This behavior is built into the disease: homosexuality. The exceptions are rare enough to make the rule.
Dr. Fenton laid the blame for the MSM HIV epidemic squarely on the two most obvious characteristics of homosexual sex: anal intercourse and promiscuity.
"HIV was especially high partly for biological reasons," Fenton explained. "It is now estimated that anal sex is 18 times better at transmitting HIV than vaginal sex. The chance of HIV being caught from having receptive anal sex once with a partner with a detectable HIV viral load is about 1.4% or one in 71 encounters; but because people have sex together more than once, the per-partner likelihood of catching HIV from a sero-different partner is, in gay men, about 40%."
"Another factor in gay men's higher HIV prevalence," Fenton said, "is that because gay men have more partners and higher changeover rates, their sexual networks are more closely connected: 25% of gay men diagnosed with HIV were members of a cluster that had HIV viruses that were genetically identical, suggesting rapid transmission within the network, compared with 5% of heterosexual people."
Dr. Fenton also identified psychosocial and substance addiction elements in the exploding rates of HIV infection in MSM.
"The rates of smoking (at 27 to 66%, according to area), recreational drug use, lifetime depression (about 40%) and lifetime severe anxiety (at 20%) are all roughly double in gay men what they are in the general population," Fenton said, adding that MSM also have higher rates of traumatic experience such as child sexual abuse (CSA) and intimate partner violence (IPV) than the general population.
Males sodomizing each other is a fundamental error. It should never be done. Children should not be taught that men doing it is fine. They should be taught that it is the illness it is, to totally avoid it, and to openly stand opposed to it.