The relationship of stigma to the sexual risk behavior of rural men who have sex with men

Deborah Bray Preston, Anthony Raymond D'Augelli, Cathy D. Kassab, Michael T. Starks

Research output: Contribution to journalArticle

114 Citations (Scopus)

Abstract

Most studies of risky sexual behaviors of men who have sex with men (MSM) have been conducted in cities. Few have documented risky sexual behavior of rural men despite increases in rural HIV. Fewer have addressed stigma and risk. This study explored the effects of stigma on sexual risk behavior among rural MSM. We hypothesized that stigma emanating from families, health care providers, and the communities of rural MSM would indirectly affect their sexual risk behavior through their mental health status, specifically self-esteem and internalized homophobia. A convenience sample of 414 rural MSM obtained through political, health service, and social organizations completed an anonymous self-administered questionnaire. Over half of the men reported high-risk sexual behavior. Sensation seeking directly affected levels of sexual risk while the effects of stigma on sexual risk behavior were mediated by mental health variables. Stigma related to respondents' low self-esteem, and low internalized homophobia increased risk behavior.

Original languageEnglish (US)
Pages (from-to)218-230
Number of pages13
JournalAIDS Education and Prevention
Volume19
Issue number3
DOIs
StatePublished - Jun 1 2007

Fingerprint

Risk-Taking
risk behavior
Sexual Behavior
Homophobia
self-esteem
Self Concept
mental health
Mental Health
Family Health
health status
Rural Population
health service
Health Personnel
Health Status
Health Services
health care
HIV
Organizations
questionnaire
community

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Preston, Deborah Bray ; D'Augelli, Anthony Raymond ; Kassab, Cathy D. ; Starks, Michael T. / The relationship of stigma to the sexual risk behavior of rural men who have sex with men. In: AIDS Education and Prevention. 2007 ; Vol. 19, No. 3. pp. 218-230.
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The relationship of stigma to the sexual risk behavior of rural men who have sex with men. / Preston, Deborah Bray; D'Augelli, Anthony Raymond; Kassab, Cathy D.; Starks, Michael T.

In: AIDS Education and Prevention, Vol. 19, No. 3, 01.06.2007, p. 218-230.

Research output: Contribution to journalArticle

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