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Berg RC, Weatherburn P, Ross MW, et al. The Relationship of Internalized Homonegativity to Sexual Health and Well-Being Among Men in 38 European Countries Who Have Sex With Men. J Gay Lesbian Ment Health. 2015;19(3):285-302doi: 10.1080/19359705.2015.1024375.
Berg, R. C., Weatherburn, P., Ross, M. W., & Schmidt, A. J. (2015). The Relationship of Internalized Homonegativity to Sexual Health and Well-Being Among Men in 38 European Countries Who Have Sex With Men. Journal of gay & lesbian mental health, 19(3), 285-302. https://doi.org/10.1080/19359705.2015.1024375
Berg, Rigmor C, et al. "The Relationship of Internalized Homonegativity to Sexual Health and Well-Being Among Men in 38 European Countries Who Have Sex With Men." Journal of gay & lesbian mental health vol. 19,3 (2015): 285-302. doi: https://doi.org/10.1080/19359705.2015.1024375
Berg RC, Weatherburn P, Ross MW, Schmidt AJ. The Relationship of Internalized Homonegativity to Sexual Health and Well-Being Among Men in 38 European Countries Who Have Sex With Men. J Gay Lesbian Ment Health. 2015 Jul 03;19(3):285-302. doi: 10.1080/19359705.2015.1024375. Epub 2015 Apr 20. PMID: 26692916; PMCID: PMC4647863.
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J Gay Lesbian Ment Health. 2015 Jul 03;19(3):285-302. doi: 10.1080/19359705.2015.1024375. Epub 2015 Apr 20.

The Relationship of Internalized Homonegativity to Sexual Health and Well-Being Among Men in 38 European Countries Who Have Sex With Men.

Journal of gay & lesbian mental health

Rigmor C Berg, Peter Weatherburn, Michael W Ross, Axel J Schmidt

Affiliations

  1. Norwegian Knowledge Center for the Health Services , Oslo , Norway.
  2. Department of Social & Environmental Health ResearchLondon School of Hygiene and Tropical Medicine , London , England.
  3. Malmö University, Sweden; and Department of Medicine and Community Health, University of Minnesota , Minneapolis , Minnesota,USA.

PMID: 26692916 PMCID: PMC4647863 DOI: 10.1080/19359705.2015.1024375

Abstract

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.

Keywords: HIV; health-care needs; internalized homonegativity; mental health

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