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We omitted comparisons involving the highest level of education in because of a 0 cell count on the outcome. However, as we did in this study, using a repeated cross-sectional design highlights the low reliability present in many cross-sectional findings. As with any individual study, especially with a secondary data analysis, there are several limitations to this study. Health issues for gay men and men who have sex with men Understand important health issues for gay men and men who have sex with men — from sexually transmitted infections to depression — and get tips for taking charge of your health. The association was similar for HIV-positive men adjusted odds ratio 1.

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Nonetheless, it is apparent that many gay men have found initial risk reduction easier than long-term risk reduction maintenance.

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If you have a substance abuse concern, remember that help is available. How can I avoid getting HIV? Longitudinal data analysis using generalized linear models.

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Local lesbian, gay, bisexual and transgender health, mental health, or community centers often provide substance abuse treatment.

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