Salt Lake City, Utah also made the top 10, at 4.7% — a somewhat surprising find, given Utah's reputation as one of the most conservative states in the union.

As the survey notes, however, Utah remains one of the only states to have passed a law prohibiting discrimination based on sexual orientation.

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The institute also found that bisexuals make up 1.8% of the population, while 1.7% are gay or lesbian. Among the nation's 50 largest metropolitan areas, San Francisco has the highest percentage of people who identify as lesbian, gay, bisexual or transgender (LGBT) at 6.2%, according to a new survey.

In Portland, Oregon and Austin, Texas, 5.4% and 5.3% of the population identifies as LGBT, respectively, well above the national average of 3.6%.

Street drag racing and prostitution are also problems in the state's urban areas.

As with most locations in the United States, a major cause of injury and death in Pennsylvania comes from automobile accidents.

Drivers can be down-right hostile on some of the more notorious urban freeways, such as the Schuykill Expressway in Philadelphia, route 22 in Allentown, the 376 in Pittsburgh and on the Interstate 95 corridor in the southeast section of the state.

The roads in Pennsylvania are notoriously bad, so be careful.

The main cities are the aforementioned Philadelphia and Pittsburgh, along with other smaller cities such as Allentown, Erie, Reading, Bethlehem, and Scranton.

In Pennsylvania, prostitution (engaging in sex in exchange for money) is against the law.

They give a very bad name to the escort industry, some rip customers off, have mean pimps, are unprofessional or are not good at their job.

If this is your first time, you could end up having a very negative escort experience.

It's possible also to hire a webcam model to a private chat room where you can ask the person to fulfill your fantasies.