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Dolezal1 R. The third category comprises condomless anal intercourse that is intentional and may result in primary transmission of HIV. It initially referred to intentional condomless anal intercourse, mainly among HIV-infected gay men Gendin We make this distinction for a number of reasons, not least being that each kind of condomless event in this first category requires a targeted HIV prevention strategy and, therefore, different health promotion approaches to assist the men involved to assess and reduce risk, e.

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