Internalized Homonegativity and Its Health-Related Consequences for MSM in San Salvador

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Author(s): Andrinopoulos K, Hembling J.

Year: 2014


Internalized homonegativity (IH) refers to negative attitudes that gay men may have towards homosexuality in general, and towards their own sexual orientation (Mayfield, 2001). It is influenced by a man’s level of agreement or disagreement with negative social beliefs about male homosexuality, and the degree to which those beliefs affect his development of a positive sexual identity (Fassinger & Miller, 1996).  In this research brief, we examine IH and its relationship to health among men who have sex with men (MSM) in San Salvador, El Salvador. The first objective is to assess the influence of IH on health for MSM. The health-related outcomes examined include suicide, overall mental well-being, health seeking behavior, and sexual risk behavior. The second objective is to identify factors that influence IH and ways to prevent it among MSM.

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