Psychosocial and Behavioral Correlates of Internalized Homonegativity in Midlife and Older Gay and Bisexual Men

This study investigated psychosocial and demographic variables that might influence internalized homonegativity (IH) in midlife and older gay and bisexual men (GBM). Data were collected from 802 community-dwelling GBM aged 40 to 94 years (M = 54.8) through an anonymous questionnaire that assessed levels of IH, coping self-efficacy, self-silencing, and other characteristics. Multivariate logistic regression analysis successfully explained 22% of the variance in predicting IH, which was significantly related to coping self-efficacy, self-silencing, gay community volunteering, partnership status, and race, F = 59.74, p < .001. IH scores were highest in participants who were single, had lower education levels, were non-White, were less involved in gay community volunteering, experienced less coping self-efficacy, and reported higher levels of self-silencing behaviors. These data underscore the need for more tailored programming approaches for midlife and older GBM, focusing on underlying factors contributing to IH that include skill-building to increase coping self-efficacy, community involvement, and decrease self-silencing behaviors in this overlooked population.

[1]  E. Dugan,et al.  HIV Stigma and Older Men's Psychological Well-Being: Do Coping Resources Differ for Gay/Bisexual and Straight Men? , 2019, The journals of gerontology. Series B, Psychological sciences and social sciences.

[2]  Steven A. Brown,et al.  Exploration of Perceived Psychosocial Benefits of Senior Companion Program Participation Among Urban-Dwelling, Low-Income Older Adult Women Volunteers , 2018, Innovation in aging.

[3]  Joy L. Johnson,et al.  Developing Resilience: Gay Men’s Response to Systemic Discrimination , 2018, American journal of men's health.

[4]  W. L. Jeffries,et al.  Internalized Homonegativity and Substance Use Among U.S. Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) , 2018, Substance use & misuse.

[5]  K. Fredriksen-Goldsen The Future of LGBT+ Aging: A Blueprint for Action in Services, Policies, and Research. , 2018, Generations.

[6]  J. Parsons,et al.  Mediating Effects of Social Support and Internalized Homonegativity on the Association Between Population Density and Mental Health Among Gay and Bisexual Men. , 2017, LGBT health.

[7]  K. Fredriksen-Goldsen,et al.  The Relationship Between Sexual Minority Stigma and Sexual Health Risk Behaviors Among HIV-Positive Older Gay and Bisexual Men , 2017, Journal of applied gerontology : the official journal of the Southern Gerontological Society.

[8]  C. Pepping,et al.  Prospective effects of social support on internalized homonegativity and sexual identity concealment among middle-aged and older gay men: a longitudinal cohort study , 2017, Anxiety, stress, and coping.

[9]  Petah M. Gibbs,et al.  Internalized Homonegativity, Sense of Belonging, and Depressive Symptoms Among Australian Gay Men , 2017, Journal of homosexuality.

[10]  R. Jacobs,et al.  Sexual Communication and Seroadaptation Practices in HIV-Negative Midlife and Older Men Who Have Sex With Men , 2017 .

[11]  M. Ross,et al.  Sociopolitical and Cultural Correlates of Internalized Homonegativity in Gay and Bisexual Men: Findings from a Global Study , 2017 .

[12]  K. Fredriksen-Goldsen The future of LGBT+ aging , 2016 .

[13]  A. Lyons Social Support and the Mental Health of Older Gay Men , 2016, Research on aging.

[14]  M. Ross,et al.  Internalized Homonegativity: A Systematic Mapping Review of Empirical Research , 2015, Journal of homosexuality.

[15]  J. S. St. Lawrence,et al.  Correlates of internalized homonegativity among black men who have sex with men. , 2015, AIDS education and prevention : official publication of the International Society for AIDS Education.

[16]  A. Schmidt,et al.  The Relationship of Internalized Homonegativity to Sexual Health and Well-Being Among Men in 38 European Countries Who Have Sex With Men , 2015, Journal of gay & lesbian mental health.

[17]  K. Fredriksen-Goldsen Despite disparities, most LGBT elders are aging well. , 2014, Aging today : the bimonthly newspaper of the American Society on Aging.

