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It is also possible that at least some of the trans exclusion is due to the fact that for some people, sexual orientation might be not (just) about a partner’s gender identity, but attraction to specific body types and/or judgment of reproductive capabilities.

Of course, this is just one study with a non-representative sample (participants were recruited using online advertisements, listserv messages, on-campus announcements, in-print magazine ads, snowballing methods, and invitations sent to previous study participants), so more research is needed to understand the extent of this form of trans exclusion and the reasons driving it.

They conducted the interviews in English, Spanish, Chinese, and Russian; a translation service helped with interviews in Greek, Korean, Yiddish, Polish, and Haitian Creole.

In nearly every study of sexual behavior, the percentage of men who report sex with men is higher than the percentage of men who report being gay.

But despite the limitations, these results clearly indicate that although the visibility of transgender people is on the rise, we still have a long way to go to reach trans equality.

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But some of the most striking differences were in regards to participants’ gender and sexual orientation.

"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.

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.

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