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Men who have Sex with Men (MSM) are often exposed to stigma and discrimination, especially in developing countries. Discrimination might have an impact on their sexual behavior. The proportion of MSM among HIV positive persons is rising in Bosnia and Herzegovina (BH). The aim of this qualitative study was to understand the country context and HIV-related risk behaviors among MSM in BH. We found that MSM in BH have a dominant fear of expressing their sexual orientation in the homophobic societal environment, including thei