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Alexis Rivera declares that there are no conflicts of interest. Bridget Anderson declares that there are no conflicts of interest. Barbara Bolden declares that there are no conflicts of interest. Afework Wogayehu declares that there are no conflicts of interest. Alan Neaigus declares that there are no conflicts of interest. Sarah Braunstein declares that there are no conflicts of interest. This work was made possible through the support of the Centers for disease Control and Prevention PS11-001 National HIV Behavioral Surveillance (NHBS) system. The findings and conclusions in this paper are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}