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Several studies suggest that the increase in sexually transmitted infections STIs among men who have sex with men MSM could be due, in part, to human immunodeficiency virus HIV risk reduction strategies, which include engaging in oral sex over anal sex. In contrast, there was no significant difference in STI diagnoses between those that engaged in HIV protective oral sex behaviors and those that did not. The findings provide evidence to support the unique duality of oral sex: decreased risk for HIV and perpetuation of STI risk. However, other sexually transmitted infection STI prevention efforts among MSM have received comparably less attention. One example of this is substituting oral sex for anal sex, 5—8 which has lower risk for HIV acquisition.
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