Internalised homophobia is differentially associated with sexual risk behaviour by race/ethnicity and HIV serostatus among substance-using men who have sex with men in the United States

ObjectivesThere is a continuing need to identify factors associated with risk for HIV transmission among men who have sex with men (MSM), including a need for further research in the ongoing scientific debate about the association of internalised homophobia and sexual risk due partly to the lack of...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Sexually transmitted infections 2015-08, Vol.91 (5), p.324-328
Hauptverfasser: Mansergh, Gordon, Spikes, Pilgrim, Flores, Stephen A, Koblin, Beryl A, McKirnan, David, Hudson, Sharon M, Colfax, Grant N
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 328
container_issue 5
container_start_page 324
container_title Sexually transmitted infections
container_volume 91
creator Mansergh, Gordon
Spikes, Pilgrim
Flores, Stephen A
Koblin, Beryl A
McKirnan, David
Hudson, Sharon M
Colfax, Grant N
description ObjectivesThere is a continuing need to identify factors associated with risk for HIV transmission among men who have sex with men (MSM), including a need for further research in the ongoing scientific debate about the association of internalised homophobia and sexual risk due partly to the lack of specificity in analysis. We assess the association of internalised homophobia by race/ethnicity within HIV serostatus for a large sample of substance-using MSM at high risk of HIV acquisition or transmission.MethodsConvenience sample of substance-using (non-injection) MSM reporting unprotected anal sex in the prior 6 months residing in Chicago, Los Angeles, New York and San Francisco. The analytic sample included HIV-negative and HIV-positive black (n=391), Latino (n=220), and white (n=458) MSM. Internalised homophobia was assessed using a published four-item scale focusing on negative self-perceptions and feelings of their own sexual behaviour with men, or for being gay or bisexual. Analyses tested associations of internalised homophobia with recent risk behaviour, stratified by laboratory-confirmed HIV serostatus within race/ethnicity, and controlling for other demographic variables.ResultsIn multivariate analysis, internalised homophobia was inversely associated (p
doi_str_mv 10.1136/sextrans-2014-051827
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1698020515</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1698020515</sourcerecordid><originalsourceid>FETCH-LOGICAL-b393t-c1bd012392ee0c994cd037bf6fad2205f720af27a87f76fecfa30bf8992203e13</originalsourceid><addsrcrecordid>eNqNkc1u1TAUhCMEoqXlDRDykk16_ZPEyRJV0F6pEgtot5HtHBOXxL74OLT30Xi7OkrLmpV97JlvbE1RfGD0gjHR7BAeU1QeS05ZVdKatVy-Kk5ZJXkpeCNe571o2rLqpDgp3iHeU0obWXdvixNe14w3jTwt_u59gujV5BAGMoY5HMagnSIOyeCshQg-OTVNR6IQg3EqZd2DSyPJD1jURKLDX0TDqP64sESijyQqAztIo3fGpezzA7ne32V9DJhUWpCoOfifBBedZ2-gXNDleQZPHsZAMgpW-haznjpP0gjk1rs1_XuGAJ4Xb6yaEN4_r2fF7dcvPy6vy5tvV_vLzzelFp1IpWF6oIyLjgNQ03WVGaiQ2jZWDZzT2kpOleVStdLKxoKxSlBt267LtwKYOCs-bdxDDL8XwNTPDg1Mk_IQFuxZ07U0g1idpdUmNfmnGMH2h-hmFY89o_1aWv9SWr-W1m-lZdvH54RFzzD8M720lAW7TaDn-_9DPgFSK6m7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1698020515</pqid></control><display><type>article</type><title>Internalised homophobia is differentially associated with sexual risk behaviour by race/ethnicity and HIV serostatus among substance-using men who have sex with men in the United States</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Mansergh, Gordon ; Spikes, Pilgrim ; Flores, Stephen A ; Koblin, Beryl A ; McKirnan, David ; Hudson, Sharon M ; Colfax, Grant N</creator><creatorcontrib>Mansergh, Gordon ; Spikes, Pilgrim ; Flores, Stephen A ; Koblin, Beryl A ; McKirnan, David ; Hudson, Sharon M ; Colfax, Grant N ; Project MIX Study Group</creatorcontrib><description>ObjectivesThere is a continuing need to identify factors associated with risk for HIV transmission among men who have sex with men (MSM), including a need for further research in the ongoing scientific debate about the association of internalised homophobia and sexual risk due partly to the lack of specificity in analysis. We assess the association of internalised homophobia by race/ethnicity within HIV serostatus for a large sample of substance-using MSM at high risk of HIV