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At the beginning of the AIDS crisis, in the context of the invention and development of safe sex, the uptake of condoms among Western MSM was so widespread and effective that condom use became established as a norm for sex between men.

From 1995, several high-profile HIV positive men declared their refusal to wear condoms with other HIV positive men in gay publications, dubbing the practice barebacking.

The term appeared occasionally in print until the 1980s and then in context to the AIDS epidemic and the discussion of sexual practices.

It did not have widespread use in LGBT culture until 1997, when there was an increase of discussion regarding condomless sex (as reflected in print publications).

On this account, barebacking could be considered an early harm reduction strategy, similar to serosorting, which was later endorsed by some public health authorities in the USA.