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So Pathela and colleagues first asked the men if they were bisexual, gay, or straight. Some of the findings: Also, a man who says he is straight but is having sex with other men is more likely to be married than a straight man who has sex with women, according to the survey.
Only 54% of the men who say they're straight and have sex with women are married, compared with the 70% marriage rate among the men who say they're straight but have sex with men.
"To reduce the burden of sexually transmitted diseases and HIV infection among men who have sex with men, it is of utmost importance for [health care] providers to take a sexual history that ascertains the sex of a partner," Pathela and colleagues report.
"Asking about a patient's sexual identity will not adequately assess his risk." In 2003, Pathela's team performed telephone interviews with nearly 4,200 New York City men.
There was no similar discrimination against trans men among those expected to be attracted to men: 0% of trans-inclusive gay men and only 5% of trans-inclusive bisexual/queer/nonbinary folks excluded trans men from their dating pool.
The high rates of trans exclusion from potential dating pools are undoubtedly due in part to cisnormativity, cissexism, and transphobia — all of which lead to lack of knowledge about transgender people and their bodies, discomfort with these unknowns, and fear of being discriminated against by proxy of one’s romantic partner.
The fact that most cis people would not consider trans people as potential dating partners is yet another serious risk factor for increased psychological and physical health problems among the trans population.
Surprisingly, among the 127 participants open to dating a trans person, almost half selected a trans person of a gender incongruent with their stated sexual orientation.
Romantic relationships are one of the most important sources of social support for adults."Prevention messages should focus on the activities that pose risk -- for example, unprotected receptive anal sex -- and should not be framed to appeal solely to gay-identified men," Pathela and colleagues suggest. Considering the discrimination trans people face on a daily basis, it comes as no surprise that trans people are overlooked when it comes to dating.Pathela and colleagues note that because they report fewer STDs and fewer sex partners than gay men, straight-identified men who have sex with men may think they are at lower risk of HIV and STDs. The men with whom these straight-identified men have sex may themselves have multiple sex partners and elevated STD and HIV risk.
The low rate of condom use makes the straight-identified men vulnerable.For example, 50% of the trans-inclusive straight women and 28% of the trans-inclusive gay men were willing to date a trans , even though one wouldn’t expect either straight women or gay men to be attracted to women.