[18]  Stacey B. Scott,et al.  Age differences in emotional responses to daily stress: the role of timing, severity, and global perceived stress. , 2013, Psychology and aging.

[19]  Buffie Longmire-Avital,et al.  The impact of religious faith and internalized homonegativity on resiliency for black lesbian, gay, and bisexual emerging adults. , 2013, Developmental psychology.

[20]  R. Ownby,et al.  Condom Use, Disclosure, and Risk for Unprotected Sex in HIV-Negative Midlife and Older Men Who Have Sex With Men , 2013, American journal of men's health.

[21]  I. Meyer,et al.  Prejudice Events and Traumatic Stress among Heterosexuals and Lesbians, Gay Men, and Bisexuals , 2013, Journal of aggression, maltreatment & trauma.

[22]  Larry Z. Slater,et al.  Support, Stigma, Health, Coping, and Quality of Life in Older Gay Men With HIV , 2013, The Journal of the Association of Nurses in AIDS Care : JANAC.

[23]  J. Chmiel,et al.  It Gets Better: Resolution of Internalized Homophobia Over Time and Associations with Positive Health Outcomes Among MSM , 2013, AIDS and Behavior.

[24]  A. Oster,et al.  Role flexing: how community, religion, and family shape the experiences of young black men who have sex with men. , 2012, AIDS patient care and STDs.

[25]  I. Meyer,et al.  Religious affiliation, internalized homophobia, and mental health in lesbians, gay men, and bisexuals. , 2012, The American journal of orthopsychiatry.

[26]  J. Wilkerson,et al.  Religiosity, internalized homonegativity and outness in Christian men who have sex with men , 2012, Sexual and relationship therapy : journal of the British Association for Sexual and Relationship Therapy.

[27]  R. Jacobs,et al.  Correlates of Loneliness in Midlife and Older Gay and Bisexual Men , 2012 .

[28]  A. Silvestre,et al.  Middle-Aged and Older Men Who Have Sex With Men Exhibit Multiple Trajectories With Respect to the Number of Sexual Partners , 2012, AIDS and Behavior.

[29]  M. Reece,et al.  The Internet as a Valuable Tool for Promoting a New Framework for Sexual Health among Gay Men and Other Men Who Have Sex with Men , 2011, AIDS and Behavior.

[30]  M. Van Houtte,et al.  Stress-Related Growth, Coming Out, and Internalized Homonegativity in Lesbian, Gay, and Bisexual Youth. An Examination of Stress-Related Growth Within the Minority Stress Model , 2010, Journal of homosexuality.

[31]  B. Mustanski,et al.  Internalized homophobia and internalizing mental health problems: a meta-analytic review. , 2010, Clinical psychology review.

[32]  M. Golden,et al.  Persistence of Racial Differences in Attitudes Toward Homosexuality in the United States , 2010, Journal of acquired immune deficiency syndromes.

[33]  L. Kuyper,et al.  Loneliness Among Older Lesbian, Gay, and Bisexual Adults: The Role of Minority Stress , 2010, Archives of sexual behavior.

[34]  J. Ussher,et al.  Gender Differences in Self-Silencing and Psychological Distress in Informal Cancer Carers 1 , 2010 .

[35]  K. Fredriksen-Goldsen,et al.  Aging and Sexual Orientation: A 25-Year Review of the Literature , 2010, Research on aging.

[36]  S. Veldhuizen,et al.  Men’s Sexual Orientation and Health in Canada , 2010, Canadian journal of public health = Revue canadienne de sante publique.

[37]  M. Lapinski,et al.  The Down Low, Social Stigma, and Risky Sexual Behaviors: Insights from African-American Men Who Have Sex with Men , 2010, Journal of homosexuality.

[38]  G. S. Bowen,et al.  Factors associated with risk for unprotected receptive and insertive anal intercourse in men aged 40 and older who have sex with men , 2010, AIDS care.

[39]  C. Meston,et al.  Ethnic, Gender, and Acculturation Influences on Sexual Behaviors , 2010, Archives of sexual behavior.

[40]  S. Kalichman,et al.  Sexual partner selection and HIV risk reduction among Black and White men who have sex with men. , 2010, American journal of public health.

