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Identity, however, is not always consistent with behavior for example, some gay-identified men also have sex with women, and some heterosexually identified men also have sex with men ( Doll et al., 1992 Montgomery, Mokotoff, Gentry, & Blair, 2003 Ross, Essien, Williams, & Fernandez-Esquer, 2003). One aspect of self-concept is sexual orientation identity, which includes, among others, definitions of the self as heterosexual or straight, homosexual or gay, and bisexual.

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Conceptions of self can have consequences for health in general, and sexual risk in particular ( Courtenay, 2000 Goodyear, Newcomb, & Allison, 2000 Marín, Gómez, Tschann, & Gregorich, 1997).

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