acquisition or transmission.MethodsConvenience sample of substance-using (non-injection) MSM reporting unprotected anal sex in the prior 6 months residing in Chicago, Los Angeles, New York and San Francisco. The analytic sample included HIV-negative and HIV-positive black (n=391), Latino (n=220), and white (n=458) MSM. Internalised homophobia was assessed using a published four-item scale focusing on negative self-perceptions and feelings of their own sexual behaviour with men, or for being gay or bisexual. Analyses tested associations of internalised homophobia with recent risk behaviour, stratified by laboratory-confirmed HIV serostatus within race/ethnicity, and controlling for other demographic variables.ResultsIn multivariate analysis, internalised homophobia was inversely associated (p&lt;0.05) with recent unprotected anal sex among black MSM, and not significantly associated with sexual risk behaviour among white and Latino MSM.ConclusionsMore research is needed to further identify nuanced differences in subpopulations of MSM, but these results suggest differentially targeted intervention messages for MSM by race/ethnicity.</description><identifier>ISSN: 1368-4973</identifier><identifier>EISSN: 1472-3263</identifier><identifier>DOI: 10.1136/sextrans-2014-051827</identifier><identifier>PMID: 25512667</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Bisexuality - ethnology ; Bisexuality - psychology ; Chicago - epidemiology ; Ethnic Groups ; Health Knowledge, Attitudes, Practice ; HIV Seropositivity - complications ; HIV Seropositivity - psychology ; Homophobia - psychology ; Homosexuality, Male - ethnology ; Homosexuality, Male - psychology ; Humans ; Los Angeles - epidemiology ; Male ; New York - epidemiology ; Risk Factors ; Risk-Taking ; San Francisco - epidemiology ; Self Concept ; Sexual Behavior - ethnology ; Sexual Behavior - psychology ; Sexual Partners - psychology ; Substance-Related Disorders - complications ; Substance-Related Disorders - psychology ; United States - epidemiology</subject><ispartof>Sexually transmitted infections, 2015-08, Vol.91 (5), p.324-328</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b393t-c1bd012392ee0c994cd037bf6fad2205f720af27a87f76fecfa30bf8992203e13</citedby><cites>FETCH-LOGICAL-b393t-c1bd012392ee0c994cd037bf6fad2205f720af27a87f76fecfa30bf8992203e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://sti.bmj.com/content/91/5/324.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://sti.bmj.com/content/91/5/324.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25512667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mansergh, Gordon</creatorcontrib><creatorcontrib>Spikes, Pilgrim</creatorcontrib><creatorcontrib>Flores, Stephen A</creatorcontrib><creatorcontrib>Koblin, Beryl A</creatorcontrib><creatorcontrib>McKirnan, David</creatorcontrib><creatorcontrib>Hudson, Sharon M</creatorcontrib><creatorcontrib>Colfax, Grant N</creatorcontrib><creatorcontrib>Project MIX Study Group</creatorcontrib><title>Internalised homophobia is differentially associated with sexual risk behaviour by race/ethnicity and HIV serostatus among substance-using men who have sex with men in the United States</title><title>Sexually transmitted infections</title><addtitle>Sex Transm Infect</addtitle><description>ObjectivesThere is a continuing need to identify factors associated with risk for HIV transmission among men who have sex with men (MSM), including a need for further research in the ongoing scientific debate about the association of internalised homophobia and sexual risk due partly to the lack of specificity in analysis. We assess the association of internalised homophobia by race/ethnicity within HIV serostatus for a large sample of substance-using MSM at high risk of HIV acquisition or transmission.MethodsConvenience sample of substance-using (non-injection) MSM reporting unprotected anal sex in the prior 6 months residing in Chicago, Los Angeles, New York and San Francisco. The analytic sample included HIV-negative and HIV-positive black (n=391), Latino (n=220), and white (n=458) MSM. Internalised homophobia was assessed using a published four-item scale focusing on negative self-perceptions and feelings of their own sexual behaviour with men, or for being gay or bisexual. Analyses tested associations of internalised homophobia with recent risk behaviour, stratified by laboratory-confirmed HIV serostatus within race/ethnicity, and controlling for other demographic variables.ResultsIn multivariate analysis, internalised homophobia was inversely associated (p&lt;0.05) with recent unprotected anal sex among black MSM, and not significantly associated with sexual risk behaviour among white and Latino MSM.ConclusionsMore research is needed to further identify nuanced differences in subpopulations of MSM, but these results suggest differentially targeted intervention messages for MSM by race/ethnicity.