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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 14, 2002 - Issue 6
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Original Articles

Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments

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Pages 815-826 | Published online: 27 May 2010

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (32)

Étienne Meunier & Karolynn Siegel. (2018) Sexual Risk Behaviors and Perceptions of Men Who Go to Gay Sex Parties in New York City: Comparisons Between Three HIV Groups. The Journal of Sex Research 55:7, pages 880-891.
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Pedro Salmerón-Sánchez, Rafael Ballester-Arnal, M. Dolores Gil-Llario & Vicente Morell-Mengual. (2017) Sexual Compulsivity and Sexual Sensation Seeking: A Preliminary Approach Among Male Sex Workers Compared to Gay Men in Spain. Journal of Sex & Marital Therapy 43:1, pages 56-67.
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ElizaA. Dragowski, PerryN. Halkitis, RobertW. Moeller & DanielE. Siconolfi. (2013) Social and Sexual Contexts Explain Sexual Risk Taking in Young Gay, Bisexual, and Other Young Men Who Have Sex With Men, Ages 13–29 Years. Journal of HIV/AIDS & Social Services 12:2, pages 236-255.
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JemelP. Aguilar & Soma Sen. (2013) The Culture of Methamphetamine: Reframing Gay Men's Methamphetamine Use. Journal of Human Behavior in the Social Environment 23:3, pages 370-382.
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Eric W. Schrimshaw, Martin J. Downing$suffix/text()$suffix/text() & Karolynn Siegel. (2013) Sexual Venue Selection and Strategies for Concealment of Same-Sex Behavior Among Non-Disclosing Men Who Have Sex with Men and Women. Journal of Homosexuality 60:1, pages 120-145.
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Jane Rohde Bowers, CatherineM. Branson, JesseB. Fletcher & CathyJ. Reback. (2012) Predictors of HIV Sexual Risk Behavior Among Men Who Have Sex with Men, Men Who Have Sex with Men and Women, and Transgender Women. International Journal of Sexual Health 24:4, pages 290-302.
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Matthew Dunn. (2011) Staff perspectives of drug use issues among sex-on-premises attendees. Drugs: Education, Prevention and Policy 18:2, pages 140-144.
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CarolA. Reisen, MariaC. Zea, FernandaT. Bianchi & PaulJ. Poppen. (2011) Characteristics of Latino MSM who have sex in public settings. AIDS Care 23:4, pages 456-459.
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BrianS. Mustanski, MichaelE. Newcomb, SteveN. Du Bois, SteveC. Garcia & Christian Grov. (2011) HIV in Young Men Who Have Sex with Men: A Review of Epidemiology, Risk and Protective Factors, and Interventions. The Journal of Sex Research 48:2-3, pages 218-253.
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Ralph DiClemente, Robin R. Milhausen, Laura F. Salazar, Joshua Spitalnick, Jessica McDermott Sales, Richard A. Crosby, Sinead N. Younge & Gina M. Wingood. (2010) Development of the Sexual Sensation-Seeking Scale for African American Adolescent Women. International Journal of Sexual Health 22:4, pages 248-261.
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EricW. Schrimshaw, Karolynn Siegel & MartinJ. Downing$suffix/text()$suffix/text(). (2010) Sexual Risk Behaviors With Female and Male Partners Met in Different Sexual Venues Among Non-Gay-Identified, Nondisclosing MSMW. International Journal of Sexual Health 22:3, pages 167-179.
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CarolA. Reisen, MiguelA. Iracheta, Maria Cecilia Zea, FernandaT. Bianchi & PaulJ. Poppen. (2010) Sex in public and private settings among Latino MSM. AIDS Care 22:6, pages 697-704.
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Michael Hurley & Garrett Prestage. (2009) Intensive sex partying amongst gay men in Sydney. Culture, Health & Sexuality 11:6, pages 597-610.
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LauraA. Hatfield, KeithJ. Horvath, ScottM. Jacoby & B.R. Simon Rosser. (2009) Comparison of Substance Use and Risky Sexual Behavior Among a Diverse Sample of Urban, HIV-Positive Men Who Have Sex with Men. Journal of Addictive Diseases 28:3, pages 208-218.
