An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China

IntroductionHomophobic discrimination and stigmatization, especially from healthcare professionals, are important stressors for gay men. Homophobia may be partly rooted in seeing some gay men having casual sex and many sexual partners as a signal of mental problems. Sexual Strategies Theory (SST) su...

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Main Authors: Qianhui Gao, Jan Antfolk, Pekka Santtila
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1143584/full
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author Qianhui Gao
Qianhui Gao
Jan Antfolk
Pekka Santtila
Pekka Santtila
author_facet Qianhui Gao
Qianhui Gao
Jan Antfolk
Pekka Santtila
Pekka Santtila
author_sort Qianhui Gao
collection DOAJ
description IntroductionHomophobic discrimination and stigmatization, especially from healthcare professionals, are important stressors for gay men. Homophobia may be partly rooted in seeing some gay men having casual sex and many sexual partners as a signal of mental problems. Sexual Strategies Theory (SST) suggests that such sexual behavior is a result of different sexual strategies men and women tend to adopt and is unrelated to sexual orientation per se. This study aimed to investigate (1) the effectiveness of providing an SST explanation for gay men’s sexual behavior in reducing homophobia among both lay persons and healthcare professionals; (2) differences in homophobia between healthcare professionals and lay people and also between medical and non-medical professionals.MethodsThe main analyses included 492 heterosexual participants recruited online via Chinese social media and sample services in 2021. Of these, 227 were healthcare professionals (128 medical, 99 non-medical) and 265 were lay people. The participants were randomly assigned into an experimental group given the SST explanation (n = 126), an active control group given a Minority Stress (MS) explanation (n = 184), and a control group (n = 182). After the manipulation, homophobia, knowledge about homosexuality, professional homophobic attitude, gay affirmative practice, and contact with gay men were assessed.ResultsThe results of factor analysis suggested dividing homophobia into Oppressing Homophobia (Oppressing HP) describing believing that gay men should have fewer rights and Pathologizing Homophobia (Pathologizing HP) describing believing that the sexual behavior of gay men is a signal of mental problem. Importantly, the SST explanation reduced Pathologizing HP while the MS explanation reduced Oppressing HP. Healthcare professionals reported more Oppressing HP than lay people, and medical professionals conducted less gay affirmative practice than non-medical professionals.ConclusionAn SST explanation can potentially reduce some aspects of homophobia among both healthcare professionals and lay people. Also, worryingly, Chinese healthcare professionals, especially medical professionals, reported more homophobia than lay individuals.
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spelling doaj.art-98d6604aa4234071addc75d6ef54549c2023-04-20T05:55:45ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-04-011410.3389/fpsyg.2023.11435841143584An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in ChinaQianhui Gao0Qianhui Gao1Jan Antfolk2Pekka Santtila3Pekka Santtila4School of Psychology and Cognitive Science, East China Normal University, Shanghai, ChinaFaculty of Arts and Sciences, New York University Shanghai, Shanghai, ChinaFaculty of Arts, Psychology, and Theology, Åbo Akademi University, Turku, FinlandSchool of Psychology and Cognitive Science, East China Normal University, Shanghai, ChinaFaculty of Arts and Sciences, New York University Shanghai, Shanghai, ChinaIntroductionHomophobic discrimination and stigmatization, especially from healthcare professionals, are important stressors for gay men. Homophobia may be partly rooted in seeing some gay men having casual sex and many sexual partners as a signal of mental problems. Sexual Strategies Theory (SST) suggests that such sexual behavior is a result of different sexual strategies men and women tend to adopt and is unrelated to sexual orientation per se. This study aimed to investigate (1) the effectiveness of providing an SST explanation for gay men’s sexual behavior in reducing homophobia among both lay persons and healthcare professionals; (2) differences in homophobia between healthcare professionals and lay people and also between medical and non-medical professionals.MethodsThe main analyses included 492 heterosexual participants recruited online via Chinese social media and sample services in 2021. Of these, 227 were healthcare professionals (128 medical, 99 non-medical) and 265 were lay people. The participants were randomly assigned into an experimental group given the SST explanation (n = 126), an active control group given a Minority Stress (MS) explanation (n = 184), and a control group (n = 182). After the manipulation, homophobia, knowledge about homosexuality, professional homophobic attitude, gay affirmative practice, and contact with gay men were assessed.ResultsThe results of factor analysis suggested dividing homophobia into Oppressing Homophobia (Oppressing HP) describing believing that gay men should have fewer rights and Pathologizing Homophobia (Pathologizing HP) describing believing that the sexual behavior of gay men is a signal of mental problem. Importantly, the SST explanation reduced Pathologizing HP while the MS explanation reduced Oppressing HP. Healthcare professionals reported more Oppressing HP than lay people, and medical professionals conducted less gay affirmative practice than non-medical professionals.ConclusionAn SST explanation can potentially reduce some aspects of homophobia among both healthcare professionals and lay people. Also, worryingly, Chinese healthcare professionals, especially medical professionals, reported more homophobia than lay individuals.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1143584/fullhomophobiagay menevolutionary psychologysexual strategies theoryhealthcare professionalgay affirmative practice
spellingShingle Qianhui Gao
Qianhui Gao
Jan Antfolk
Pekka Santtila
Pekka Santtila
An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China
Frontiers in Psychology
homophobia
gay men
evolutionary psychology
sexual strategies theory
healthcare professional
gay affirmative practice
title An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China
title_full An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China
title_fullStr An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China
title_full_unstemmed An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China
title_short An experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in China
title_sort experimental study using a sexual strategies explanation to reduce homophobia toward gay men among lay people and healthcare professionals in china
topic homophobia
gay men
evolutionary psychology
sexual strategies theory
healthcare professional
gay affirmative practice
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1143584/full
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