</description><subject>Adult</subject><subject>Bisexuality - ethnology</subject><subject>Bisexuality - psychology</subject><subject>Chicago - epidemiology</subject><subject>Ethnic Groups</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HIV Seropositivity - complications</subject><subject>HIV Seropositivity - psychology</subject><subject>Homophobia - psychology</subject><subject>Homosexuality, Male - ethnology</subject><subject>Homosexuality, Male - psychology</subject><subject>Humans</subject><subject>Los Angeles - epidemiology</subject><subject>Male</subject><subject>New York - epidemiology</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>San Francisco - epidemiology</subject><subject>Self Concept</subject><subject>Sexual Behavior - ethnology</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Partners - psychology</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - psychology</subject><subject>United States - epidemiology</subject><issn>1368-4973</issn><issn>1472-3263</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1TAUhCMEoqXlDRDykk16_ZPEyRJV0F6pEgtot5HtHBOXxL74OLT30Xi7OkrLmpV97JlvbE1RfGD0gjHR7BAeU1QeS05ZVdKatVy-Kk5ZJXkpeCNe571o2rLqpDgp3iHeU0obWXdvixNe14w3jTwt_u59gujV5BAGMoY5HMagnSIOyeCshQg-OTVNR6IQg3EqZd2DSyPJD1jURKLDX0TDqP64sESijyQqAztIo3fGpezzA7ne32V9DJhUWpCoOfifBBedZ2-gXNDleQZPHsZAMgpW-haznjpP0gjk1rs1_XuGAJ4Xb6yaEN4_r2fF7dcvPy6vy5tvV_vLzzelFp1IpWF6oIyLjgNQ03WVGaiQ2jZWDZzT2kpOleVStdLKxoKxSlBt267LtwKYOCs-bdxDDL8XwNTPDg1Mk_IQFuxZ07U0g1idpdUmNfmnGMH2h-hmFY89o_1aWv9SWr-W1m-lZdvH54RFzzD8M720lAW7TaDn-_9DPgFSK6m7</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Mansergh, Gordon</creator><creator>Spikes, Pilgrim</creator><creator>Flores, Stephen A</creator><creator>Koblin, Beryl A</creator><creator>McKirnan, David</creator><creator>Hudson, Sharon M</creator><creator>Colfax, Grant N</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Internalised homophobia is differentially associated with sexual risk behaviour by race/ethnicity and HIV serostatus among substance-using men who have sex with men in the United States</title><author>Mansergh, Gordon ; Spikes, Pilgrim ; Flores, Stephen A ; Koblin, Beryl A ; McKirnan, David ; Hudson, Sharon M ; Colfax, Grant N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b393t-c1bd012392ee0c994cd037bf6fad2205f720af27a87f76fecfa30bf8992203e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Bisexuality - ethnology</topic><topic>Bisexuality - psychology</topic><topic>Chicago - epidemiology</topic><topic>Ethnic Groups</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HIV Seropositivity - complications</topic><topic>HIV Seropositivity - psychology</topic><topic>Homophobia - psychology</topic><topic>Homosexuality, Male - ethnology</topic><topic>Homosexuality, Male - psychology</topic><topic>Humans</topic><topic>Los Angeles - epidemiology</topic><topic>Male</topic><topic>New York - epidemiology</topic><topic>Risk Factors</topic><topic>Risk-Taking</topic><topic>San Francisco - epidemiology</topic><topic>Self Concept</topic><topic>Sexual Behavior - ethnology</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Partners - psychology</topic><topic>Substance-Related Disorders - complications</topic><topic>Substance-Related Disorders - psychology</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mansergh, Gordon</creatorcontrib><creatorcontrib>Spikes, Pilgrim</creatorcontrib><creatorcontrib>Flores, Stephen A</creatorcontrib><creatorcontrib>Koblin, Beryl A</creatorcontrib><creatorcontrib>McKirnan, David</creatorcontrib><creatorcontrib>Hudson, Sharon M</creatorcontrib><creatorcontrib>Colfax, Grant N</creatorcontrib><creatorcontrib>Project MIX Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Sexually transmitted