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Health care providers should routinely acquire sexual histories from their patients to facilitate risk assessment and risk reduction counseling for preventative sexual health services. A sexual history should be taken during any new or routine patient visit, and especially if the patient presents with signs or symptoms of STDs. The following screening tests should be performed, regardless of condom use during exposure, for sexually active MSM, including those with HIV infection:. These include men who use recreational drugs or alcohol during sex, inject drugs, exchange sex for money or services, use condoms inconsistently, or have sex with HIV-infected partners, in addition to men who have multiple or anonymous partners. Licensed healthcare professionals and STD program staff can contact the Clinical Consultation Service for clinical decision support.
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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. The term MSM was created in the s by epidemiologists to study the spread of disease among men who have sex with men, regardless of identity. It does not describe any specific sexual activity, and which activities are covered by the term depends on context. 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.
The sexual behaviors of bisexually active men, defined as men having sex with a man and a woman in previous 6 months, were compared with men who had sex with men only. Differential sexual practices associated with HIV risk between the two groups of men, as well as in the bisexual men with their male and female partners, were evaluated. Cross-sectional analyses were performed on baseline data from a prospective cohort of young gay men recruited from bars, college campuses, and a health center in Boston from to The two groups had similar levels of unprotected anal intercourse