Internalized homophobia and reduced HIV testing among men who have sex with men in China

Asia Pac J Public Health. 2014 Mar;26(2):118-25. doi: 10.1177/1010539514524434. Epub 2014 Feb 18.


Although previous research has examined barriers and facilitators of HIV testing among men who have sex with men (MSM) in China, few studies have focused on social factors, including homophobia and internalized homophobia. This study utilized data from a global online survey to determine correlates of HIV testing as part of a subanalysis focused on Chinese MSM. Controlling for age, HIV knowledge, number of sexual partners, and other covariates, ever having tested for HIV was significantly correlated with lower internalized homophobia. This study suggests that stigma associated with sexual orientation may serve as a barrier to participation in HIV testing and other health-promoting behaviors.

Keywords: epidemiology; global health; health care services; health education; health management; health promotion; men’s health; public health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • China
  • HIV Infections / diagnosis*
  • Health Care Surveys
  • Health Services Accessibility*
  • Homophobia / psychology*
  • Homosexuality, Male / psychology*
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Male
  • Mass Screening / statistics & numerical data*