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Familiarity between sex partners has been associated with likelihood to engage in UAIC, but the decision to use condoms with partners who are previously acquainted is complex and multifaceted. Using data from the Pleasure and Sexual Health survey , we investigated the association between aspects of familiarity with casual partners and disclosure of HIV serostatus. When men engage in UAIC without some prior familiarity, disclosure of HIV serostatus, or confidence and trust in their partners, they are probably at greater risk than on occasions when they engage in UAIC with partners with whom they do have these qualities. However, for some men, their trust in knowing specific details about their partners may not always be well-informed or reliable. These different circumstances are challenging for HIV prevention work. Increasingly, many gay men have adopted strategies that they believe minimize the risk of HIV transmission, such as reliance on sero-sorting, undetectable viral load and strategic positioning during unprotected anal intercourse UAI [ 1 — 3 ].
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