Dataset Information

Internalized homophobia and sexual risk behavior in men who have sex with men: The mediational role of sexual self-concept.

ABSTRACT: Men who have sex with men (MSM) are one of the populations most likely to be infected with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) worldwide. Sexual risk behaviors (SRB) are the main route of HIV transmission. Among the factors associated with SRB, internalized homophobia (rejection of one's sexuality) is a risk factor unique for MSM. However, how this factor influences SRB is not clear. Therefore, the present study attempts to clarify the mechanism of action of the relationship between internalized homophobia on SRB based on the mediating effects of sexual self-concept. A study was conducted with 124 MSM living in Chile over 18 years of age (M = 24.4 and SD = 4.19). Through path analysis, it was observed that internalized homophobia has slight inverse effects on SRBs (multiple sexual partners and sexual activity under the influence of alcohol or drugs) when the sexual self-efficacy dimension acts as a mediating variable. These findings suggest that developing sexually transmitted infections (STIs) and HIV/AIDS prevention campaigns focused on MSM must highlight the development of a healthy sexual self-concept and address self-stigma.

SUBMITTER: Sepulveda-Paez G

PROVIDER: S-EPMC9614244 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Internalized homophobia and sexual risk behavior in men who have sex with men: The mediational role of sexual self-concept.

Sepúlveda-Páez Geraldy G Santibañez-Palma J Francisco JF Ferrer-Urbina Rodrigo R Atencio Diego D Bucarei Patricia P Castillo Jenifer J Fuentes Matías M Zumarán Bárbara B

Frontiers in psychology 20221014

Men who have sex with men (MSM) are one of the populations most likely to be infected with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) worldwide. Sexual risk behaviors (SRB) are the main route of HIV transmission. Among the factors associated with SRB, internalized homophobia (rejection of one's sexuality) is a risk factor unique for MSM. However, how this factor influences SRB is not clear. Therefore, the present study attempts to clarify the mechanism of ac ...[more]

PMID: 36312057

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Project description:Indian men who have sex with men are disproportionately impacted by HIV. While prevention efforts to date have focused on men who visit drop-in centers or physical cruising sites, little is known about men who are meeting sexual partners on virtual platforms. This paper explores issues related to sexual identity and sexual behaviors in an online sample of men who identified as gay (n?=?279) or bisexual (n?=?123). There were significant differences in outedness between the two groups, with 48% of bisexually identified men reporting that they were out to "no one" and 82% stating that they present themselves as heterosexual to family and friends. Corresponding rates for gay-identified men were 15% and 41%, respectively (both p?<?.001). Twenty-nine percent of bisexually identified men reported being married, compared to only 3% of the gay-identified men (p?<?.001). Bisexually identified men were also more likely to report having exclusively insertive anal sex (49% vs 30% p?<?.001), while gay-identified men were more likely to report exclusively receptive anal sex (41% vs 13% p?<?.0001). Rates of unprotected anal sex (UAS) in the two groups were similar; however, married men were significantly more likely to report unprotected vaginal sex (76% vs 35%, p?<?.012). Positive attitudes toward UAS and lower self-efficacy were associated with sexual risk in both groups; however, substance use was associated with sexual risk only among bisexually identified men. These findings show that a large proportion of Indian bisexually identified men lead closeted lives, especially in their interactions with friends and family, with the vast majority presenting as heterosexual. The lower condom use with wives may be due to societal pressures to have children. The results suggest that bisexually identified men may benefit from targeted programs and non-directive, non-judgmental individual or couples counseling which emphasizes condom use with both male and female partners.

Dataset Information

Internalized homophobia and sexual risk behavior in men who have sex with men: The mediational role of sexual self-concept.

Publications

Internalized homophobia and sexual risk behavior in men who have sex with men: The mediational role of sexual self-concept.

Similar Datasets

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