Internalized homophobia, psychological state, intimate actions, and outness of gay/bisexual males from Southwest Asia



Personal attitudes toward male homosexuality in Asia to date will always be perhaps not positive. Intimate minorities in Asia have actually reported high quantities of internalized homophobia.


This Internet-based research examined the associations among internalized homophobia, psychological state, intimate actions, and outness among 435 gay/bisexual guys in Southwest China from 2014 to 2015. Latent profile analysis, confirmatory element analysis, univariate logistic regression, and split multivariate logistic regression analyses had been carried out.


These findings subscribe to our knowledge of internalized homophobia in Asia, and highlight the necessity to decrease gay-related emotional stress/distress and enhance public health solutions.


Internalized homophobia is described as the self-hatred and pity of homosexually oriented people that happens to be included in their belief system [1]; it’s also a supply of anxiety. The construct includes negative international attitudes toward homosexuality, vexation with disclosure of intimate orientation to other people, disconnectedness from other lesbian, gay, and bisexual (LGB) people, and disquiet with same-sex sexual intercourse [1, 2]. Correctly, Meyer is promoting the Internalized Homophobia Scale, that has been trusted among sexual minorities in Western countries [3–8].

Personal attitudes toward male homosexuals in Western culture have actually enhanced quite a bit in past times three decades [9]. The acceptance of legalized same-sex wedding, which almost eliminated partnership differences when considering homosexual and heterosexual partners in the us [10, 11] and other developed nations [12, 13], was followed by a reduction in homophobic behavior and internalized homophobia. As an example, the amount of gay/straight alliances in united states of america secondary schools rose from 100 in 1995 to a lot more than 3,000 in 2007, and a lot of school that is high graduating in 2006 favored legalizing same-sex wedding or civil unions [2].

Personal attitudes toward male homosexuality in China up to now will always be maybe perhaps not positive. First, Chinese values that are traditional the continuity of bloodlines. 2nd, HIV illness has grown at an alarming price among gay men in the past few years [14]. In this context, some Chinese individuals have a tendency to associate homosexual guys with AIDS [15]. Third, same-sex wedding is unlawful and sexual minorities still experience stigma, prejudice, in addition to incident of negative occasions because of their intimate orientation [16]. Even same-sex actions may induce rejection by one’s family and issues within the work environment [17]. Some gay men choose to conceal their same-sex orientation (especially from their parents) [16] and choose opposite-sex marriage to ease the stress of being members of this minority (i.e., internalized homophobia) as a result. Research comparing males who’ve intercourse with guys (MSM) from outside Asia with MSM in Asia employing an international paid survey found that MSM in Asia reported greater degrees of internalized homophobia [18].

Minimal empirical info is available concerning the associations between internalized homophobia, psychological state, intimate behavior, and substance usage among Chinese gay and bisexual people. Previous studies of Chinese MSM have suggested that internalized homophobia had been a barrier that is major accessing HIV prevention and care services, also it ended up being adversely connected with being tested for HIV [18]. Nonetheless, that study would not examine the associations between internalized homophobia and health that is mental. Clinical tests conducted in developed countries have discovered that greater amounts of internalized homophobia had been related to greater degrees of psychological state problems (i.e., despair and anxiety) [2, 19]. Furthermore, internalized homophobia had been discovered become related to exercising HIV at-risk sexual behaviors [1, 20], such as for instance condomless sex, numerous intercourse partners, and unprotected anal intercourse among male homosexuals. In addition, previous reviews of research reports have reported conclusions that are inconsistent the partnership between internalized homophobia and substance/alcohol use. Some research reports have found a connection between greater quantities of internalized homophobia and increased liquor use [21], and substance use [21], such as for instance barbiturates and amphetamines, among male people, whereas other research reports have reported findings that are conflicting, 23].