Adebajo Sylvia B, Eluwa George I, Allman Dan, Myers Ted, Ahonsi Babatunde A
Population Council, Abuja, Nigeria.
Afr J Reprod Health. 2012 Dec;16(4):21-8.
This study assessed the level of internalized homophobia and associated factors among men who have sex with men (MSM) in Nigeria. Using respondent driven sampling, MSM were recruited in Lagos and Ibadan between July and September, 2006. Internalized homophobia was assessed as a negative composite score using an 11-item scale. A total of 1,125 MSM were interviewed. About 44.4% self-identified as homosexual or gay while 55% regarded themselves as bisexual. About a third of the respondents reported internalized homophobia. With homosexual/gay men as reference, respondents who self-identified as bisexual were two times more likely [AOR 2.1; 95 CI: 1.6 - 2.9, p < 0.001] to report internalized homophobia. Those who were HIV positive were also twice as likely to report internalized homophobia compared to those who were HIV negative [AOR 1.8; 95% CI: 1.2 - 2.7, p = 0.004]. As internalized homophobia impedes acceptance of HIV prevention programming, identifying MSM who experience internalized homophobia is integral to the success of HIV prevention programming in Nigeria.
本研究评估了尼日利亚男男性行为者（MSM）内化恐同症的程度及相关因素。采用应答驱动抽样法，于2006年7月至9月在拉各斯和伊巴丹招募了男男性行为者。内化恐同症采用一个包含11个条目的量表评估为负性综合得分。共访谈了1125名男男性行为者。约44.4%的人自我认定为同性恋，而55%的人认为自己是双性恋。约三分之一的受访者报告有内化恐同症。以同性恋男性为参照，自我认定为双性恋的受访者报告内化恐同症的可能性是前者的两倍【调整后比值比（AOR）2.1；95%置信区间（CI）：1.6 - 2.9，p < 0.001】。与HIV阴性者相比，HIV阳性者报告内化恐同症的可能性也是前者的两倍【AOR 1.8；95% CI：1.2 - 2.7，p = 0.004】。由于内化恐同症阻碍对HIV预防项目的接受，识别有内化恐同症的男男性行为者对尼日利亚HIV预防项目的成功至关重要。
