Moderators of the Relationship Between Internalized Homophobia and Risky Sexual Behavior in Men Who Have Sex with Men: A Meta-Analysis
Moderators of the Relationship Between Internalized Homophobia and Risky Sexual Behavior in Men Who Have Sex with Men: A Meta-Analysis
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DOI：
10.1007/s10508-009-9573-8
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发表时间：
2011-02-01
影响因子：
3.8
通讯作者：
Mustanski, Brian
中科院分区：
文献类型：
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作者：
Newcomb, Michael E.;Mustanski, Brian
对内化同性恋恐惧症（IH）的研究一直将其与心理和身体健康结果联系起来，而对其与其他变量关系的研究则不一致。一些研究和理论支持IH与危险性行为之间的联系，但这些研究大多受到方法问题、测量方法不同以及得出的结果不一致的困扰。更好地理解艾滋病毒作为男男性行为（MSM）风险性行为的潜在机制或预测因素的效用，可能有助于为这一人群中艾滋病毒风险的未来研究以及预防干预措施的发展提供信息。目前的研究使用层次线性模型进行荟萃分析，结合多个研究中IH与危险性行为之间关系的效应大小。此外，多层建模技术的使用允许对年龄、数据收集年份和出版物类型对这种关系的调节作用进行评估。16项研究荟萃分析了IH与危险性行为之间的关系（N = 2,837），揭示了这种关系的总体效应较小。然而，在数据收集的年份中发现了显著的调节效应，因此这两个变量之间的相关性随着时间的推移而降低。目前这一概念在理解男男性接触者的性冒险方面的效用受到了质疑。
Research on internalized homophobia (IH) has consistently linked it to both mental and physical health outcomes, while research on its relationships with other variables has been inconsistent. Some research and theory support the association between IH and risky sexual behavior, but much of this research has been plagued by methodological issues, varying measures, and has produced inconsistent findings. Coming to a better understanding of the utility of IH as a potential mechanism or predictor of risky sex in men who have sex with men (MSM) may help to inform future studies of HIV risk in this population as well as the development of prevention interventions. The current study used hierarchical linear modeling to perform meta-analysis combining effect sizes across multiple studies of the relationships between IH and risky sexual behavior. Additionally, the use of multilevel modeling techniques allowed for the evaluation of the moderating effects of age, year of data collection, and publication type on this relationship. Sixteen studies were meta-analyzed for the relationship between IH and risky sexual behavior (N = 2,837), revealing a small overall effect size for this relationship. However, a significant moderating effect was found for the year of data collection, such that the correlation between these two variables has decreased over time. The current utility of this construct for understanding sexual risk taking of MSM is called into question.