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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).

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.

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Early articulations of barebacking generally refer to sex between two HIV-positive men.

This poses no risk of infecting an HIV-negative person newly with HIV (though it can cause infection with a new strain of HIV, hastening disease progression).

While these early articulations of barebacking expressed a concern for HIV prevention, in that they generally referred to dispensing with condoms in the context of sex between people of the same HIV status, the moral panic which ensued was so pronounced that barebacking came to be framed as a rebellious and transgressive erotic practice for HIV positive and HIV negative people alike, irrespective of the risks of HIV transmission.