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There used to be a lot more, but the number of bars is decreasing. Are urisen widely known in Japan? When we speak about the film with Japanese people, we have to explain to them what it means because many have not heard of the word. This is the opposite. The average age they told us was 20 to And did they all identify as straight?

They all present as straight in the bar. Two of them identified as bisexual in interviews, but many think, This is how I need to understand my situation or else I cannot do it. Some people simply cannot be gay. Tell me about cultural acceptance of prostitution in Japan.

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Not necessarily. Traditionally, gay people have been less able to live their lives openly. So they use bars like these as an outlet for their sexuality. What does that mean exactly? People were more fluid. There are famous stories of samurai having male lovers. Men would have deep emotional relationships with other men. Older scholars, teachers or Buddhist priests would take on young prepubescent students and have sexual relationships with them.

How did you get access to the urisen? Adrian and I were in 2-Chome for 10 months trying to develop relationships with the bars and some of the boys. Why were they there? Some of them ran away from home. The tsunami? After the disaster, there was an influx of people coming to Tokyo to do sex work. Two of the boys in the film who are currently working as urisens came from the disaster area.

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One of them lost his house in the tsunami. Another lost his job due to the nuclear meltdown. We generally look at that as far as it affects women and small children. So when a customer enters the urisen bar, what happens? The boys are sitting on little stools behind the counter when no customers are there. They may be on their phone contacting previous customers asking if they want to come in, reading comic books or playing games on their phone. When the customer does come in, they put the comic book or phone down and stand up so they can be viewed.


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This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article has been cited by other articles in PMC. LGBT community center data, geocoded. S2 File: Number of same-sex couples by United States county, United States census. Methods This study begins with a review of the early intersections of sexuality and health that led to an LGBT health movement in the United States, as well as the evolution of LGBT health services over time.

Findings LGBT community health centers are concentrated within urban hubs and coastal states, and are more likely to be present in areas with a high density of same-sex couples.

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Evolution of LGB T health movement and services The infrastructure for community-based health services was being established with the proliferation of LGB community centers throughout the country. Contemporary landscape of LGBT health services Methods Definitions and criteria To generate an asset map of the contemporary landscape of LGBT health services, several key constructs required operationalization. Table 1 Center types, definitions, and criteria for data collection. As such, these organizations cater to the needs of LGBT people within a specified geographic area who can access the services provided.

Open in a separate window. Fig 1. Fig 2. Fig 3.

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Fig 4. Fig 5. Limitations The research conducted as a part of this study is limited in a few ways. Conclusion As acceptance of LGBT people increases [ 66 , 67 ], the need for specialized services may decrease. XLSX Click here for additional data file. Data Availability All relevant data are within the paper and its Supporting Information files. References 1. Arno PS. The nonprofit sector's response to the AIDS epidemic: American Journal of Public Health. Brier J. Infectious ideas: University of North Carolina Press; Epstein S.

Sexualizing Governance and Medicalizing Identities: Forstein M. A History.

The role of public health in lesbian, gay, bisexual, and transgender health In: Shankle M, editor. The handbook of lesbian, gay, bisexual, and transgender public health: A practitioners guide to service. New York: Routledge; Sexual and gender minority health: What we know and what needs to be done. CenterLink, MAP. Assessing the capacity and programs of lesbian, gay, bisexual, and transgender community centers.

Available from: Sexual healthcare preferences among gay and bisexual men: A qualitative study in San Francisco, California. Race and sexual identity: Perceptions about medical culture and healthcare among Black men who have sex with men. Journal of the National Medical Association. Platzer H, James T.

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Lesbians' experiences of healthcare. Nursing Times Research. Orel NA. Gay, lesbian, and bisexual elders: Expressed needs and concerns across focus groups.


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  4. Journal of Gerontological Social Work. Homophobia as a barrier to HIV prevention service access for young men who have sex with men. Journal of Acquired Immune Deficiency Syndromes. Wilson PA, Yoshikawa H. Improving access to health care among African-American, Asian and Pacific Islander, and Latino lesbian, gay, and bisexual populations In: The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual, and transgender populations. Springer; Armstrong EA. Forging gay identities: Organizing sexuality in San Francisco, — Chicago: University of Chicago Press; D'Emilio J.

    Sexual politics, sexual communities Chicago: The rise and fall of gay: A cultural-historical approach to gay identity development. Erasure of the sexual-minority person in public health discourse.

    LGBTQ+ What do I need to think about and where can I access the service I need?

    Foucault M. The history of sexuality: An introduction, volume I Trans. Hurley Robert. Vintage; Hay H. Radically gay: Gay liberation in the words of its founder Roscoe W, editor. Beacon Press; Esterberg KG. From illness to action: Conceptions of homosexuality in the ladder, — Journal of Sex Research.

    Sexual behaviour in the human male Philadelphia: Saunders; Sexual behaviour in the human female Philadelphia: Ford CS, Beach F. Patterns of sexual behavior New York: Harper and Row; Hooker E. The adjustment of the male overt homosexual. Journal of Projective Techniques ; 21 1: Stryker S.