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{{Cquote|Gay liberation in the 1970s was accompanied by an explosion of gay sexuality, especially in tolerant cities such as [[Los Angeles]], [[New York]] and [[San Francisco]], where gays concentrated. The director of the New York City Department of Health describes the situation as follows: "By their own reports, many men had large numbers of sexual partners annually, often numbering in the hundreds and even in the thousands. Frenetic casual and anonymous sex was widespread among homosexual and [[Bisexuality|bisexual]] men. Bathhouses, back rooms of bars and clubs, and other public settings such as erotic bookstores and movie theaters were, in effect, wide open...these practices and more were accompanied by extremely high rates of sexually transmitted diseases and set the scene for the rapid transmission of [[HIV]] once it appeared in the late 1970s. Rates of rectal and oral [[gonorrhea]] in males soared..."<ref>Journal of Sex Research article found at findarticles.com</ref>}}}}