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The extent of the activity becomes more apparent when you consider more than 4m men in countries use Grindr, just one of the dating apps included in the survey. It is widely practised across all age groups in Ireland.

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Assumptions play a role in the reasons why people intentionally have unprotected sex, says Susan Donlon, prevention education and training co-ordinator at Dublin AIDS Alliance. The manufacture of more aesthetically pleasing varieties, which would substantially enhance rather than diminish sexual sensation, might encourage more people to use them more often.

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Origami Condom, a small US company, is working towards that goal. Inthey patented silicone condoms designed to enhance sensation from the inside rather than from the outside, as some latex varieties do.

Other Origami innovations include a male condom that slides rather than rolls on, and an anal condom designed to be inserted into the receptive partner. As for the popular belief that barebacking increases intimacy between men, Ann Matthews, a psychosexual therapist at Mind and Body Works, is not convinced.

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For one young Irish man, who lives in London and prefers to remain anonymous, the reasons for engaging in unprotected sexual intercourse with men are straightforward. We have no fear of HIV.

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As for using condoms to protect others, if not himself, he says. It can reflect an unconscious desire to self-sabotage.

One of the factors that brought about that shift is that a HIV diagnosis is no longer a death sentence. This was confirmed in a recent study, which found that those who are on anti-retroviral therapy ART have no higher risk of dying than those who do not have the illness.

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While advances in medical science have removed the fear of AIDS as a death sentence, that fear seems to have been replaced by a worrying complacency towards HIV.

Because Irish heterosexuals receive little encouragement to test for HIV, the number of diagnoses remains low and the true prevalence of the condition, in that population group, remains unknown.

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Other groups are also at risk. Dr Shay Keating agrees.


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