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Men who have sex with men MSM , also known as males who have sex with males , are male persons who engage in sexual activity with members of the same sex, regardless of how they identify themselves. The term MSM was created in the s by epidemiologists to study the spread of disease among men who have sex with men, regardless of identity. It does not describe any specific sexual activity, and which activities are covered by the term depends on context. First, it was pursued by epidemiologists seeking behavioral categories that would offer better analytical concepts for the study of disease-risk than identity-based categories such as "gay", " bisexual ", or "straight" , because a man who self-identifies as gay or bisexual is not necessarily sexually active with men, and someone who identifies as straight might be sexually active with men.