Associations between internalized homophobia and sexual risk behaviors among young black men who have sex with men

Richard A. Crosby, Laura F. Salazar, Leandro Mena, Angelica Geter

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Objective: To assess internalized homophobia (IH) and its relationship to sexual risk behaviors and prevalence of sexually transmitted infection (STIs) in a clinic-based sample of young black men who have sex with men (YBMSM). Methods: Six hundred YBMSM completed a self-interview and provided specimens for testing. A 7-item scale assessed IH, and 19 sexual risk behaviors were assessed. Results: In adjusted models, compared with men with less IH, those with greater IH were more likely to report: any condomless anal receptive sex (P = 0.01) and sex with women (P < 0.001). Alternatively, men with greater IH were less likely to: discuss acquired immune deficiency syndrome prevention with sex partners (P = 0.009), disclose their same sex sexual behavior to providers (P = 0.01), be tested for human immunodeficiency virus in the past 12 months (P = 0.04), report condomless oral sex (P = 0.049), and test RPR positive (P = 0.01). Conclusions: With some exceptions, IH among YBMSM attending STI clinics may influence their sexual risk behaviors; however, STI prevalence was not associated with this construct.

Original languageEnglish
Pages (from-to)656-660
Number of pages5
JournalSexually Transmitted Diseases
Issue number10
StatePublished - Sep 15 2016

Bibliographical note

Funding Information:
This study was funded by a grant from the National Institute of Mental Health to the first author, R01MH092226.

Publisher Copyright:
© 2016 American Sexually Transmitted Diseases Association All rights reserved.

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases


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