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LeslieE. Kooyman. (2008) Predictors of High-Risk Sexual Behavior Among Gay Men and Men Who Have Sex With Men. Journal of LGBT Issues in Counseling 2:4, pages 285-307.
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BarryD. Adam, Winston Husbands, James Murray & John Maxwell. (2008) Silence, assent and HIV risk. Culture, Health & Sexuality 10:8, pages 759-772.
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Richard Tewksbury. (2008) Finding Erotic Oases: Locating the Sites of Men's Same-Sex Anonymous Sexual Encounters. Journal of Homosexuality 55:1, pages 1-19.
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BerylA. Koblin, Christopher Murrill, Michael Camacho, Guozhen Xu, Kai-lih Liu, Shavvy Raj-Singh & Lucia Torian. (2007) Amphetamine Use and Sexual Risk Among Men Who Have Sex With Men: Results From the National HIV Behavioral Surveillance Study—New York City. Substance Use & Misuse 42:10, pages 1613-1628.
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JoséE. Nanín & JeffreyT. Parsons. (2006) Club Drug Use and Risky Sex Among Gay and Bisexual Men in New York City. Journal of Gay & Lesbian Psychotherapy 10:3-4, pages 111-122.
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PerryN. Halkitis, KellyA. Green & DanielJ. Carragher. (2006) Methamphetamine Use, Sexual Behavior, and HIV Seroconversion. Journal of Gay & Lesbian Psychotherapy 10:3-4, pages 95-109.
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GideonA. Feldstein, JeffreyT. Parsons, DavidS. Bimbi, JoseE. Nanin & CynthiaA. Gomez. (2006) Age and Judgments of Attractiveness as Factors of HIV Preventive Behavior Among HIV-Positive Men Who Have Sex with Men. Journal of Psychology & Human Sexuality 18:1, pages 43-65.
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Leo Wilton, PerryN. Halkitis, Gary English & Michael Roberson. (2005) An Exploratory Study of Barebacking, Club Drug Use, and Meanings of Sex in Black and Latino Gay and Bisexual Men in the Age of AIDS. Journal of Gay & Lesbian Psychotherapy 9:3-4, pages 49-72.
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CorinaD Segovia-Tadehara, MarkO. Bigler, David Ferguson & Jamie Diarte. (2005) Public Sex, HIV Prevention and Law Enforcement. Journal of HIV/AIDS & Social Services 3:3, pages 35-50.
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JeffreyT. Parsons, AlexandraH. Kutnick, PerryN. Halkitis, JosephC. Punzalan & JosephP. Carbonari. (2005) Sexual Risk Behaviors and Substance Use Among Alcohol Abusing HIV-Positive Men Who Have Sex With Men. Journal of Psychoactive Drugs 37:1, pages 27-36.
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KalilJ. Vicioso, JeffreyT. Parsons, JoseE. Nanin, DavidW. Purcell & WilliamJ. Woods. (2005) Experiencing release: Sex environments and escapism for HIV‐positive men who have sex with men. The Journal of Sex Research 42:1, pages 13-19.
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MICHAEL REECE & BRIAN DODGE. (2004) Exploring Indicators of Sexual Compulsivity Among Men Who Cruise for Sex on Campus. Sexual Addiction & Compulsivity 11:3, pages 87-113.
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JeffreyT. Parsons, KalilJ. Vicioso, JosephC. Punzalan, PerryN. Halkitis, Alexandra Kutnick & MaryM. Velasquez. (2004) The impact of alcohol use on the sexual scripts of HIV‐positive men who have sex with men. The Journal of Sex Research 41:2, pages 160-172.
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PN Halkitis, L Wilton, JT Parsons & C Hoff. (2004) Correlates of sexual risk-taking behaviour among HIV seropositive gay men in concordant primary partner relationships. Psychology, Health & Medicine 9:1, pages 99-113.
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Articles from other publishers (67)

SE Schroeder, A Bourne, JS Doyle, ME Hellard, M Stoové & A Pedrana. (2022) Constructing a ‘target population’: A critical analysis of public health discourse on substance use among gay and bisexual men, 2000–2020. International Journal of Drug Policy 108, pages 103808.
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Perry N. Halkitis. (2021) Managing the COVID-19 Pandemic: Biopsychosocial Lessons Gleaned From the AIDS Epidemic. Journal of Public Health Management and Practice 27:Supplement 1, pages S39-S42.
