학술논문
Substance-related coping, HIV-related factors, and mental health among an HIV-positive sexual minority community sample.
Document Type
Article
Author
Source
Subject
*PSYCHOLOGICAL adaptation
*ANXIETY
*ATTITUDE testing
*COMMUNITY health services
*STATISTICAL correlation
*MENTAL depression
*DISCRIMINATION (Sociology)
*ETHNIC groups
*EXPERIENCE
*PSYCHOLOGY of HIV-positive persons
*MENTAL health
*METROPOLITAN areas
*PSYCHOLOGICAL tests
*RESEARCH funding
*SCALE analysis (Psychology)
*SELF-disclosure
*SELF-injurious behavior
*SOCIAL stigma
*PSYCHOLOGICAL stress
*SUBSTANCE abuse
*SURVEYS
*CRIME victims
*MULTIPLE regression analysis
*SOCIOECONOMIC factors
*SUICIDAL ideation
*PSYCHOLOGY of LGBTQ+ people
*ATTITUDES toward AIDS (Disease)
*DESCRIPTIVE statistics
HIV infections & psychology
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Language
ISSN
0954-0121
Abstract
HIV-positive status poses a unique set of social stressors, especially among lesbian, gay, and bisexual (LGB) persons. Among these difficulties are the internalization of HIV-related stigma and poor mental health. Unfortunately, substance use as a coping mechanism is also common, dependent on other demographic factors, among HIV-positive and LGB samples. The present study integrates these bodies of literature by examining main and interactive effects of HIV-related experiences (i.e., disclosure of HIV-positive status, fear of disclosure, HIV-related victimization, and internalized HIV-related stigma) and substance-related coping with discrimination as they impact mental health (i.e., stress, anxiety, depressive symptoms, and suicide and self-injury proneness). Participants were 216 HIV-positive LGB community members from an urban community medical clinic. Prominent results included: (1) robust negative effects of internalized HIV-related stigma on all mental health indicators when controlling for other HIV-related experiences and (2) a significant interaction in which substance-related coping significantly increases suicide proneness, only for those who have disclosed HIV-positive status to family or friends. Results are discussed with respect to theoretical perspectives of internalized stigma, implications for clinical work with LGB persons of HIV-positive status, and future research. [ABSTRACT FROM AUTHOR]