The high prevalence of people from the West on this list may be due to societal attitudes toward homosexuality. The Pew Research Center's 2003 Global Attitudes Survey found that "[p]eople in Africa and the Middle East strongly object to societal acceptance of homosexuality. Opinion in Europe is split between West and East. Majorities in every Western European nation surveyed say homosexuality should be accepted by society, while most Russians, Poles and Ukrainians disagree. Americans are divided – a thin majority (51 percent) believes homosexuality should be accepted, while 42 percent disagree."[4] Attitude towards homosexuality in Latin American countries have increasingly been more legally tolerant, but the traditional society and culture in even major countries like Mexico and Brazil have nevertheless remained rather unaccepting and taboo about the subject.

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