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The Impact of Internalized Homophobia on HIV Preventive Interventions
Abstract
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.
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“These biased beliefs feature prominently in internalized homophobia and rejection hypervigilance, which are associated with poor psychosocial syndemic health (e.g., Huebner et al., 2002; Kimmel & Mahalik, 2005; Newcomb & Mustanski, 2010; Pachankis et al., 2014c, in press; Ratti et al., 2000).”
From A transdiagnostic minority stress treatment approach for gay and bisexual men's syndemic health conditions (2015) · cites this paper as Huebner et al., 2002
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Metadata
- Authors
- Huebner, D. M., Davis, M. C., Nemeroff, C. J., & Aiken, L. S.
- Affiliations
- Arizona State University (US)
- Corresponding author
- Huebner, David M.
- Venue
- American Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2002-06
- Volume
- 30
- Issue
- 3
- Pages
- 327-348
- ISSN
- 0091-0562 (ISSN-L)
- 1573-2770
- OpenAlex
- W1592710020
- Cited by
- 130
- References
- 29
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2022: 4 · 2021: 9 · 2020: 4 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 12 · 2015: 10 · 2014: 8 · 2013: 14 · 2012: 7
- FWCI
- 1.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- internalized homophobia, HIV prevention, gay and bisexual men, sexual risk behavior, community-based prevention programs, service utilization, condom use self-efficacy, group intervention, social connectedness, barriers to prevention
- MeSH terms
- Adult, Arizona, Bisexuality, Homosexuality, Humans, Male, Marketing of Health Services, Middle Aged, Patient Acceptance of Health Care, Prejudice, Preventive Health Services, Regression Analysis, Self Concept, HIV Infections, Multivariate Analysis, Safe Sex
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