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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.Among men who have anal sex with other men, the insertive partner may be referred to as the top, the one being penetrated may be referred to as the bottom, and those who enjoy either role may be referred to as versatile.

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Hepatitis B is a disease caused by hepatitis B virus (HBV) which infects the liver of hominoidea, including humans, and causes an inflammation called hepatitis.Syphilis (caused by infection with Treponema pallidum) is passed from person to person through direct contact with a syphilis sore; these occur mainly on the external genitals, or in the vagina, anus, or rectum.Many countries impose restricting on donating blood for men who have (had) sex with men, as well as their female sex partners - see the maps.Instead, social ostracism, legal discrimination, internalization of negative stereotypes, and limited support structures are all indications of the issues faced by homosexuals in Western societies, which often adversely affect their mental health.Among men who have anal sex with other men, anal sex without use of a condom is considered to be very risky behavior.

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