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

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

doi:10.1080/19359705.2015.1024375

Cited by 47 publications

(40 citation statements)

References 50 publications

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“…Not unexpectedly, results from the data analysis indicated that more social engagement in the form of gay-centered volunteering was related to decreased IH. This finding is consistent with other research indicating IH was lower in GBM who reported recently visiting gay social venues (Berg et al, 2015). Volunteering for LGBTQ organizations may provide emotional support and satisfaction, which is known to play a role in the mental health of older GBM (Lyons, 2016).…”

Section: Demographic and Social Characteristicssupporting

confidence: 93%

“…Internalized homonegativity was influenced by partnership status, that is, higher among those men who reported being single (not currently in a steady relationship with a man), consistent with other findings (Berg, Weatherburn, Ross, & Schmidt, 2015). This finding may be influenced by the known benefits of social support (which can be obtained in intimate relationships and gay-affirming social interaction).…”

Section: Demographic and Social Characteristicssupporting

confidence: 89%

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Psychosocial and Behavioral Correlates of Internalized Homonegativity in Midlife and Older Gay and Bisexual Men

2019

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This study investigated psychosocial and demographic variables that might influence internalized homonegativity (IH) in midlife and older gay and bisexual men (GBM). Data were collected from 802 community-dwelling GBM aged 40 to 94 years ( M = 54.8) through an anonymous questionnaire that assessed levels of IH, coping self-efficacy, self-silencing, and other characteristics. Multivariate logistic regression analysis successfully explained 22% of the variance in predicting IH, which was significantly related to coping self-efficacy, self-silencing, gay community volunteering, partnership status, and race, F = 59.74, p < .001. IH scores were highest in participants who were single, had lower education levels, were non-White, were less involved in gay community volunteering, experienced less coping self-efficacy, and reported higher levels of self-silencing behaviors. These data underscore the need for more tailored programming approaches for midlife and older GBM, focusing on underlying factors contributing to IH that include skill-building to increase coping self-efficacy, community involvement, and decrease self-silencing behaviors in this overlooked population.

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Section: Demographic and Social Characteristicssupporting

confidence: 93%

Section: Demographic and Social Characteristicssupporting

confidence: 89%

Psychosocial and Behavioral Correlates of Internalized Homonegativity in Midlife and Older Gay and Bisexual Men

2019

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“…For people dealing with the effects of personal, social and sexual invalidation, interpersonal relationships are made challenging and difficulties with social connectedness have been identified (Keogh et al 2009;Hickson et al 2001;Bourne et al 2013;Chaney and Burns-Wortham 2015;Berg et al 2015;Herrick et al 2014;Chard et al 2015). All study participants referred to deep-seated challenges in finding and maintaining emotional relationships in the pressured environment of the gay scene, which focused cultural narratives and interpersonal relations on sexual themes, and facilitated sexual interactions but limited opportunities for more profound relationships.…”

Section: The Cultural Environment Of Chemsexmentioning

confidence: 99%

Syndemics of stigma, minority-stress, maladaptive coping, risk environments and littoral spaces among men who have sex with men using chemsex

Pollard

Nadarzynski

Llewellyn

2017

Culture, Health & Sexuality

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There has been a steep rise in the use of drugs during sex (chemsex) by some men who have sex with men in economically developed countries, with associated increases in sexual risk for HIV and other STIs. This paper presents data from telephone interviews with 15 men attending sexual health clinics for post-exposure prophylaxis following a chemsex-related risk for HIV and discusses some of the theoretical approaches that have been employed to understand chemsex and inform interventions. Interviews were conducted as part of a larger intervention study, which used an adapted version of motivational Interviewing to explore risk behaviour and support change. Participants conceptualised their chemsex and HIV-related risks in a psycho-social context, highlighting the influences of psycho-socio-cultural challenges of homophobic marginalisation and the 'gay scene' on behaviour. Multiple influences of stigma, marginalisation, minority stress and maladaptive coping (including drug-use) contribute to syndemic 'risk-environments' and 'littoral spaces' in which chemsex and risk behaviours are played out.

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“…It has also been suggested that health professionals who ‘promote gay self‐acceptance and facilitate activities aimed at enhancing contacts among gay people’ are valuable for MSM mental health and overall well‐being (Berg et al . ). This study's results emphasise how important it is that all test service providers take an approach that is sensitive to sexual orientation and that they provide HIV and STI testing based on the patient's sexual history.…”

Section: Discussionmentioning

confidence: 97%

Motivators and barriers for HIV testing among men who have sex with men in Sweden

Persson

Berglund

Bergström

et al. 2016

Journal of Clinical Nursing

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Aims and objectives To explore motivators and barriers to HIV testing and to assess the factors associated with testing among men who have sex with men. Background Previous research has considered fear, worries and structural barriers as hindrances to HIV testing among men who have sex with men. However, few studies have included assessments of actual HIV testing when exploring barriers or motivators for such testing. Design The design of the study was a stratified cross‐sectional online survey (n = 2373). Method Factor analysis was conducted to analyse the barriers and motivators for HIV testing. Logistic regression analysis was conducted to assess predictors for HIV testing. Results Many men who have sex with men test for HIV regularly, and specific reasons for testing were having unprotected sex or starting/ending a relationship. A lack of awareness and a perception of being at low risk for exposure were common reasons for never being tested. Fear and anxiety as well as barriers related to the use of test services remain important hindrances for testing. Predictors associated with having been tested within the past 12 months were: younger age (15–25 years old compared with 47+); knowledge on where to take an HIV test on short notice as well as having talked with a counsellor, having received condoms for free, or having had unprotected anal intercourse with casual partners within the last 12 months. Conclusion Easily accessible test services offering testing and counselling on short notice should be available for all men who have sex with men. Outreach activities, distribution of free condoms and testing at venues where men who have sex with men meet are important prevention add‐ons that can contribute to increased awareness about HIV and testing. Relevance to clinical practice Test services must ensure confidentiality and health care professionals who meet men who have sex with men for testing need competency with regards to men who have sex with men sexual health needs.

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

Abstract: The objective of this article is to examine internalized homonegativity (IH)

Cited by 47 publications

References 50 publications

Psychosocial and Behavioral Correlates of Internalized Homonegativity in Midlife and Older Gay and Bisexual Men

Psychosocial and Behavioral Correlates of Internalized Homonegativity in Midlife and Older Gay and Bisexual Men

Syndemics of stigma, minority-stress, maladaptive coping, risk environments and littoral spaces among men who have sex with men using chemsex

Motivators and barriers for HIV testing among men who have sex with men in Sweden

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