Often, we perceive a world with only two choices for social needs. Choice two, jumping into gay bars and baths where overt sexual behavior is often implied. Behavior that can lead to higher risk of venereal disease. These two stark choices are an issue for single people. Single folks of either homosexual or heterosexual orientation.
Overt sex can be the main source of human contact for a segment of the population.
American, people tend to think in extremes. Often the choices, especially in small towns, are limited. I have passed through small towns, on my bicycle tours, where a bar is the only public space in town. The bar can include everything from grocery store to post office to recreation center. One must enter its smoky environment to access any of these things.