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This limited the salience of response options for men who were polyamorous, including those who might otherwise report having both main male and main female partners because the main MACS survey instrument only allowed participants to choose oneвЂњmainвЂќ partner. The MACS has not measured sexual identity; because MSMW may not identify as bisexual and because men who identify as bisexual may not necessarily have sex with both men and women our results should not be considered to apply specifically to bisexually identified men though it measures sexual behavior. Although the current study has a fairly wide timeframe (7 years), MACS individuals whom passed away or dropped away from (or had been censored from) the analysis before 2002, or those that reported sex with women and men before 2002 or after 2009 had been excluded from analyses, therefore outcomes might not be representative of this complete MACS cohort from 1983 to present. (more…)