infections</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mansergh, Gordon</au><au>Spikes, Pilgrim</au><au>Flores, Stephen A</au><au>Koblin, Beryl A</au><au>McKirnan, David</au><au>Hudson, Sharon M</au><au>Colfax, Grant N</au><aucorp>Project MIX Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internalised homophobia is differentially associated with sexual risk behaviour by race/ethnicity and HIV serostatus among substance-using men who have sex with men in the United States</atitle><jtitle>Sexually transmitted infections</jtitle><addtitle>Sex Transm Infect</addtitle><date>2015-08</date><risdate>2015</risdate><volume>91</volume><issue>5</issue><spage>324</spage><epage>328</epage><pages>324-328</pages><issn>1368-4973</issn><eissn>1472-3263</eissn><abstract>ObjectivesThere is a continuing need to identify factors associated with risk for HIV transmission among men who have sex with men (MSM), including a need for further research in the ongoing scientific debate about the association of internalised homophobia and sexual risk due partly to the lack of specificity in analysis. We assess the association of internalised homophobia by race/ethnicity within HIV serostatus for a large sample of substance-using MSM at high risk of HIV acquisition or transmission.MethodsConvenience sample of substance-using (non-injection) MSM reporting unprotected anal sex in the prior 6 months residing in Chicago, Los Angeles, New York and San Francisco. The analytic sample included HIV-negative and HIV-positive black (n=391), Latino (n=220), and white (n=458) MSM. Internalised homophobia was assessed using a published four-item scale focusing on negative self-perceptions and feelings of their own sexual behaviour with men, or for being gay or bisexual. Analyses tested associations of internalised homophobia with recent risk behaviour, stratified by laboratory-confirmed HIV serostatus within race/ethnicity, and controlling for other demographic variables.ResultsIn multivariate analysis, internalised homophobia was inversely associated (p&lt;0.05) with recent unprotected anal sex among black MSM, and not significantly associated with sexual risk behaviour among white and Latino MSM.ConclusionsMore research is needed to further identify nuanced differences in subpopulations of MSM, but these results suggest differentially targeted intervention messages for MSM by race/ethnicity.</abstract><cop>England</cop><pmid>25512667</pmid><doi>10.1136/sextrans-2014-051827</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1368-4973
ispartof Sexually transmitted infections, 2015-08, Vol.91 (5), p.324-328
issn 1368-4973
1472-3263
language eng
recordid cdi_proquest_miscellaneous_1698020515
source MEDLINE; BMJ Journals - NESLi2
subjects Adult
Bisexuality - ethnology
Bisexuality - psychology
Chicago - epidemiology
Ethnic Groups
Health Knowledge, Attitudes, Practice
HIV Seropositivity - complications
HIV Seropositivity - psychology
Homophobia - psychology
Homosexuality, Male - ethnology
Homosexuality, Male - psychology
Humans
Los Angeles - epidemiology
Male
New York - epidemiology
Risk Factors
Risk-Taking
San Francisco - epidemiology
Self Concept
Sexual Behavior - ethnology
Sexual Behavior - psychology
Sexual Partners - psychology
Substance-Related Disorders - complications
Substance-Related Disorders - psychology
United States - epidemiology
title Internalised homophobia is differentially associated with sexual risk behaviour by race/ethnicity and HIV serostatus among substance-using men who have sex with men in the United States
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T19%3A40%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Internalised%20homophobia%20is%20differentially%20associated%20with%20sexual%20risk%20behaviour%20by%20race/ethnicity%20and%20HIV%20serostatus%20among%20substance-using%20men%20who%20have%20sex%20with%20men%20in%20the%20United%20States&rft.jtitle=Sexually%20transmitted%20infections&rft.au=Mansergh,%20Gordon&rft.aucorp=Project%20MIX%20Study%20Group&rft.date=2015-08&rft.volume=91&rft.issue=5&rft.spage=324&rft.epage=328&rft.pages=324-328&rft.issn=1368-4973&rft.eissn=1472-3263&rft_id=info:doi/10.1136/sextrans-2014-051827&rft_dat=%3Cproquest_cross%3E1698020515%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1698020515&rft_id=info:pmid/25512667&rfr_iscdi=true