Unprotected Sex and Internalized Homophobia.

During recent years in France, the number of HIV infections in the gay community has been constantly increasing. How can we explain the number of transmissions being still so prevalent? Since the arrival effective therapies, HIV may no longer be perceived as a fatal disease, and therefore it may have become trivialized. This paper will merge variables linked to homophobia and interiorized homophobia in order to bring a new insight in understanding to the motivations of gay men having non protected sex, whether it is systematic or episodic. Interiorized homophobia appears to be an essential element of the construction of the identity among gay men. A real "coping strategy", it allows firstly a protection from the surrounding environment, but in a second step becomes harmful to the development of healthy self-esteem. Gay men partially construct their identity from elements such as heterosexism and insults targeting gays as feminine, submissive individuals. We suggest that unprotected sex between men answers a quest for identity. On the one hand, there is an act of virility with unprotected sex and transmission of seminal fluids and exposure to a risk, reinforcing the masculine side. On the other hand, we can see identification with homophobic rejection, and becoming the carrier of a contagious, chronic, rejected disease. It is in this status of rejection-the transfer from homophobia to the disease-that gay men may find themselves. This paper proposes to approach the phenomenon in a replay of previous contributions on this topic. [ABSTRACT FROM AUTHOR]