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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.

has remained an important but often not primary issue.

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The United States Department of Health and Human Services announced in 2012 that the Affordable Care Act (ACA) would offer new protections, including a ban on insurers discriminating against LGBT persons.

The Huffington Post postulates that the term MSM was created by Cleo Manago, the man who is also credited for coining the term same gender loving (SGL).

MSM are not limited to small, self-identified, and visible sub-populations.

The ACA also provided funding for community-based preventive health programs and measures to combat HIV-related health disparities.

Since medical literature began to describe homosexuality, it has often been approached from a view that assumed or sought to find an inherent psychopathology as the root cause.

Instead, social ostracism, legal discrimination, internalization of negative stereotypes, and limited support structures were regarded as indications of the issues faced by homosexuals in Western societies in the late 20th century, which often adversely affected their mental health.

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