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Yasel Manuel Santiesteban Díaz, Solon Alberto Orlando-Narváez & Rafael Ballester-Arnal. (2019) Conductas de riesgo hacia la infección por VIH. Una revisión de tendencias emergentes. Ciência & Saúde Coletiva 24:4, pages 1417-1426.
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Yazan A Al-Ajlouni, Su H Park, John A Schneider, William C Goedel, H Rhodes Hambrick, DeMarc A Hickson, Michael N Cantor & Dustin T Duncan. (2018) Partner meeting venue typology and sexual risk behaviors among French men who have sex with men. International Journal of STD & AIDS 29:13, pages 1282-1288.
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Étienne Meunier. (2017) Social Interaction and Safer Sex at Sex Parties: Collective and Individual Norms at Gay Group Sex Venues in NYC. Sexuality Research and Social Policy 15:3, pages 329-341.
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Isabel Martinez, Jeannette R. Ickovics, Danya E. Keene, Rafael Perez-Escamilla & Trace S. Kershaw. (2018) Longitudinal Evaluation of Syndemic Risk Dyads in a Cohort of Young Pregnant Couples. Journal of Adolescent Health 63:2, pages 189-196.
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Adrian Juarez-CuellarYu-Ping Chang. (2017) HIV Testing in Urban Transgender Individuals: A Descriptive Study. Transgender Health 2:1, pages 151-155.
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Shirley J. Semple, Eileen V. Pitpitan, David Goodman-Meza, Steffanie A. Strathdee, Claudia V. Chavarin, Gudelia Rangel, Karla Torres & Thomas L. Patterson. (2017) Correlates of condomless anal sex among men who have sex with men (MSM) in Tijuana, Mexico: The role of public sex venues. PLOS ONE 12:10, pages e0186814.
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Benjamin Cornwell & John A. Schneider. (2017) Social venue range and referral chain impact: Implications for the sampling of hidden communities. PLOS ONE 12:8, pages e0181494.
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Nelsensius Klau Fauk, Maria Silvia Merry, Mitra Andhini Sigilipoe, Sukma Putra & Lillian Mwanri. (2017) Culture, social networks and HIV vulnerability among men who have sex with men in Indonesia. PLOS ONE 12:6, pages e0178736.
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Ana Gama, Ana Abecasis, Marta Pingarilho, Luís Mendão, Maria O. Martins, Henrique Barros & Sónia Dias. (2016) Cruising Venues as a Context for HIV Risky Behavior Among Men Who Have Sex With Men. Archives of Sexual Behavior 46:4, pages 1061-1068.
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Joshua A. Rusow, Jesse B. Fletcher & Cathy J. Reback. (2016) Sexual Venue Choice and Sexual Risk-Taking Among Substance-Using Men Who have Sex with Men. AIDS and Behavior 21:4, pages 1149-1162.
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Sean Cahill. 2017. Understanding Prevention for HIV Positive Gay Men. Understanding Prevention for HIV Positive Gay Men 397 424 .
Joseph Debattista. (2015) Health promotion within a sex on premises venue: notes from the field. International Journal of STD & AIDS 26:14, pages 1017-1021.
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Giuseppe Mercante, Alessandra Masiello, Isabella Sperduti, Giovanni Cristalli, Raul Pellini & Giuseppe Spriano. (2015) Quality of life and functional evaluation in patients with tongue base tumors treated exclusively with transoral robotic surgery: A 1-year follow-up study. Journal of Cranio-Maxillofacial Surgery 43:8, pages 1561-1566.
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Yasmina Katsulis. 2015. Men, Masculinities, Travel and Tourism. Men, Masculinities, Travel and Tourism 156 170 .
Iván C. Balán, Victoria Barreda, Rubén Marone, María Mercedes Ávila & Alex Carballo-Diéguez. (2014) Venues, Patrons, and Alcohol Use Dynamics: The Creation of a High Risk Sexual Environment. AIDS and Behavior 18:11, pages 2097-2109.
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Christian Grov, H. Jonathon Rendina & Jeffrey T. Parsons. (2014) Comparing Three Cohorts of MSM Sampled Via Sex Parties, Bars/Clubs, and Craigslist.org: Implications for Researchers and Providers. AIDS Education and Prevention 26:4, pages 362-382.
