Participants at a sexual health clinic completed a survey with questions regarding sexual risk behavior and partner characteristics. Of 585 participants eligible for analysis, 124 reported generally having older male partners. These participants were significantly more likely to be HIV-infected (p < 0.001), have four or more sex partners as a “bottom” (p = 0.04), have concurrent partners (p = 0.01), and have partners suspected of having an sexually transmitted infection (p = 0.05) than participants without older partners. With analysis restricted to HIV− individuals, risk behaviors did not differ significantly between the groups. HIV− individuals with older partners may be at increased risk of HIV infection due to increased HIV prevalence among older sexual partners and not due to increased risk behaviors with these partners.

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Published in AIDS and Behavior, v. 21, issue 8, p. 2526-2532.

© Springer Science+Business Media New York 2017

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This is a post-peer-review, pre-copyedit version of an article published in AIDS and Behavior. The final authenticated version is available online at: https://doi.org/10.1007/s10461-017-1699-4.

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This work was supported by a Grant from the National Institute of Mental Health (R01MH092226).