative experiences most reported were hostility and judgemental attitudes towards same-sex desire and behaviour by health-care workers.Participants suggested that inadequate sensitisation training and ignorance about creating same-sex friendly spaces or providing services appropriately was the cause.

They suggested that ‘queering the space’ through concerted efforts to integrate and strengthen appropriate, gender-focused curricula at tertiary level and within in-service training/orientation of civil servants, could lead to health-care being delivered more acceptingly, allowing for more inclusive, professional treatment.Of those surveyed through mobile technology, 95% identified as gay, 94% said they had a sexual agreement and 78% said they were in a monogamous relationship.Only 33% had heard of Pr EP and 2% are currently taking it.The study was conducted by the Human Sciences Research Council (HSRC) in partnership with the Gay and Lesbian Network in KZN, South Africa, and Positive Vibes in Namibia.“Coming ahead of World Aids Day 2017, the study yields significant insights into the HIV risk taking behaviour, prevention and treatment needs of male-male partnerships in Southern Africa,” said the researchers.

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