This makes it very clear.
Rom 1:26 Worse followed. Refusing to know God, they soon didn't know how to be human either--women didn't know how to be women, men didn't know how to be men.
Rom 1:27 Sexually confused, they abused and defiled one another, women with women, men with men--all lust, no love. And then they paid for it, oh, how they paid for it--emptied of God and love, godless and loveless wretches.
Rom 1:28 Since they didn't bother to acknowledge God, God quit bothering them and let them run loose.
Rom 1:29 And then all hell broke loose: rampant evil, grabbing and grasping, vicious backstabbing. They made life hell on earth with their envy, wanton killing, bickering, and cheating. Look at them: mean-spirited, venomous,
Rom 1:30 fork-tongued God-bashers. Bullies, swaggerers, insufferable windbags! They keep inventing new ways of wrecking lives. They ditch their parents when they get in the way.
Rom 1:31 Stupid, slimy, cruel, cold-blooded.
Rom 1:32 And it's not as if they don't know better. They know perfectly well they're spitting in God's face. And they don't care--worse, they hand out prizes to those who do the worst things best!