[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

Revista De Saude Publica
|December 13, 2005
PubMed
Abstract

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.

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