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Recent reports indicate that injection risk behavior has declined among injection drug users (IDUs) but sexual risk behavior continues. RuJu, classified as a form of body modification, is the practice of permanently inserting beads beneath the foreskin of the penis. A man who has penis beads does not comfortably use a condom while having sex. Tony Szu-Hsien Lee examined the possible association of RuJu with human immunodeficiency virus (HIV) infection among IDUs in Taiwan.
Citation: https://www.omicsonline.org/penile-bead-implantation-in-relation-to-hiv-infection-in-male-heroin-users-in-taiwan-2155-6113.S1-018.php?aid=8758
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