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Readers of an earlier version of this article—having been convinced by arguments against MSM and WSW —were frustrated that we did not provide a list of acceptable terms and usages. In modern social studies of sexuality, distinctions have been made among sexual identities, desires, and behaviors. MSM and WSW have become ubiquitous terms in public health discourse but have failed to live up to their promise. The first is an epidemiological perspective: by using identity-free terms, epidemiologists sought to avoid complex social and cultural connotations that, according to a strict biomedical view, have little to do with epidemiological investigation of diseases. Using inappropriate constructs can compromise the integrity of our work. Men who have sex with men MSM and women who have sex with women WSW are purportedly neutral terms commonly used in public health discourse.

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Perhaps because of the conflict between these perspectives—or because labels, once unleashed, tend to develop a dynamic of their own—the labels MSM and WSW have accomplished few if any of the aims that prompted them.

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Race and sexual identity: perceptions about medical culture and healthcare among black men who have sex with men. This focus on anal sex and condom use is reductionist; it narrows the sexual possibilities for gay and bisexual men of color. Berkeley, Calif: University of California Press;

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