男男性行为者中同性恋、内化的同性恋消极态度与心理健康之间的关系。
The relationship between homosexuality, internalized homo-negativity, and mental health in men who have sex with men.
作者信息
Rosser B R Simon, Bockting Walter O, Ross Michael W, Miner Michael H, Coleman Eli
机构信息
HIV/STI Intervention and Prevention Studies, Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 55454, USA.
出版信息
J Homosex. 2008;55(2):185-203. doi: 10.1080/00918360802129394.
Whether homosexuality or internalized homo-negativity is the critical variable affecting the mental health of men who have sex with men has long been debated. As part of a larger study, 422 Midwestern homosexual men completed questionnaires examining degree of homosexuality, internalized homo-negativity, and depression. Logistic regression modeling identified internalized homo-negativity, but not degree of homosexuality, as significantly associated with greater adjustment depression (OR = 1.5), major depression (OR = 2.6), dysthymia (OR = 1.5), and likelihood of being in therapy (OR = 1.4). Internalized homo-negativity was also negatively associated with overall sexual health, psychosexual maturation, comfort with sexual orientation, "outness," and peer socialization. Internalized homo-negativity, not homosexuality, appears associated with negative health outcomes. Providers should promote sexual health and avoid interventions that reinforce internalized homo-negativity.
同性恋或内化的同性恋消极观念是否是影响男男性行为者心理健康的关键变量，长期以来一直存在争议。作为一项更大规模研究的一部分，422名中西部同性恋男性完成了问卷调查，调查内容包括同性恋程度、内化的同性恋消极观念和抑郁情况。逻辑回归模型显示，内化的同性恋消极观念而非同性恋程度与更严重的适应障碍抑郁（比值比=1.5）、重度抑郁（比值比=2.6）、心境恶劣（比值比=1.5）以及接受治疗的可能性（比值比=1.4）显著相关。内化的同性恋消极观念还与总体性健康、性心理成熟、性取向舒适度、“出柜”程度和同伴社交呈负相关。似乎与负面健康结果相关的是内化的同性恋消极观念，而非同性恋。医疗服务提供者应促进性健康，并避免采取强化内化的同性恋消极观念的干预措施。
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