The purpose of this study was to determine the relationships between sexual identity, depression, self-esteem, HIV risk behaviors, HIV status, and internalized homophobia in Black men who have sex with men. Results demonstrated a positive relationship between depression, HIV risk behaviors, and internalized homophobia; a negative relationship with self-esteem; and differences in internalized homophobia by HIV status (i.e., positive, negative, or unknown). Counseling recommendations are provided for working with this population.Keywords: Black men, internalized homophobia, HIV, men who have sex with men
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