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Second, the authors write that more than half of the included studies were secondary data analyses from a larger clinical trial or survey, such as the National HIV Behavioral Surveillance Study. They also note that of the studies they analyzed, more of them focused on young black gay and bisexual men, and "no study purposefully sampled middle-aged or older BMSM … who are suggested to be more likely to have late-stage HIV infection at the time of diagnosis.
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