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

► This is the largest study to date to examine structural and environmental predictors of internalised homonegativity among MSM. ► The presence of laws recognising same-sex relationships and same-sex adoption was associated with lower levels of internalised homonegativity. ► This 38-country study demonstrates the importance of promoting social equity for self-acceptance around gay identity.