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The ACA also provided funding for community-based preventive health programs and measures to combat HIV-related health disparities.

Since medical literature began to describe homosexuality, it has often been approached from a view that assumed or sought to find an inherent psychopathology as the root cause.

First, it was pursued by epidemiologists seeking behavioral categories that would offer better analytical concepts for the study of disease-risk than identity-based categories (such as "gay", "bisexual", or "straight"), because a man who self-identifies as gay or bisexual is not necessarily sexually active with men, and someone who identifies as straight might be sexually active with men.

Second, its usage is tied to criticism of sexual identity terms prevalent in social construction literature which typically rejected the use of identity-based concepts across cultural and historical contexts.

Men who have sex with men (MSM), also known as males who have sex with males, are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves; many such men do not sexually identify as gay, homosexual or bisexual.Among men who have anal sex with other men, anal sex without use of a condom is considered to be very risky behavior.A person who inserts their penis into an infected partner is at risk because sexually transmitted diseases (STDS/STIs) can enter through the urethra or through small cuts, abrasions, or open sores on the penis.Men who are non-heterosexual or questioning may identify with all, none, a combination of these, or one of the newer terms indicating a similar sexual, romantic, and cultural identity like bi-curious.In their assessment of the knowledge about the sexual networks and behaviors of MSM in Asia, Dowsett, Grierson and Mc Nally concluded that the category of MSM does not correspond to a single social identity in any of the countries they studied.

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