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Varying exposure to HIV treatment and prevention options and venues to meet male partners revealed generational differences in sexual risks. Thematic analysis evaluated domains including major life events, substance use, social support, and partner selection.

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Twenty-six Black gay and bisexual men ages 24–61 completed life history interviews in Los Angeles, California, between September and November 2015.

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This study examined BMSM’s life course sexual positioning practices and accompanying HIV/STI risks. Increased attention has highlighted the role of age and sexual development on HIV risk among Black MSM (BMSM) limited focus has been given to the relationship of sexual positioning to HIV risk along the life course.

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