| Title |
Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior
|
|---|---|
| Published in |
Annals of Behavioral Medicine, August 2016
|
| DOI | 10.1007/s12160-016-9822-8 |
| Pubmed ID | |
| Authors |
H. Jonathon Rendina, Kristi E. Gamarel, John E. Pachankis, Ana Ventuneac, Christian Grov, Jeffrey T. Parsons |
| Abstract |
Minority stress theory represents the most plausible conceptual framework for explaining health disparities for gay and bisexual men (GBM). However, little focus has been given to including the unique stressors experienced by HIV-positive GBM. We explored the role of HIV-related stress within a minority stress model of mental health and condomless anal sex. Longitudinal data were collected on a diverse convenience sample of 138 highly sexually active, HIV-positive GBM in NYC regarding sexual minority (internalized homonegativity and gay-related rejection sensitivity) and HIV-related stressors (internalized HIV stigma and HIV-related rejection sensitivity), emotion dysregulation, mental health (symptoms of depression, anxiety, sexual compulsivity, and hypersexuality), and sexual behavior (condomless anal sex with all male partners and with serodiscordant male partners). Across both sexual minority and HIV-related stressors, internalized stigma was significantly associated with mental health and sexual behavior outcomes while rejection sensitivity was not. Moreover, path analyses revealed that emotion dysregulation mediated the influence of both forms of internalized stigma on symptoms of depression/anxiety and sexual compulsivity/hypersexuality as well as serodiscordant condomless anal sex. We identified two targets of behavioral interventions that may lead to improvements in mental health and reductions in sexual transmission risk behaviors-maladaptive cognitions underlying negative self-schemas and difficulties with emotion regulation. Techniques for cognitive restructuring and emotion regulation may be particularly useful in the development of interventions that are sensitive to the needs of this population while also highlighting the important role that structural interventions can have in preventing these disparities for future generations. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 50% |
| Unknown | 3 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 83% |
| Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 236 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Singapore | 1 | <1% |
| Unknown | 235 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 35 | 15% |
| Student > Master | 35 | 15% |
| Researcher | 26 | 11% |
| Student > Doctoral Student | 24 | 10% |
| Student > Bachelor | 23 | 10% |
| Other | 37 | 16% |
| Unknown | 56 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 75 | 32% |
| Social Sciences | 30 | 13% |
| Nursing and Health Professions | 23 | 10% |
| Medicine and Dentistry | 22 | 9% |
| Neuroscience | 3 | 1% |
| Other | 15 | 6% |
| Unknown | 68 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 April 2017.
All research outputs
#3,421,379
of 24,344,498 outputs
Outputs from Annals of Behavioral Medicine
#363
of 1,449 outputs
Outputs of similar age
#61,863
of 371,586 outputs
Outputs of similar age from Annals of Behavioral Medicine
#11
of 19 outputs
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