[41]  M. C. Zea,et al.  Experiences of homonegativity and sexual risk behaviour in a sample of Latino gay and bisexual men , 2010, Culture, health & sexuality.

[42]  R. Settersten,et al.  The Study of the Life Course: Implications for Social Gerontology , 2010 .

[43]  Allison J. Ober,et al.  Factors associated with event-level stimulant use during sex in a sample of older, low-income men who have sex with men in Los Angeles. , 2009, Drug and alcohol dependence.

[44]  R. Jacobs,et al.  Self-Silencing and Age as Risk Factors for Sexually Acquired HIV in Midlife and Older Women , 2009, Journal of aging and health.

[45]  M. Ross,et al.  The relationship of internalized homonegativity to unsafe sexual behavior in HIV-seropositive men who have sex with men. , 2008, AIDS education and prevention : official publication of the International Society for AIDS Education.

[46]  J. Aguinaldo The social construction of gay oppression as a determinant of gay men's health: ‘homophobia is killing us’ , 2008 .

[47]  B. Knight,et al.  Stress and coping among gay men: age and ethnic differences. , 2008, Psychology and aging.

[48]  Chong-suk Han,et al.  A Qualitative Exploration of the Relationship Between Racism and Unsafe Sex Among Asian Pacific Islander Gay Men , 2008, Archives of sexual behavior.

[49]  M. Pope,et al.  Sexual and Intimacy Issues for Aging Gay Men , 2007 .

[50]  Sari D. Gold,et al.  Gay male sexual assault survivors: the relations among internalized homophobia, experiential avoidance, and psychological symptom severity. , 2007, Behaviour research and therapy.

[51]  S. Folkman,et al.  A validity and reliability study of the coping self-efficacy scale. , 2006, British journal of health psychology.

[52]  Brian J. Dew,et al.  The Relationship Among Sexual Compulsivity, Internalized Homophobia, and HIV At-Risk Sexual Behavior in Gay and Bisexual Male Users of Internet Chat Rooms , 2005 .

[53]  K. Cramer,et al.  Self-silencing and depression in women and men: Comparative structural equation models , 2005 .

[54]  E. Bein,et al.  Sexual risk as an outcome of social oppression: data from a probability sample of Latino gay men in three U.S. cities. , 2004, Cultural diversity & ethnic minority psychology.

[55]  Jessica L. Griffin,et al.  Stressors for Gay Men and Lesbians: Life Stress, Gay-Related Stress, Stigma Consciousness, and Depressive Symptoms , 2003 .

[56]  K. Allison,et al.  The influence of dual‐identity development on the psychosocial functioning of African‐American gay and bisexual men , 2002, Journal of sex research.

[57]  W. Mayfield The Development of an Internalized Homonegativity Inventory for Gay Men , 2001, Journal of homosexuality.

[58]  J. Henne,et al.  The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: findings from 3 US cities. , 2001, American journal of public health.

[59]  J. Bradford,et al.  Differences in disclosure of sexuality among African American and White gay/bisexual men: implications for HIV/AIDS prevention. , 2000, AIDS education and prevention : official publication of the International Society for AIDS Education.

[60]  M. Hohman,et al.  The Social Support Needs of Older Lesbians, Gay Men, and Bisexuals , 1999 .

[61]  J. Stokes,et al.  Homophobia, self-esteem, and risk for HIV among African American men who have sex with men. , 1998, AIDS education and prevention : official publication of the International Society for AIDS Education.

[62]  R. Fassinger,et al.  Validation of an inclusive model of sexual minority identity formation on a sample of gay men. , 1997, Journal of homosexuality.

[63]  B. Rosser,et al.  Measurement and correlates of internalized homophobia: a factor analytic study. , 1996, Journal of clinical psychology.

[64]  G. Elder Time, human agency, and social change: perspectives on the life course , 1994 .

[65]  M. Beard Silencing the Self: Women and Depression , 1993 .

[66]  D. Jack,et al.  The Silencing the Self Scale: Schemas of Intimacy Associated With Depression in Women , 1992 .

[67]  S. Einstein Project outreach: an experimental support system intervention program. , 1980, The International journal of the addictions.