ArticleInternational journal for equity in health2017
Internalized homophobia, mental health, sexual behaviors, and outness of gay/bisexual men from Southwest China.
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.
- Sexual orientation concealment and mental health: A conceptual and meta-analytic review.Psychological bulletin · 2020Pooled it
- Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China.Behaviour research and therapy · 2024Trial
- The impact of perceived stress on self-management behaviors among men who have sex with men living with HIV in China: the mediating role of self-regulatory fatigue.AIDS research and therapy · 2026Article
- Gay Community Connectedness, Internalized Homonegativity, and HIV Pre-Exposure Prophylaxis (PrEP) Attitudes and Use Among Men Who Have Sex with Men in Georgia: A Mediation Analysis.AIDS and behavior · 2026Article
- Psychological distress, stigma, and intersectional marginalization in lesbian and bisexual cisgender women in Chinese higher education: a thematic analysis guided by minority stress theory.Frontiers in public health · 2026Article
- Measurement instruments for sexual identity minority stress in adults: A scoping review.PloS one · 2026Article
- Psychosocial symptom networks and high-risk sexual behaviors among men who have sex with men: a network analysis.BMC psychology · 2025Article
- It Is a Catch-22 Situation! A Decade of Research Trends on Gay Wellbeing in China: A Bibliometric Analysis.Behavioral sciences (Basel, Switzerland) · 2025Review
- A Digital Health Intervention on Healthy Behaviors Among Men Who Have Sex with Men in China Based on Information-Motivation-Behavioral Skills Model: An Exploratory Real-World Study.International journal of sexual health : official journal of the World Association for Sexual Health · 2025Article
- Assessing associations between stigma and mental health among pre-exposure prophylaxis users in Guatemala.Stigma and health · 2024Article
- Perceived Stress and Outness: Examining the Coping Mediation Framework Among Chinese LGBTQ+ Community.Behavioral sciences (Basel, Switzerland) · 2024Article
- Navigating sexual minority identity in sport: a qualitative exploration of sexual minority student-athletes in China.BMC public health · 2024Article
- Disclosure Concerns and the Correlation Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV Receiving Antiretroviral Therapy in Taiwan.Health services insights · 2024Article
- Disclosure to Whom Matters: Association Between Disclosure of Sexual Orientation and Mental Health Among Chinese LGB People.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Parenting Desire Among Sexual Minority Women in China: From the Stigma Perspective.Archives of sexual behavior · 2024Article
- "We don't have a template to follow": Sexual identity development and its facilitative factors among sexual minority men in the context of China.Journal of counseling psychology · 2023Article
- Quality of Life and Mental Health of Chinese Sexual and Gender Minority Women and Cisgender Heterosexual Women: Cross-sectional Survey and Mediation Analysis.JMIR public health and surveillance · 2023Article
- Roles of Social Capital in the Association Between Internalized Homophobia and Condomless Sex Among Men Who Have Sex With Men in Southwest China: A Four-Way Decomposition.International journal of public health · 2023Article
- Sources of Social Support, Self-Esteem and Psychological Distress among Chinese Lesbian, Gay and Bisexual People.International journal of sexual health : official journal of the World Association for Sexual Health · 2023Article
- The Effect of Perceived Social Support on the Mental Health of Homosexuals: The Mediating Role of Self-Efficacy.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial attitudes toward male homosexuality in China so far are still not optimistic. Sexual minorities in China have reported high levels of internalized homophobia.
methodsThis Internet-based study examined the associations among internalized homophobia, mental health, sexual behaviors, and outness among 435 gay/bisexual men in Southwest China from 2014 to 2015. Latent profile analysis, confirmatory factor analysis, univariate logistic regression, and separate multivariate logistic regression analyses were conducted.
resultsThis descriptive study found the Internalized Homophobia Scale to be suitable for use in China. The sample demonstrated a high prevalence of internalized homophobia. Latent profile analysis suggested a 2-class solution as optimal, and a high level of internalized homophobia was significantly associated with greater psychological distress (Wald = 6.49, AOR = 1.66), transactional sex during the previous 6 months (Wald = 5.23, AOR = 2.77), more sexual compulsions (Wald = 14.05, AOR = 2.12), and the concealment of sexual identity from others (Wald = 30.70, AOR = 0.30) and parents (Wald = 6.72, AOR = 0.49).
conclusionsThese findings contribute to our understanding of internalized homophobia in China, and highlight the need to decrease gay-related psychological stress/distress and improve public health services.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.