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Despite recent advances in research with gay male couples, less data exists about men who have had UAI within and outside of their HIV-negative seroconcordant relationship. Multilevel modeling with dyadic data from couples was used to identify the characteristics associated with men who have had UAI with both their main partner and a casual MSM partner within the same timeframe. Analyses revealed that men were more likely to have had UAI within and outside of their relationship if they perceived their main partner has had a recent HIV test. Men were less likely to have had UAI within and outside of their relationship if they valued their sexual agreement and reported having a sexual agreement that does not allow sex outside of their relationship. Research with a more diverse sample of couples is warranted. Future interventions must consider the complexity of relationships and sexual behaviors among gay male couples.
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File:Two men having gay sex - Wikipedia

The advent of the internet has made these discreet, anonymous encounters with curious men incredibly easy. There is little, or nothing, in the way of guilt. I was initially sceptical, but this arrangement seems to work for everyone: the wife knows she has no competition from another woman; the husband knows he does not want a life with another man. Other straight men are keen to try a threesome with a gay couple, as my husband and I have discovered using hook-up apps. Personally, I prefer one-on-one encounters, but watching my husband spend a couple of hours with another man can be huge fun.
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File:Two men having gay sex 1.JPG

This file contains additional information, probably added from the digital camera or scanner used to create or digitize it. If the file has been modified from its original state, some details may not fully reflect the modified file. From Wikipedia, the free encyclopedia. This is a file from the Wikimedia Commons. Information from its description page there is shown below.
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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.
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