Participants were routinely screened for STI/HIV according to the standard procedures of the STI outpatient clinic .
The study was approved by the medical ethics committee of the Academic Medical Center of Amsterdam (MEC 07/181), and written informed consent was obtained from each participant.
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Men were eligible for participation if they reported sexual contact with men during the six months preceding the STI consultation, they were at least 18 years old, and could understand written Dutch or English.
Individuals could participate more than once, if subsequent visits to the clinic were related to a possible new STI episode.
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