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In the second study, early adopters described concealing their PrEP use because of what it might suggest to others about their sexual behaviour. The young man said with a tone of pride that he was a responsible person who always used condoms, while other men attending the party nodded in approval or said that they did the same. It asks questions about how and why. I have a lot of sex, and I go to the bathhouses a lot, despite my advanced age. Four respondents were in their twenties, seven in their thirties, two in their forties, and three in their fifties.

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As a risk reduction strategy, the drawback for HIV-negative people is that they can only be certain of their HIV status when they last took a test, whereas HIV-positive people can be confident they know their status.

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The second study was also conducted in Toronto, but a year or two later, and with a different group of participants — gay men of a range of ages who had taken part in a PrEP demonstration project in the city. As a risk reduction strategy, the drawback for HIV-negative people is that they can only be certain of their HIV status when they last took a test, whereas HIV-positive people can be confident they know their status. In discussing PrEP, they took pride in being responsible, sexually active gay men who were helping to prevent the spread of HIV. So I mean that was kind of an uncomfortable conversation, but I was not ashamed about it.

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