For others, a reasoned judgment based on perception of risk takes place. In cases where perceived risk is low, harm reduction strategies involving HIV serodisclosure, serosorting, strategic positioning, and negotiated safety are, as reported in other studies, being used instead of condoms (Belcher et al. 2005; Van de Ven et al. 2002; Holtgrave, Crosby and Shouse 2006).