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HIV risk-reduction programs

HIV risk-reduction programs are based in part on theory that sexual risk-taking is associated with increased risk of HIV infection. Clinical experience suggests that young gay, bisexual, and other men who have sex with men (YMSM) are at increased likelihood of experiencing depression and engaging in elevated sexual risk-taking. The goal of the current investigation was to examine the relationship between depression and compulsive sexual behavior (CSB) and to assess for their individual and combined influence on sexual risk-taking behavior among a diverse sample of YMSM in New York City They found a significant positive correlation between CSB and depression and between CSB and frequency of condomless anal sex acts reported over the last 30 days. Multivariate results found that the presence of both depression and CSB contributed to elevated sexual risk-taking among these urban YMSM. Describe one clinical implication and one program implication of these findings.

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