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Because men who have sex with men MSM are disproportionately affected by HIV, understanding how risky sexual behaviors change as MSM age is an important aspect of the epidemiology in this population. Due in part of ageism and homophobia, older MSM remain a marginal population in which HIV levels and sexual risk factors are less well known [ 2 ]. Contrary to the general belief that older MSM are not sexually active and are therefore not at risk for HIV, converging lines of research and data show otherwise.

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