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At the same time, John R. Diggs, M.D. states the following:

At the same time, John R. Diggs, M.D. states the following:

"An extensive study in the Netherlands undermines the assumption that homophobia is the cause of increased psychiatric illness among gays and lesbians. The Dutch have been considerably more accepting of same-sex relationships than other Western countries — in fact, same-sex couples now have the legal right to marry in the Netherlands. So a high rate of psychiatric disease associated with homosexual behavior in the Netherlands means that the psychiatric disease cannot so easily be attributed to social rejection and homophobia." [http://www.catholiceducation.org/articles/homosexuality/ho0075.html]

"An extensive study in the Netherlands undermines the assumption that homophobia is the cause of increased psychiatric illness among gays and lesbians. The Dutch have been considerably more accepting of same-sex relationships than other Western countries — in fact, same-sex couples now have the legal right to marry in the Netherlands. So a high rate of psychiatric disease associated with homosexual behavior in the Netherlands means that the psychiatric disease cannot so easily be attributed to social rejection and homophobia." [http://www.catholiceducation.org/articles/homosexuality/ho0075.html] However, unlike the UCLA study, the study in the Netherlands did not have any measure for perceived discrimination on the part of the individuals surveyed, so, lacking any other empirical support to suggest that the level of discrimination experienced by homosexuals in the Netherlands is dramatically lower than that experienced in the United States, it is difficult to distinguish this remark from speculation.

=== Anal Cancer ===

=== Anal Cancer ===