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Shelley Heusser & Diane Elkonin. (2013) Childhood sexual abuse and HIV sexual-risk behaviour among men who have sex with men in South Africa. South African Journal of Psychology 44:1, pages 83-96.
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Garrett Prestage, Fengyi Jin, Benjamin Bavinton, Andrew Grulich, Graham Brown, Marian Pitts & Michael Hurley. (2014) Australian Gay and Bisexual Men's Use of Erectile Dysfunction Medications During Recent Sexual Encounters. The Journal of Sexual Medicine 11:3, pages 809-819.
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Tyrel J. Starks & Jeffrey T. Parsons. (2013) Adult Attachment Among Partnered Gay Men: Patterns and Associations with Sexual Relationship Quality. Archives of Sexual Behavior 43:1, pages 107-117.
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Brett Stevens, Joseph Debattista & William Rutkin. (2013) Use of incentives to encourage sexually transmissible infection testing amongst sex-on-premises venue patrons. Sexual Health 10:2, pages 156.
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H. Klein. (2012) Anonymous sex and HIV risk practices among men using the Internet specifically to find male partners for unprotected sex. Public Health 126:6, pages 471-481.
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Martin J. DowningJr.Jr.. (2011) Using the Internet in Pursuit of Public Sexual Encounters. American Journal of Men's Health 6:1, pages 18-27.
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Paul J. Wright. (2012) A Longitudinal Analysis of US Adults’ Pornography Exposure. Journal of Media Psychology 24:2, pages 67-76.
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Karla S. Frohmader, Michael N. Lehman, Steven R. Laviolette & Lique M. Coolen. (2011) Concurrent Exposure to Methamphetamine and Sexual Behavior Enhances Subsequent Drug Reward and Causes Compulsive Sexual Behavior in Male Rats. The Journal of Neuroscience 31:45, pages 16473-16482.
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Martin J. DowningJr.Jr.. (2010) Internet Advertisements for Public Sexual Encounters Among Men Who Have Sex With Men. American Journal of Men's Health 5:5, pages 386-394.
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Yorghos Apostolopoulos, Sevil Sönmez, Mona Shattell, Jennie Kronenfeld, Donna Smith & Sarah Stanton. (2011) Cruising for Truckers on Highways and the Internet: Sexual Networks and Infection Risk. AIDS Education and Prevention 23:3, pages 249-266.
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Matthew J. Mimiaga, Sari L. Reisner, Sean E. Bland, Maura A. Driscoll, Kevin Cranston, Deborah Isenberg, Rodney VanDerwarker & Kenneth H. Mayer. (2010) Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment. AIDS and Behavior 15:2, pages 305-318.
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Christian Grov, Sarit A. Golub & Jeffrey T. Parsons. (2010) HIV Status Differences in Venues Where Highly Sexually Active Gay and Bisexual Men Meet Sex Partners: Results from a Pilot Study. AIDS Education and Prevention 22:6, pages 496-508.
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Shirley J Semple, Steffanie A Strathdee, Jim Zians & Thomas L Patterson. (2010) Factors associated with sex in the context of methamphetamine use in different sexual venues among HIV-positive men who have sex with men. BMC Public Health 10:1.
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Yasmina Katsulis. (2009) ‘‘Living Like a King’’: Conspicuous Consumption, Virtual Communities, and the Social Construction of Paid Sexual Encounters by U.S. Sex Tourists. Men and Masculinities 13:2, pages 210-230.
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Richard Tewksbury. (2010) Men and Erotic Oases. Sociology Compass 4:12, pages 1011-1019.
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Karla S. Frohmader, Katherine L. Bateman, Michael N. Lehman & Lique M. Coolen. (2010) Effects of methamphetamine on sexual performance and compulsive sex behavior in male rats. Psychopharmacology 212:1, pages 93-104.
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Patrick Barresi, Marla Husnik, Michael Camacho, Borris Powell, Reggie Gage, Darren LeBlanc, Paul Verano, Margaret Chesney & Beryl Koblin. (2010) Recruitment of Men Who Have Sex With Men for Large HIV Intervention Trials: Analysis of the EXPLORE Study Recruitment Effort. AIDS Education and Prevention 22:1, pages 28-36.
