The health effects of homophobia
http://news.yale.edu/2015/06/08/health-effects-homophobia
Gay and bisexual men living in European countries with strong attitudes and policies against homosexuality are far less likely to use HIV-prevention services, test for HIV, and discuss their sexuality with health providers, according to research led by Yale School of Public Health (YSPH)....
Attitudes about homosexuality vary greatly across Europe, noted YSPH associate professor and lead author John Pachankis and his colleagues. The research team wanted to investigate the impact of homophobia on gay and bisexual mens health specifically their sexual behavior, use of HIV-prevention services, HIV status, and ability to cope with HIV....
Our findings suggest that rather than primarily being the result of personal failure, HIV risk is largely determined by national laws, policies, and attitudes toward homosexuality, said Pachankis. This study shows that gay and bisexual men in homophobic countries are denied the resources, including psychological resources like open self-expression, that are necessary to stay healthy....
The study authors found stark differences in how countries treat and view homosexuality. They also found that men living in countries with higher levels of homophobia knew less about HIV and were less likely to use condoms, leading the researchers to conclude that homophobia reduces the use of health services and compromises health-service quality.