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Social network composition is known to effect patterns of reported sexual risk-taking among men who have sex with men MSM ; however, consensus as to the directionality and size of these effects is lacking. We examined the relationships between novel aspects of social network composition and sexual risk-taking using a cross-sectional survey of MSM. Social network composition was found to have mixed effects on reported sexual risk-taking: The support structures created by differing social network compositions — and particularly the presence of LGB couples -- may be a potential area for targeting sexual risk-reduction interventions for MSM. Efforts to prevent the spread of the HIV epidemic in this population have focused on encouraging consistent condom use [ 3 — 5 ], testing for HIV regularly [ 6 ], avoiding sex while drunk or high [ 7 , 8 ], and other individual-level behaviors that may shape risk for HIV infection [ 9 — 12 ]. However, emerging evidence shows the importance that influences beyond the individual level, such as peer group characteristics, may have on the factors influencing risk for HIV infection in MSM. For example, researchers have shown that social isolation, loneliness, and a lack of social support are significant risk factors for sexual risk-taking among MSM [ 13 — 16 ], but little research has focused on how the composition of their social networks shape sexual risk-taking.
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