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We also observed an elevated risk of HIV among men who met partners on the Internet, which is an increasingly popular method for finding sexual partners. A recent meta-analysis revealed that MSM who sought partners on the Internet were more likely to engage in risky sex, although the researchers were unable to discern whether the high-risk sex involved partners met online or offline. The increased Free sex dating in seattle wa 98136 of HIV associated with meeting partners at bars or dance clubs illustrates the importance of expanding and continuing HIV prevention efforts related to these venues.

The association between recently acquired HIV and methamphetamine use in our study adds to existing evidence that methamphetamine use among MSM is an important risk factor for HIV and other STDs and underscores the need to develop and widely deploy effective methamphetamine treatment and prevention interventions. The association persisted even after we controlled for injection drug use. Public health testing sites for high-risk MSM are obvious venues for enhanced HIV prevention efforts, which should include assessment of methamphetamine use and referral to appropriate treatment in areas such as Seattle, where methamphetamine use is common. Although these factors did not differ by HIV status in our study, they have been associated with risk factors for HIV infection in other studies.

The use of STARHS can reduce the need for longitudinal cohorts, which are expensive and logistically complex to manage. Recruiting MSM with recently diagnosed HIV infection is difficult because of the primary emphasis on addressing medical and psychosocial needs.

Our recruitment efforts were limited sexttle our reliance on passive referrals in an attempt to make the study more accessible to men who tested anonymously. Limitations Some other limitations should be considered. The study relied on self-reported HIV risk 9816. Our use of ACASI may have mitigated some of daing problems with disclosure of sensitive and stigmatized behaviors. We only asked about sexual relations with dzting male partners in the past 6 months, and we may have missed HIV-related behaviors that occurred earlier or in unreported partnerships. We included sexual partnerships that continued after the HIV test, and unprotected anal intercourse with HIV-positive sex partners may have occurred after some Free dating site to join were diagnosed Free sex dating in seattle wa 98136 HIV.

However, we found similar Free sex dating in seattle wa 98136 when the analysis was restricted to partnerships that ended before the HIV test. The relatively small sample of men in our study may therefore not represent MSM in the broader community. The association we observed between recently acquired HIV infection and having unprotected anal intercourse with casual partners perceived to be HIV negative emphasizes the importance of consistent condom use. Relying on partners' reported HIV status to determine when to use or not use condoms, at least in the context of casual partnerships, is inadequate.

Also, the strong association that we observed between methamphetamine use and recent infection highlights the need to develop, test, and deploy effective interventions to control methamphetamine use and drug-related sexual risks among MSM. Also, it is imperative that prevention providers target high-risk behaviors related to meeting partners in bathhouses and on the Internet. The findings and conclusion in this report are those of the authors and do not necessarily reflect the views of the Centers for Disease Control and Prevention. Human Participant Protection This study was approved by the institutional review boards of the Centers for Disease Control and Prevention and the University of Washington.

Influence of a partner's HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. J Acquir Immun Defic Syndr. Histories of substance use and risk behavior: Am J Public Health.

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