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We analyzed qualitative data from seven focus group discussions with NGI and bisexual African American MSM in order to explore the role that drugs and alcohol play in sexual behaviors with other men, sexual identity, and the meanings attached to same-sex sexuality. Hence, we could not separate out this participant and include data from all participants in the first three groups with otherwise HIV-infected men. Crack cocaine and sex. Shernoff M, Scott WA, editors. Unemployed persons by marital status, race, Hispanic or Latino ethnicity, age, and sex.

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Some participants questioned, however, whether any man would engage in sex with another man without having some same-sex attractions. This sociocultural context is partially reflected in the following quotations: And, you know, they have issues. It is unclear how lacking a well-defined sexual identity is associated with sexual and drug behaviors and risks.

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Over time, they can extract an enormous cost in the form of addiction, disease, incarceration, social isolation, and loss of position and personal dignity.

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