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MSM and gay refer to different things: behaviors and social identities.MSM refers to sexual activities between men, regardless of how they identify, whereas gay can include those activities but is more broadly seen as a cultural identity.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.

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.The term MSM had been in use in public health discussions, especially in the context of HIV/AIDS, since 1990 or earlier, but the coining of the initialism by Glick et al.in 1994 "signaled the crystallization of a new concept." This behavioral concept comes from two distinct academic perspectives.There were no similar traits in all of the MSM population studied, other than them being males and engaging in sex with other men.In some countries, homosexual relationships may be illegal or taboo, making MSM difficult to reach. S., among men aged 15 to 44, an estimated 6% have engaged in oral or anal sex with another man at some point in their lives, and about 2.9% have had at least one male sexual partner in the previous 12 months.

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