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Angulique Outlaw, Sylvie Naar-King, Heather Janisse & Jeffrey T. Parsons. (2010) Predictors of Condom Use in a Multisite Study of High-Risk Youth Living with HIV. AIDS Education and Prevention 22:1, pages 1-14.
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C. A. Bousman, M. Cherner, J. H. Atkinson, R. K. Heaton, I. Grant, I. P. Everall & The HNRC Group. (2010) COMT Val158Met Polymorphism, Executive Dysfunction, and Sexual Risk Behavior in the Context of HIV Infection and Methamphetamine Dependence . Interdisciplinary Perspectives on Infectious Diseases 2010, pages 1-9.
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Emily Maynard, Alex Carballo-Diéguez, Ana Ventuneac, Theresa Exner & Kenneth Mayer. (2009) Women's Experiences with Anal Sex: Motivations and Implications for STD Prevention. Perspectives on Sexual and Reproductive Health 41:3, pages 142-149.
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James A. Pollock & Perry N. Halkitis. (2009) Environmental Factors in Relation to Unprotected Sexual Behavior among Gay, Bisexual, and Other MSM. AIDS Education and Prevention 21:4, pages 340-355.
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Sari L. Reisner, Matthew J. Mimiaga, Margie Skeer, Rodney VanDerwarker, Michael J. Gaucher, Catherine A. O’Connor, M. Susana Medeiros & Steven A. Safren. (2008) Differential HIV Risk Behavior among Men who have Sex with Men Seeking Health-Related Mobile Van Services at Diverse Gay-Specific Venues. AIDS and Behavior 13:4, pages 822-831.
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Samuel R Friedman, Melissa Bolyard, Maria Khan, Carey Maslow, Milagros Sandoval, Pedro Mateu-Gelabert, Beatrice Krauss & Sevgi O Aral. (2008) Group Sex Events and HIV/STI Risk in an Urban Network. JAIDS Journal of Acquired Immune Deficiency Syndromes 49:4, pages 440-446.
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Michael T. Shrem & Perry N. Halkitis. (2008) Methamphetamine Abuse in the United States. Journal of Health Psychology 13:5, pages 669-679.
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Sonya SatinskyChristopher FisherNathan StupianskyBrian DodgeAndreia AlexanderDebby HerbenickMichael Reece. (2008) Sexual Compulsivity among Men in a Decentralized MSM Community of the Midwestern United States. AIDS Patient Care and STDs 22:7, pages 553-560.
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Barry D. Adam, Richard Elliott, Winston Husbands, James Murray & John Maxwell. (2014) Effects of the Criminalization of HIV Transmission in Cuerrier on Men Reporting Unprotected Sex with Men.. Canadian journal of law and society 23:1-2, pages 143-159.
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Christian Grov, Jeffrey T. Parsons & David S. Bimbi. (2007) Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC. AIDS and Behavior 11:6, pages 915-926.
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Nicole M.C. van Kesteren, Harm J. Hospers & Gerjo Kok. (2007) Sexual risk behavior among HIV-positive men who have sex with men: A literature review. Patient Education and Counseling 65:1, pages 5-20.
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David McKirnan, Eric Houston & Marina Tolou-Shams. (2006) Is the Web the culprit? Cognitive escape and Internet sexual risk among gay and bisexual men. AIDS and Behavior 11:1, pages 151-160.
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Alex Carballo–Diéguez, Gary W. Dowsett, Ana Ventuneac, Robert H. Remien, Ivan Balan, Curtis Dolezal, Oswaldo Luciano & Peter Lin. (2006) Cybercartography of Popular Internet Sites Used by New York City Men Who Have Sex With Men Interested In Bareback Sex. AIDS Education and Prevention 18:6, pages 475-489.
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Shirley J. Semple, Jim Zians, Igor Grant & Thomas L. Patterson. (2006) Sexual Compulsivity in a Sample of HIV-Positive Methamphetamine-using Gay and Bisexual Men. AIDS and Behavior 10:5, pages 587-598.
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Holly H. Fisher, David W. Purcell, Colleen C. Hoff, Jeffrey T. Parsons & Ann O'Leary. (2006) Recruitment Source and Behavioral Risk Patterns of HIV-Positive Men Who Have Sex with Men. AIDS and Behavior 10:5, pages 553-561.
