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Author J. L. King, whose writings explore the down low phenomenon within the African American male community, cited Blaine and Antoine, along with drag performer RuPaul, as images of what the word "gay" means to African American men who have sex with men to explain one reason why such men do not identify themselves as gay.
Although HIV prevalence among the general population appears to be quite low, there are signs of a low-level epidemic among Timor-Leste’s sex workers and men who have sex with men (MSM).
HIV prevalence among men who have sex with men (MSM) is significantly higher (7.6 percent) than among sex workers or the general population.