ArticleArchives of sexual behavior2018
Internalized Homophobia and Drug Use in a National Cohort of Gay and Bisexual Men: Examining Depression, Sexual Anxiety, and Gay Community Attachment as Mediating Factors.
Article in Archives of sexual behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 78 citations in OpenAlex.
- Do sexual minority strengths buffer the association between sexual minority stressors and loneliness among midlife and older sexual minority cisgender men?Aging & mental health · 2025Article
- Examining Longitudinal Risk and Strengths-Based Factors Associated with Depression Symptoms Among Sexual Minority Men in Canada.Behavioral sciences (Basel, Switzerland) · 2025Article
- Perceived Homonegativity and Psychological Distress in Gay Men in Brazil: Does Skin Color Matter?Healthcare (Basel, Switzerland) · 2025Article
- Embracing diversity: Exploring attitudes and beliefs toward transgender and gender-diverse people in the LGBTQIA + communities.International journal of transgender health · 2025Article
- Article
- Psychometric inspection of an internalized homonegativity measure.Frontiers in psychology · 2025Article
- The socioecology of sexual minority stigma: Advancing theory on stigma-based mechanisms underlying sexual orientation-based disparities in health.Social science & medicine (1982) · 2024Article
- Development and Initial Validation of Measures of Proximal Stigmas and Experiences of Discrimination for Minor Attracted People.Archives of sexual behavior · 2024Article
- Problematic alcohol use among gay, bisexual, and other men who have sex with men in Canada: the role of proximal stressors and anxiety.Substance abuse treatment, prevention, and policy · 2024Article
- Co-occurring mental health and drug use experiences among Black and Hispanic/Latino sexual and gender diverse individuals.Journal of behavioral medicine · 2023Article
- Associations between Drug Use and Sexual Risk Behaviours among Men Who Have Sex with Men in Japan: Results from the Cross-Sectional LASH Study.International journal of environmental research and public health · 2023Article
- Policing sexuality: Sexual minority youth, police contact, and health inequity.SSM - population health · 2022Article
- Factors influencing the well-being of Asian American LGBT individuals across the lifespan: perspectives from leaders of community-based organizations.BMC geriatrics · 2022Article
- An Empirical Investigation of Variations in Outcomes Associated with Heterosexual Adults' Most Recent Mixed-Sex Threesome Experience.Archives of sexual behavior · 2022Article
- Comparison of the Influence of Internalized Homonegativity on Sexual Risk Behavior of Men Who Have Sex with Men in Spain and Turkey.International journal of sexual health : official journal of the World Association for Sexual Health · 2022Article
- Sexual Orientation and Age of First Drug Use Among Adults in the United States.Substance use & misuse · 2022Article
- Heterosexual Cisgender Men Partnered with Transgender Women Exhibit Higher HIV/STI Sexual Risk than Their Gay, Bisexual, and Queer Counterparts: Findings from a U.S.-Based Convenience Sample Recruited Online.AIDS and behavior · 2021Article
- Assessing the Role of Gay Community Attachment, Stigma, and PrEP Stereotypes on Young Men Who Have Sex with Men's PrEP Uptake.AIDS and behavior · 2021Article
- The Psychosocial Predictors and Day-Level Correlates of Substance Use Among Participants Recruited via an Online Crowdsourcing Platform in the United States: Daily Diary Study.JMIR public health and surveillance · 2021Article
- Social capital and chemsex initiation in young gay, bisexual, and other men who have sex with men: the pink carpet Y cohort study.Substance abuse treatment, prevention, and policy · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
The minority stress process of internalized homophobia (IH) has been associated with a range of adverse health outcomes among gay and bisexual men (GBM). However, evidence is mixed regarding the effect of IH on drug use, suggesting the potential role of multiple mediated pathways. Researchers have linked depression, sexual anxiety, and gay community attachment with IH. Depression, sexual anxiety, and gay community attachment have also been linked with drug use and drug-related problems suggesting potential mediating roles. A U.S. national sample of 1071 HIV-negative GBM completed at-home surveys, including measures of sociodemographic characteristics, IH, depression, sexual anxiety, gay community attachment, and drug use and associated problems. Adjusting for sociodemographic characteristics, depression mediated the association between IH and recent drug use. IH was positively associated with depression, and depression was positively associated with recent drug use. Gay community attachment partially mediated drug-related problems. IH had a positive direct association with drug-related problems and a negative direct association with gay community attachment. Gay community attachment had a positive association with drug-related problems. IH was positively associated with sexual anxiety, but sexual anxiety was not associated with either drug outcome. Efforts to reduce IH among HIV-negative GBM are likely to have a positive impact on mental health problems, as well as reduce risk for drug use and drug-related problems. Gay communities could provide the social support necessary for reducing IH; however, emphasis on community level interventions that address factors that increase risk for drug-related problems remains important.
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Registered trials
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.