I live in NZ. On an island. With a small population. So there's no endless cities I can flee to, no job hopping, no endless line of men to sleep with. Which contrasts rather dramatically with Mr Downs very Southern Californian and American worldview that permeates through the first two thirds of this book.
Despite that, Mr Downs fortunately leaves enough material for me to hang my particular circumstances on; I had to do some mental aerobics but I found that his perspectives did apply, a little roughly, to my circumstances. Roughly.
But I think his insights are invaluable, because they apply to gay men, a subject area that receives little consideration. I found his arguments persuasive. I found the later half of the book applied to me, much more than the first half. I found overall, his book to be helpful.