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A partner referral system was embedded in the cross-sectional, one-time Internet survey to enable data collection from both men in the couple. Significantly higher proportions of concordantly HIV-negative and positive couples had both partners who used substances with sex all types within their relationship over discordant couples. Journal of Family Psychology. The term party and play - and pay has emerged as a warning that partying and playing leads to bareback sex which increases the chances of contracting HIV and may result in other consequences such as neurological damage [18] and resistance to HIV drugs. Notably, most couples reported not using any substances with sex within their relationship. It can disrupt relationships, employment, and threaten financial stability. A brief questionnaire was provided to a nonrandom sample of party attendees covering demographics, drugs used, sexual activity, and reasons for attending gay circuit parties at three major North American parties in
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