It Gets Better: Resolution of Internalized Homophobia Over Time and Associations with Positive Health Outcomes Among MSM
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Health disparities research among gay and bisexual men has focused primarily on risk and deficits. However, a focus on resiliencies within this population may greatly benefit health promotion. We describe a pattern of resilience (internalized homophobia (IHP) resolution) over the life-course and its associations with current health outcomes. 1,541 gay and bisexual men from the Multi-Center AIDS Cohort study, an ongoing prospective study of the natural and treated histories of HIV, completed a survey about life-course events thought to be related to health. The majority of men resolved IHP over time independent of demographics. Men who resolved IHP had significantly higher odds of positive health outcomes compared to those who did not. These results provide evidence of resilience among participants that is associated with positive health outcomes. Understanding resiliencies and incorporating them into interventions may help to promote health and well-being among gay and bisexual men.
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Programs addressing discrimination and internalized homophobia among MSM have reduced sexual risk.
“programs targeting discrimination and internalized homophobia among MSM have effectively reduced sexual risk.23”
From The Effect of Psychosocial Syndemic Production on 4-Year HIV Incidence and Risk Behavior in a Large Cohort of Sexually Active Men Who Have Sex With Men (2015) · cites this paper as [23]
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- Authors
- Herrick, A. L., Stall, R., Chmiel, J. S., Guadamuz, T. E., Penniman, T., Shoptaw, S., Ostrow, D., & Plankey, M. W.
- Affiliations
- University of Pittsburgh (US)
- Northwestern University (US)
- University of California, Los Angeles (US)
- University of Chicago (US)
- Georgetown University Medical Center (US)
- Corresponding author
- Herrick, Amy L.
- Venue
- AIDS and Behavior
- Published
- 2013-01-03
- Volume
- 17
- Issue
- 4
- Pages
- 1423-1430
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC3708613
- OpenAlex
- W2086797230
- Cited by
- 145
- References
- 63
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 10 · 2020: 16 · 2019: 13 · 2018: 13 · 2017: 15 · 2016: 15 · 2015: 14 · 2014: 12 · 2013: 6
- FWCI
- 23.52
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01da022936-03, UL1TR000005)
- National Institute of Mental Health (K01MH085567, P30MH058107)
- National Institute on Drug Abuse (R01-DA022936)
- National Institute of Allergy and Infectious Diseases (U01AI035040, U01AI035041, U01AI035043, U01AI035039, U01AI035042)
- National Center for Advancing Translational Sciences
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD041041)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Keywords
- internalized homophobia, resilience, gay and bisexual men, health disparities, life course events, health promotion, HIV
- MeSH terms
- Adaptation, Psychological, Adult, Association, Bisexuality, Female, Health Services Accessibility, Homosexuality, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Risk-Taking, Socioeconomic Factors, Stress, Psychological, Time Factors, HIV Infections, Healthcare Disparities, Resilience, Psychological, Social Stigma, Homophobia
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