"Critics cite a fractured and conservative political establishment, a macho culture and the presence and outsized influence of the Vatican for Italy's laggardly approach to gay rights. They say that though the situation has improved for gays and lesbians in Italy's big cities which boast gay social venues and community centers, life for homosexuals in small towns and rural villages often remains an oppressed and closeted one."
The answer for the conservative societies is a difficult one but the need to assure that LGBT persons are safe and free is important. Living a quiet LGBT life in a conservative community may be a regard that is acceptable. The 'oppression' and 'closeted life' is a concern. Somehow care and regard for LGBT people is essential in these societies.