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Updated: Jul 26, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
[Internalized oppression and high-risk sexual practices among homosexual and bisexual males, Mexico]
Luis Ortiz Hernández1, María Isabel García Torres
1Universidad Autónoma Metropolitana, Xochimilco, Mexico. lortiz@correo.xoc.uam.mx
Objective:
To assess the relationship between engaging in high-risk sexual practices for HIV infection and the internalized oppression of homo and bisexual males due to the prejudice and discrimination they face.
Methods:
An observational cross-sectional study was carried out between September and November 2001. A questionnaire was applied to 318 males who sought services and institutions in Mexico City. The studied variables were: internalized homophobia, perception of stigma, concealing sexual orientation, and sexual practices in the six months prior to the survey. The relationship (odds ratios) between forms of internalized oppression with high-risk sexual practices was estimated using logistic regression models adjusted for confounders.
Results:
Of all respondents, 256 reported having had at least one sexual relationship in the last six months, 50 reported having none, and 12 did not answer this question. More than 30% had not used condoms when they engaged in insertive or receptive anal sex. Internalized homophobia was associated with higher risk of drug consumption before or during sexual encounters, unprotected insertive/receptive anal sex, and swallowing semen from other men.
Conclusions:
Engaging in high-risk sexual practices is still frequent among homo and bisexual males. Of the three forms of internalized oppression studied, homophobia was associated with higher high-risk sexual practices. This information may be incorporated into the design of programs for promoting condom use among homo and bisexual males.
Insights
Internalized homophobia is linked to higher rates of high-risk sexual practices among gay and bisexual men. Addressing internalized oppression is key for HIV prevention programs targeting this population.
Area of Science:
- Public Health
- Psychology
- Sociology
Background:
- Prejudice and discrimination against gay and bisexual men contribute to internalized oppression.
- Internalized oppression may influence health behaviors, including sexual practices.
- Understanding these links is crucial for effective HIV prevention.
Purpose of the Study:
- To examine the association between internalized oppression and high-risk sexual practices in gay and bisexual men.
- To identify specific forms of internalized oppression linked to risky sexual behaviors.
- To inform the development of targeted HIV prevention strategies.
Main Methods:
- An observational cross-sectional study was conducted with 318 gay and bisexual men in Mexico City.
- Data collected via questionnaire included internalized homophobia, perceived stigma, sexual orientation concealment, and recent sexual practices.
- Logistic regression models were used to analyze the relationship between internalized oppression and high-risk sexual practices.
Main Results:
- Over 30% of participants engaged in unprotected anal sex.
- Internalized homophobia correlated with increased drug use around sexual encounters.
- Internalized homophobia was also associated with unprotected insertive/receptive anal sex and semen ingestion.
Conclusions:
- High-risk sexual practices remain prevalent among gay and bisexual men.
- Internalized homophobia emerged as a significant factor associated with increased high-risk sexual behaviors.
- Findings underscore the need to integrate interventions addressing internalized oppression into HIV prevention programs for this demographic.
Related Concept Videos
Stereotypes, Prejudice, and Discrimination
Infertility in Males
Sexually Transmitted Infections
Horney's Sociocultural Approach
Ethnic Identity within a Larger Culture
Amebiasis

