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A huge factor is the increased prevalence of HIV in the sexual networks of gay and bisexual men. And one must also keep in mind that, when it comes to HIV transmission, not all sex acts are created equal. Proper education is paramount. In other words, the act of gay sex is only one factor; simply being gay or bi also increase the risk of infection. If we ever want to create an HIV-free America, our efforts for prevention have to start as early as possible. They were also much more likely to have tried heroin, methamphetamines, and cocaine.

But despite the very little difference between the HIV-related risk behaviors of gay youth and that of straight youth, the data show that the rate of HIV transmission is still much higher among men who have sex with men. Kann said that simply being gay or bisexual can cause stress that may lead to drug use. A huge factor is the increased prevalence of HIV in the sexual networks of gay and bisexual men. As far as solutions go, the CDC proposes a multipronged approach: Proper education is paramount.