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One third (35%) were positive for STI. STI prevalence was significantly associated with using sex slings (adjusted PR [aPR] = 2.35), felching (aPR = 2.22), group sex (aPR = 1.86), fisting (aPR = 1.78), anonymous sex (aPR = 1.51), and sex toys (aPR = 1.46). HIV prevalence was 17% and was significantly associated with fisting (aPR = 4.75), felching (aPR = 4.22), enemas (aPR = 3.65), and group sex (aPR = 1.92).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multiple behaviors were significantly associated with prevalent STI and HIV in adjusted analyses. To provide a more comprehensive understanding of sexual risk in MSM, prospective studies are needed to examine whether these behaviors are causally associated with HIV and STI acquisition.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2016.01.001","type":"journal-article","created":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T22:56:53Z","timestamp":1454626613000},"page":"374-382","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":48,"title":["Beyond Anal Sex: Sexual Practices of Men Who Have Sex with Men and Associations with HIV and Other Sexually Transmitted Infections"],"prefix":"10.1093","volume":"13","author":[{"given":"Cara E.","family":"Rice","sequence":"first","affiliation":[{"name":"Department of Biobehavioral Health , , PA , USA"},{"name":"The Methodology Center , , PA , USA"},{"name":"College of Health and Human Development , , PA , USA"},{"name":"The Pennsylvania State University , , PA , 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