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Little empirical information is available about the associations between internalized homophobia, mental health, sexual behavior, and substance use among Chinese gay and bisexual individuals.
Previous studies of Chinese MSM have indicated that internalized homophobia was a major barrier to accessing HIV prevention and care services, and it was negatively associated with being tested for HIV .
Social attitudes toward male homosexuality in China so far are still not optimistic.
Internalized homophobia is defined as the self-hatred and shame of homosexually oriented individuals that has been incorporated into their belief system ; it is also a source of stress.In addition, internalized homophobia has been found to be associated with sexual compulsivity [20, 26].Thus, we first examined the suitability of the Internalized Homophobia Scale.Second, HIV infection has increased at an alarming rate among gay males in recent years .
In this context, some Chinese people tend to associate gay men with AIDS .However, neither of these studies provided a detailed analysis of internalized homophobia as a risk factor for psychological distress and engaging in unprotected sex among Chinese male sexual minorities.