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We conducted a two-stage probability sample of men exiting a gay bathhouse and focused our analysis on whether the partnering patterns of the men who engaged in UAI present such a risk. Although men had multiple sex partners during a visit, they had UAI with only one of those partners on average, and withdrawal prior to ejaculation occurred in the vast majority of UAI incidences. Thus, the risk of sexual transmission of HIV during the bathhouse visit was typically within isolated dy rather than patterns of multiple sexual encounters that might put many men at risk during a single visit, and men who did engage in UAI tended to withdraw prior to ejaculation, potentially mitigating the risk of HIV transmission. The of cases in this population has increased 13 percent from to and there is evidence in sexually transmitted disease data that there also has been an increase in frequency of unprotected sex Jaffe et al.
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