Another report suggested that from the mid-1980s onwards, Catholic priests in the US were dying from AIDS-related illnesses at a rate four times higher than that of the general population, with most of the cases contracted through gay sex, and the cause often concealed on their death certificates. A follow-up study the next year by the "Kansas City Star" found the AIDS-related death rate among priests was "more than six times" the rate among the general population in the 14 states studied. Bishop Thomas Gumbleton of the Archdiocese of Detroit, has suggested that this was because, "Gay priests and heterosexual priests didn't know how to handle their sexuality, their sexual drive. And so they would handle it in ways that were not healthy." Additionally, the report suggested that some priests and behavioral experts believed the Church had "scared priests into silence by treating homosexual acts as an abomination and the breaking of celibacy vows as shameful". Gumbleton has gone on to argue that the Church should openly ordain gay men.