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Differences in sample characteristics and study purpose may also be involved—although ours was a national sample of HIV-negative gay and bisexual men participating in an online survey, the Koblin et al. These should still remain on our intervention agendas, as dyadic prevention begins to have a stronger presence. A longitudinal study from age 18 to Generalizations to other types of samples should be done with caution, especially in applying these findings to inform prevention efforts. The role of maladaptive cognitions in hypersexuality among highly sexually active gay and bisexual men. Mental health moderated the relationship between partner type main versus casual and condom use such that increased anxiety and depression were associated with increased odds of using condoms with main partners and not using condoms with casual partners.

These findings strongly suggest that examination of contexts surrounding main partner relationship characteristics, satisfaction, types of sexual agreements and possible violations of those would elucidate what determines those with poorer mental health to use condoms and those with no evidence of anxiety or depression not to use condoms when having sex with their main partners.

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Sexual orientation and mental health. New York, NY: Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men. Further, our findings reflect patterns of association reported by GBM in an urban environment, which in itself is likely to affect substance use, mental health and relationship characteristics reflected in sexual behavior in ways that other settings may not.

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Relationship characteristics and motivations behind agreements among gay male couples: