Someexamples of how diverse sexual expressions were condoned and celebrated in Asian Pacific Island cultures include the hijras in South Asia, the bakla in the Philippines, the kathoey in Thailand, and mahu among native Hawaiians. Despite this diversity, rates of unsafe sexual activity between MSM of different Asian and Pacific Islander ethnic groups in the U.S. do not seem to be significantly different (Choi et al., 2002). More importantly, Choi et al.