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As a juror for a gay film ftival, I’ve been remd of the bleakns that has e to typify LGBT cema. To progrs, mt allow for some joy

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Still, even as we celebrate the sle and speed of this change, the rat of prsn, lonels and substance abe the gay muny rema stuck the same place they’ve been for s. In a survey of gay men who recently arrived New York Cy, three-quarters suffered om anxiety or prsn, abed dgs or alhol or were havg risky sex—or some batn of the three.

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“Marriage equaly and the chang legal stat were an improvement for some gay men, ” says Christopher Stults, a rearcher at New York Universy who studi the differenc mental health between gay and straight men.

In the Netherlands, where gay marriage has been legal sce 2001, gay men rema three tim more likely to suffer om a mood disorr than straight men, and 10 tim more likely to engage “suicidal self-harm. TTravis Salway, a rearcher wh the BC Centre for Disease Control Vanuver, has spent the last five years tryg to figure out why gay men keep killg themselv. By the late 2000s, he was a social worker and epimlogist and, like me, was stck by the growg distance between his straight and gay iends.

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When the dispary first me to light the ’50s and ’60s, doctors thought was a symptom of homosexualy self, jt one of many maniftatns of what was, at the time, known as “sexual versn. “That was the ia I had, too, ” Salway says, “that gay suici was a product of a bygone era, or was ncentrated among adolcents who didn’t see any other way out. He found that gay men everywhere, at every age, have higher rat of rdvascular disease, ncer, ntence, erectile dysfunctn, ⁠ allergi and asthma—you name , we got .

“We see gay men who have never been sexually or physilly asslted wh siar post-trmatic strs symptoms to people who have been bat suatns or who have been raped, ” says Alex Kroghlian, a psychiatrist at the Fenway Instute’s Center for Populatn Rearch LGBT Health.

By the time he got to high school, Adam had learned to manage his mannerisms so well that no one spected him of beg gay.

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And I kept nyg was a problem bee I had always told myself, ‘I’ve e out, I moved to San Francis, I’m done, I did what I had to do as a gay person. For s, this is what psychologists thought, too: that the key stag inty formatn for gay men all led up to g out, that once we were fally fortable wh ourselv, we uld beg buildg a life wh a muny of people who’d gone through the same thg. “It’s like you emerge om the closet expectg to be this butterfly and the gay muny jt slaps the ialism out of you, ” Adam says.

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It got so bad that I ed to go to the grocery store that was 40 mut away stead of the one that was 10 mut away jt bee I was so aaid to walk down the gay street. Several studi have found that livg gay neighborhoods predicts higher rat of risky sex and meth e and ls time spent on other muny activi like volunteerg or playg sports.

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