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However, research suggests that this has less to do with "down low" activity than with 1) the high rates of other STDs that facilitate HIV infection and 2) the low rates of HIV testing in this community.Several other factors may also affect the relatively high HIV risk status of black MSM compared to MSM of other races.The problem though is that, whether you believe in nature or nurture, gay people, like everyone else, are still going to want love and sex.So, if you force them to hide their existence or deny their sexuality, it may put them, and their partners of both sexes, at risk.Men on the down low are unlikely to be reached by prevention campaigns targeted at MSM who actually identify as gay or bisexual.They are also less likely to be regularly tested for HIV.
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The only way to eliminate the problem of people having sex behind their partners' backs is to change society so that open and honest communication about sex is the norm.
Although they may have a lower frequency of high-risk behaviors with other men, the high-risk behavior men on the down low engage in has a larger potential circle of consequence - particularly since many of them have multiple female as well as male partners.
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