Previous research has found that gay men and other men who have sex with men MSM have adopted a variety of HIV risk-reduction strategies to engage in unprotected anal intercourse UAI. The sample used a variety of risk-reduction strategies for UAI. Findings indicate the need to bolster HIV prevention and education with gay male couples about their use of these strategies within and outside of their relationships. Prevention efforts to avert new HIV infections among men who have sex with men MSM have had limited success, and have mostly targeted the individual, group and community-levels of MSM [ 1 , 2 ]. For instance, HIV and other sexually transmitted infections STIs continue to disproportionately affect MSM, including those who are younger, of racial and ethnic minority groups e.

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