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Studies show a concordance of sexual orientation in male twins who are raised apart, lending support to the idea that biological factors greatly contribute to the development of sexual orientation.Likewise, Bell and colleagues conducted a study of 1500 individuals identified as gay and lesbian through detailed interviews involving various aspects of their childhood environment, including parental relationships.He concluded that by the time an individual is aged 20 years, nearly 28% of young men and 17% of young women had at least one homosexual experience.Approximately 10% of those polled considered themselves to be predominantly homosexual.Fewer than 33% of subjects with predominantly homosexual fantasies, attractions, or behaviors actually identified themselves as homosexual or bisexual.These figures suggests that most adolescents who might be experiencing same-sex attractions are reluctant to label themselves as GLB.

Although the teen may view anonymity as a benefit, the use of these Internet chat rooms can lead to risky sexual practices or even to sexual exploitation by adult predators.Teenagers in this developmental phase may try to deny or change their homosexual feelings; some may display outward hostility toward persons who are GLB, sometimes to the point of harassment or violence.This distancing from the acceptance of sexual orientation is termed dissociation, and acting "macho" to the level of antisocial behavior is termed signification.The practitioner's knowledge and sensitivity regarding sexuality issues strongly influences the patient's comfort level in seeking optimal health care in the future.In the 1950s, Kinsey conducted the first modern sexuality studies.

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