In this group, there is a very real possibility of HIV, hepatitis, or other STD infection. However, the risks may be reduced because of harm reduction activities that are put in place. These men view UAI as calculated risk. The behavior of these men may be more resistant to change because of comfort with their level of negotiated risk. For this group, the underlying contextual issues appear to be the weighing of scientific data on infectivity, the reinforcement value of UAI, and possibly AIDS burnout. For couples, intimacy is also a major contextual issue that motivates UAI.