title: ["Give me a pill": the meanings of AIDS in bareback practice in Mexico City and its implications for HIV prevention].
abstract: OBJECTIVE
  To analyze and understand the meanings that gay men in Mexico City associate to unprotected sex such as bareback practices.
  
  
  METHODS
  Exploratory qualitative study that uses grounded theory analysis of semistructured interviews with gay men that practice bareback sex recruited through the internet. Also a documentary analysis was performed.
  
  
  RESULTS
  Gay men engage in bareback sexual practices because they have access to antiretroviral therapy. Access to treatment changes the meanings around AIDS and the perceived risk of infection. The confidence on treatment and the dropback of the Mexican government on preventive strategies explain these perceptions.
  
  
  CONCLUSIONS
  Urban and middle class gay men in Mexico City have changed their perception with respect to HIV infection. It is necessary to understand the meanings related to bareback sexual practices and the use of condoms as a preventive strategy. We have to retake the discussion on preventive strategies, damage mitigation, stigma, discrimination, early diagnosis and the impact of antiretroviral therapy.
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Silvia Magali
authors.initials: SM
authors.lastname: Cuadra-Hernández
authors.affiliation: Escuela de Salud Pública de México, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Baruch-Domínguez
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: César
authors.initials: C
authors.lastname: Infante
authors.affiliation: Universidad Autónoma Metropolitana, Xochimilco, Distrito Federal, México.
authors.forename: José Arturo
authors.initials: JA
authors.lastname: Granados-Cosme
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy / Q000523:psychology*; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D001293:Attitude to Death; D017280:Condoms / Q000706:statistics & numerical data; D003657:Decision Making; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006297:Health Services Accessibility; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D012923:Social Class; D061108:Social Media; D057545:Social Stigma; D047568:Unsafe Sex / Q000523:psychology*; D014505:Urban Population; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents