The objective of this article
is to examine internalized homonegativity (IH) in relation to aspects of
well-being and several measures of clinical importance among
men-who-have-sex-with-men (MSM) in 38 countries. The data were collected as
part of the EMIS project.
The multivariable regression analysis identified
independent associations with IH for nongay identity, younger age, being
closeted, limited gay social affiliation, and sexual unhappiness. IH was also
positively associated with loneliness, inability to decline unwanted sex, and
being less knowledgeable about HIV and HIV testing.
These results provide
evidence that homonegative internalization merits consideration as a
predisposing factor in several aspects of ill health. There are also several
clinical implications of this project, including: (1) Treatment of lesbian,
gay, and bisexual (LGB) persons should address gay self-acceptance, as
internalized homonegativity seems to be a predisposing factor in several
aspects of ill health among this population, and (2) therapy that is used to
help LGB persons accept and integrate a gay or lesbian identity seems
particularly important for younger, nongay identified persons.
Full article at: http://goo.gl/mMZFAC
By:
aNorwegian Knowledge Center for the Health Services, Oslo, Norway
bDepartment of Social & Environmental Health
ResearchLondon School of Hygiene and Tropical Medicine, London, England
cMalmö University, Sweden; and Department of Medicine and
Community Health, University of Minnesota, Minneapolis, Minnesota,USA
Address correspondence to Rigmor C. Berg, PhD, Norwegian
Knowledge Center for the Health Services, PO Box 7004, St Olavsplass, OsloN-0130, Norway. E-mail:on.ckon@greb.romgir
More at: https://twitter.com/hiv_insight
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