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Thomas W. Irwin, Jon Morgenstern, Jeffrey T. Parsons, Milton Wainberg & Erich Labouvie. (2006) Alcohol and Sexual HIV Risk Behavior Among Problem Drinking Men Who Have Sex With Men: An Event Level Analysis of Timeline Followback Data. AIDS and Behavior 10:3, pages 299-307.
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Steffanie A. Strathdee & Thomas L. Patterson. (2006) Behavioral Interventions for HIV-Positive and HCV-Positive Drug users. AIDS and Behavior 10:2, pages 115-130.
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Keith J. Horvath, Anne M. Bowen & Mark L. Williams. (2006) Virtual and physical venues as contexts for HIV risk among rural men who have sex with men.. Health Psychology 25:2, pages 237-242.
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Dan Wohlfeiler & John J. Potterat. (2005) Using Gay Men’s Sexual Networks to Reduce Sexually Transmitted Disease (STD)/Human Immunodeficiency Virus (HIV) Transmission. Sexually Transmitted Diseases 32:Supplement 10, pages S48-S52.
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Heather Worth & Patrick Rawstorne. (2005) Crystallizing the HIV Epidemic: Methamphetamine, Unsafe Sex, and Gay Diseases of the Will. Archives of Sexual Behavior 34:5, pages 483-486.
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Diane Binson, LeRoy Blea, Paul D. Cotten, Jeff Kant & William J. Woods. (2005) Building an HIV/STI Prevention Program in a Gay Bathhouse: A Case Study. AIDS Education and Prevention 17:4, pages 386-399.
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Clyde B. McCoy, Lisa R. Metsch, Mary Comerford, Wei Zhao, Amanda J. Coltes & Sarah E. Messiah. (2005) Trends of HIV Risk Behaviors in a Cohort of Injecting Drug Users and Their Sex Partners in Miami, Florida, 1988–1998. AIDS and Behavior 9:2, pages 187-199.
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Jeffrey T Parsons, Eric W Schrimshaw, Richard J Wolitski, Perry N Halkitis, David W Purcell, Colleen C Hoff & Cynthia A Gómez. (2005) Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS 19:Supplement 1, pages S13-S25.
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Richard J Wolitski, Jeffrey T Parsons, Cynthia A Gómez, David W Purcell, Colleen C Hoff & Perry N Halkitis. (2005) Prevention with gay and bisexual men living with HIV: rationale and methods of the Seropositive Urban Men's Intervention Trial (SUMIT). AIDS 19:Supplement 1, pages S1-S11.
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RAUL GONZALEZ, JASMIN VASSILEVA, ANTOINE BECHARA, SILVANA GRBESIC, LISA SWOROWSKI, RICHARD M. NOVAK, GERALD NUNNALLY & EILEEN M. MARTIN. (2005) The influence of executive functions, sensation seeking, and HIV serostatus on the risky sexual practices of substance-dependent individuals. Journal of the International Neuropsychological Society 11:02.
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Richard J Wolitski, Jeffrey T Parsons & Cynthia A Gómez. (2004) Prevention With HIV-Seropositive Men Who Have Sex With Men. JAIDS Journal of Acquired Immune Deficiency Syndromes 37:Supplement 2, pages S101-S109.
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Jeffrey T Parsons, Kalil Vicioso, Alexandra Kutnick, Joseph C Punzalan, Perry N Halkitis & Mary Marden Velasquez. (2004) Alcohol use and stigmatized sexual practices of HIV seropositive gay and bisexual men. Addictive Behaviors 29:5, pages 1045-1051.
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Jeffrey T. Parsons, Perry N. Halkitis, Richard J. Wolitski, Cynthia A. Gómez & The Seropositive Urban Men's Study Team. (2003) Correlates of Sexual Risk Behaviors among HIV-Positive Men Who Have Sex with Men. AIDS Education and Prevention 15:5, pages 383-400.
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Perry N. Halkitis, Jeffrey T. Parsons & Leo Wilton. (2016) An Exploratory Study of Contextual and Situational Factors Related to Methamphetamine Use among Gay and Bisexual Men in New York City. Journal of Drug Issues 33:2, pages 413-432.
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