Quote from wish_me_luck
Hidden, I am asking what everyone's (who reads this) opinion is on the whole question of "do you sleep with men, women, or both?". Is it even relevant? If so, why do you think that?
My opinion is that it should not be asked because it is irrelevant due to the fact that most diseases/education/health promotion activities are universal--does not matter sexual orientation. I cannot think of anything good coming out of asking it, only discrimination.
Now, what's your opinion?
Yes, the query about which gender a pt has relations with is very relevant.
If you frame questions based upon sexuality "are you gay or straight?" for instance will illicit various responses at least from males based upon factors such as race, demographics, and several other factors.
In the Latino/Hispanic, African American, Arab and Muslim, Latin (French, Italian, etc..) male populations there is a stigma attached to being "gay" or "homosexual" which is often defined by living a certain lifestyle. OTHO hooking up and or otherwise simply having relations with a man or boy often is either given a pass or kept quiet about (aka: on the Down Low).
There is also not a small population of males who are attracted to and or at least have relations with MTF transgender women. Because what they are having relations with looks like or in theory is supposed to be female many of these men do not consider such relations homosexual in nature.
Therefore if you ask many of these males only if they are "gay" they will respond "no", and in their minds there is no question about their sexuality. However from a public and personal health point of view *any* male same sex relations raises the possibilty of not only HIV but several other sexually transmitted diseases as well.
Finally there are former inmates correctional institutions who society has long given a pass (due to the absence of women) for homosexual relations. However again whatever such a man's true sexual preferences are if he engaged in those acts during his time again from a health point if view certain questions must be asked.