The impact of internalized homophobia on HIV preventive interventions
The impact of internalized homophobia on HIV preventive interventions
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DOI：
10.1023/a:1015325303002
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发表时间：
2002-06-01
影响因子：
3.1
通讯作者：
Aiken, LS
中科院分区：
文献类型：
--
作者：
Huebner, DM;Davis, MC;Aiken, LS
越来越多的研究表明，内在化的同性恋恐惧症--男同性恋者和女同性恋者对社会反同性恋情绪的内在化--是导致男同性恋者和双性恋者与艾滋病毒相关的性行为风险行为的一个因素。尽管越来越多的证据表明内在化的同性恋恐惧症与性危险行为有关，但还没有研究探索内在化的同性恋恐惧症对预防这些行为的影响。本文考察了内在化的同性恋恐惧症对男同性恋者和双性恋者对社区艾滋病毒预防组织提供的计划的认识、参与和认知的影响。在研究1中，595名男同性恋者和双性恋者报告了他们对一个社区组织提供的艾滋病毒预防规划的认识和参与程度。内在化的同性恋恐惧症与男性对该组织提供的服务的认识呈负相关。然而，在知道至少一项服务的男性中，内在化的同性恋恐惧症并不能进一步预测服务的利用率。研究2调查了同志和双性恋男子，他们参加了一项团体结构的、以社区为基础的艾滋病毒预防干预活动。干预前后对避孕套使用的自我效能感的改变与内在化的同性恋恐惧症呈负相关。内在化的同性恋恐惧症也是一个重要的负面预测因素，表明参与者在多大程度上感到与群体中的其他成员相似并关系良好。总而言之，这些发现表明，内在化的同性恋恐惧症可能会对以社区为基础的艾滋病毒预防努力构成多重障碍。
A growing body of research implicates internalized homophobia-the internalization of society's antihomosexual sentiments by gay and lesbian people-as a factor contributing to HIV-related sexual risk behavior in gay and bisexual men. Although accumulating evidence links internalized homophobia and sexual risk behavior, no study has explored the impact of internalized homophobia on efforts to prevent these behaviors. This paper examines the effect of internalized homophobia on gay and bisexual men's awareness of, participation in, and perceptions of programs offered by a community-based HIV prevention organization. In Study 1, 595 gay and bisexual men reported their levels of awareness of and participation in HIV prevention programming offered by one community organization. Internalized homophobia was negatively related to men's awareness of the services offered by the organization. However, among the men who were aware of at least one service, internalized homophobia did not further predict service utilization. Study 2 examined 89 gay and bisexual men who participated for a single session in a group-structured, community-based HIV preventive intervention. Pre- to immediate postintervention change in perceptions of condom use self-efficacy was inversely related to internalized homophobia. Internalized homophobia was also a significant negative predictor of the extent to which participants felt similar to and related well with other members of the group. Together, these findings suggest that internalized homophobia may pose multiple barriers to community-based HIV prevention efforts.