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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.
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Looking Out for Each Other : The Sex You Want

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The Phenomenon of ‘Bud Sex’ Between Straight Rural Men

Why rural white men who identify as "straight" are having sex with other men. These men were from rural areas, and perhaps both due to prejudice and lack of exposure, may not have been aware that gay people come in all shapes and sizes, as well as likes and dislikes. For me, as a gay man, an important part of that is that I enjoy masculinity. In my early coming out experiences, I sometimes felt pressured by other gay men to "be myself" and stop "trying to act so butch.
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It's one of the oldest cliches in the book, that somehow having sex with a man makes you less 'manly' and less attractive to women. But actually the opposite is often true, and society is finally catching on. I'm a bisexual man. I've had sex with men, women and long lasting relationships with both. Personally, I have no preference.
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