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. 2023 Jan;52(1):283-290.
doi: 10.1007/s10508-022-02468-4. Epub 2022 Nov 17.

Impact of Migration and Acculturation on Turkish Men Who Have Sex with Men in Germany: Results from the 2010 European MSM Internet Survey

Axel J Schmidt  1 , Michael W Ross  2 , Rigmor C Berg  3 , Peyman Altan  4
Affiliations

Impact of Migration and Acculturation on Turkish Men Who Have Sex with Men in Germany: Results from the 2010 European MSM Internet Survey

Axel J Schmidt et al. Arch Sex Behav. 2023 Jan.

Abstract

To examine the impact of migration and acculturation of Turkish men who have sex with men (MSM) to Germany, using data from the European MSM Internet Survey (EMIS-2010), on measures of acculturation including circumcision status, internalized homonegativity (IH), HIV/STI knowledge, sexual orientation, outness, HIV-testing, and sexual behaviors. We compared four groups of MSM: MSM born and residing in Germany who had completed the questionnaire in German (n = 38,915), MSM born and residing in Germany, with a father or mother born in Turkey (n = 97), MSM residing in Germany who were born in Turkey or whose parents were born in Turkey (n = 262), and MSM who were born and residing in Turkey and who completed the questionnaire in Turkish (n = 1,717). Data showed that there were significant dose-response curves between level of migration and several outcome variables. As exposure to Germany increased, MSM had lower IH, higher HIV/STI knowledge, increased outness, and were less likely to be circumcised. There were similar significant findings with regard to sexual HIV risk behavior (condomless anal intercourse with partners of unknown (or sero-discordant) HIV status). Data were consistent with acculturation over generations in immigrant groups in MSM migrating from Turkey to Germany. Integration includes both cultural aspects (circumcision) and integration into a more homopositive gay environment (IH, outness, increased HIV/STI knowledge), and sexual HIV risk behavior. Migration and associated acculturation may constitute a risk change for HIV/STI and mental health issues associated with IH and outness.

Keywords: Emigrants and immigrants; Homosexuality; Internalized homonegativity; Mental health; Migration; Sexual orientation.

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References

    1. Berg, R. C., Ross, M. W., Weatherburn, P., & Schmidt, A. J. (2013). Structural and environmental factors are associated with internalised homonegativity in men who have sex with men: Findings from the European MSM Internet Survey (EMIS) in 38 countries. Social Science & Medicine, 78, 61–69. - DOI
    1. Berry, J., & Sam, D. (1997). Acculturation and adaptation. In J. Berry, M. Segall, & C. Kagitcibasi (Eds.), Handbook of cross-cultural psychology (2nd ed., pp. 291–326). Allyn & Bacon.
    1. ECDC. (2018). 2018 progress. Retrieved from Dublin Declaration monitoring: https://ecdc.europa.eu/sites/portal/files/documents/FINAL_DD%202018_ques...
    1. Gordon, M. M. (1964). Assimilation in American life: The role of race, religion, and national origins. Oxford University Press.
    1. Kocken, P. L., Van Dorst, A. G., & Schaalma, H. (2006). The relevance of cultural factors in predicting condom-use intentions among migrants from The Netherlands Antilles. Health Education Research, 21(2), 230–238. - DOI

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