title: Associations Between Internalized Homophobia and Sexual Risk Behaviors Among Young Black Men Who Have Sex With Men.
abstract: 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).
  
  
  
  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.
  
  
  
  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).
  
  
  
  With some exceptions, IH among YBMSM attending STI clinics may influence their sexual risk behaviors; however, STI prevalence was not associated with this construct.
authors.affiliation: From the *Department of Health Behavior, College of Public Health at the University of Kentucky, Lexington, KY; †Department of Health Promotion and Behavior, Institute for Public Health at Georgia State University, Atlanta, GA; and ‡Department of Infectious Diseases, University of Mississippi Medical Center, University, MS.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
authors.forename: Laura F
authors.initials: LF
authors.lastname: Salazar
authors.forename: Leandro
authors.initials: L
authors.lastname: Mena
authors.forename: Angelica
authors.initials: A
authors.lastname: Geter
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000208:ethnology; D000293:Adolescent; D000328:Adult; D001741:Black or African American; D017280:Condoms; D015658:HIV Infections / Q000453:epidemiology* / Q000208:ethnology / Q000517:prevention & control; D063509:Homophobia / Q000208:ethnology / Q000523:psychology; D018451:Homosexuality, Male / Q000208:ethnology / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000208:ethnology / Q000517:prevention & control; D047568:Unsafe Sex; D055815:Young Adult