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Some participants said that they had two or more primary partners. According to a methodological guideline presented by Frieze, NVivo 8 software eliminates specific coding process disparities [ 8 ]. Eleven of the 19 participants who said they had primary partners stated that they had more than ten sex partners in the past year. Participant 20 in his description of his relationship with his primary partner Appendix 2. For MSM, however, the period of partnering may be much shorter even with the selection of primary partners, and the rules and ethical codes are less strict. We used axial coding to analyze each category's systematic connection with sexual behavior and partner selection processes. Such people clearly manifest a sexual desire for both sexes, and some have sexual experiences with both sexes while determining their sexual identity Participant 18, Appendix 2. However, this situation can be more difficult for those with HIV as it can lower their capacity to cope with social stigma and discrimination. Consequently, solidarity in the approach to infection prevention in the MSM community is weakened by the differences in attitudes toward HIV infection within that community. Unlike the straight community, members of the MSM community do not have the opportunity to meet other MSM in a wide variety of places; thus, the basis of their social life activities is mainly directed at satisfying their sexual desires. Possessing an identity as a MSM can result in voluntarily adopting the everyday life activities, self-adornments, and interests of a MSM. The majority of that group was HIV positive. Among those who have anal intercourse there was recognition of the necessity of condom and lubricant use. However, contrary to stereotypical attitudes, MSM do not necessarily realize their sexual orientation through their femininity, nor are all of them effeminate. When it is difficult to communicate with a partner about the use of a condom, some MSM people will seek safety from infection by restricting their sexual relationships to reliable partners. In the case of heterosexuals, socioeconomic factors other than outward countenance play a key role in partner selection, whereas sex appeal is an important factor in the MSM community. Regardless, sexual relationships in the MSM community occur even though the community may not offer aid or capacity-building programs related to sexual partnering.
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Some members of that group had a large number of sex partners, but they also recorded a high level of safe sex. Regardless, partner selection reflects individual tastes rather than indicative of an ideal or standardized body shape Participant 23, Appendix 2. The more patriarchal a society is, the stronger the relationship between sex and gender.