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Delayed application of condoms with safer and unsafe sex: factors associated with HIV risk in a community sample of gay and bisexual men
AIDS Care, 06/24/09

Allman D et al. - Most socio-demographic variables found to be associated with unsafe sex in other studies were not associated with DCA. Negative condom use experiences such as tearing, splitting and slippage were associated with delayed application among the two groups. DCA, which may be considered by men as an effective harm reduction strategy requires attention. Interventions to address this behavior need to consider the physical issues of condom use along with the complex array of social, structural, psychological, and interpersonal issues.

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