Structural and environmental factors are associated with internalised homonegativity in men who have sex with men : Findings from the European MSM Internet Survey (EMIS) in 38 countries

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Structural and environmental factors are associated with internalised homonegativity in men who have sex with men : Findings from the European MSM Internet Survey (EMIS) in 38 countries

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Publication Article, peer reviewed scientific
Title Structural and environmental factors are associated with internalised homonegativity in men who have sex with men : Findings from the European MSM Internet Survey (EMIS) in 38 countries
Author(s) Berg, Rigmor C. ; Ross, Michael W. ; Weatherburn, Peter ; Schmidt, Axel J.
Date 2013
English abstract
Internalised homonegativity refers to a gay person's negative feelings about homosexuality and is believed to stem from negative societal stereotypes and attitudes towards homosexuality. Surprisingly, little research has centred on this link. In this research, we aimed to examine the associations between internalised homonegativity and structural forces, cultural influence, and access to sexual health promotion measures among a sample of 144,177 men who have sex with men (MSM) in 38 European countries. Participants were recruited as part of the European MSM Internet Survey (EMIS) during 2010. It was a self-completion, multilingual Internet-based survey for men living in Europe who have sex with men and/or feel attracted to men. Assumed causal relations were tested through multiple regression models. Variables at the structure of rule-systems (macro-level) that were significantly and negatively associated with internalised homonegativity were the presence of laws recognising same-sex relationships and same-sex adoption. In the meso-level model, greater proportions of the population expressing that they would not like to have homosexuals as neighbours predicted higher internalised homonegativity. In the last model, five variables were significantly and negatively associated with internalised homonegativity: being exposed to HIV/STI information for MSM, access to HIV testing, access to STI testing, access to condoms, and experience of gay-related hostility. In turn, men who had tested for HIV in the past year evidenced lower internalised homonegativity. This is the largest and certainly most geographically diverse study to date to examine structural and environmental predictors of internalised homonegativity among MSM. Our results show that one insidious consequence of society's stigma towards homosexuals is the internalisation of that stigma by gay and bisexual men themselves, thus, drawing attention to the importance of promoting social equity for self-acceptance around gay identity in building a positive sense of self.
DOI http://dx.doi.org/10.1016/j.socscimed.2012.11.033 (link to publisher's fulltext)
Publisher Elsevier
Host/Issue Social Science & Medicine;
Volume 78
ISSN 0277-9536
Pages 61–69
Language eng (iso)
Subject(s) Europe
Internalised homonegativity
Men who have sex with men
Predictors
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/15660 (link to this page)

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