HIV and men who have sex with men sexual activity with members of the same sex, regardless of how they personally identify themselves. Many MSM choose not to (or cannot for other reasons) identify as homosexual or bisexual. Similarly, the label excludes men who identify as gay or bisexual, but who have never had sex with another man, including many gay teenagers. The terms MSM and women who have sex with women (WSW) have been used in medical scholarship since at least 1990. But, the term has been attributed to Glick "et al.", because their usage in a 1994 study solidified the concept in medical terminology. MSM is
Hearts Beat Loud and "Everything Must Go", pleasing the onlooking, ever-growing customers, including Leslie and Rose. At summer's end, Red Hook closes and Frank accepts a job at a bar owned by his best friend, Dave. Sam moves to the West Coast to begin her studies and sings “Hearts Beat Loud” solo during an open mic event. In July 2017, Kiersey Clemons joined the cast of the film, with Brett Haley directing from a screenplay he co-wrote with Marc Basch. Houston King, Sam Bisbee, and Sam Slater produced the film, under their Burn Later Productions, Houston King Productions and Park Pictures banners respectively.