Callander D, Senn C. Childhood sexual abuse and internalized homonegativity impacted personal development, sexual positioning, and condom negotiation. Generational differences in exposure to risk, changing messages about HIV risk and same-sex relationships, and age-related sexual behaviors create differing sexual risk profiles among different cohorts of BMSM.
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Interviews also assessed the timing of sexual debut, potential substance use debut, incarceration history, and potential housing instability. Hoppe T. Health Psychol. Techniques to identify themes. The study sample size was small and was not representative of all BMSM; many were low-income and substance-involved, and all of the men in this study identified as either gay or bisexual.