RACIAL DIFFERENCES IN SOCIAL SUPPORT AND MENTAL HEALTH IN MEN WITH HIV INFECTION A PILOT STUDY
RACIAL DIFFERENCES IN SOCIAL SUPPORT AND MENTAL HEALTH IN MEN WITH HIV INFECTION A PILOT STUDY
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DOI：
10.1080/09540129108253047
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发表时间：
1991-01-01
期刊：
影响因子：
1.7
通讯作者：
FISHER E
中科院分区：
文献类型：
--
作者：
OSTROW D G;WHITAKER R E D;FISHER E
社会支持在应对危及生命的慢性疾病的人的心理健康和行为中的中介作用对于确定艾滋病毒感染者（PWH）的生活质量具有潜在的重要意义。作为一项关于黑人和白人男性应对性感染艾滋病毒压力方式的混血试点研究的一部分，我们研究了社会支持与心理健康和行为之间的关系。该研究招募了 40 名同性恋/双性恋男性（20 名白人和 20 名黑人）参加底特律（美国密歇根州）医院艾滋病毒门诊，并接受了身心健康（HSCL-59）和 NIMH DIS 访谈）、行为和心理社会评估以及神经心理学筛查测试。黑人和白人在年龄、教育程度、性行为、身体或心理健康状况方面没有差异。然而，黑人男性不太可能向他们的主要社会支持网络公开自己的性取向，并且报告说他们的社会支持不如白人男性积极。当检查六维社会支持措施（Wortman 和 O'Brien，1987）与 HSC-L 痛苦分数之间的相关性时，发现物质社会支持和肯定的可用性与白人的痛苦呈负相关，而在黑人中则呈正相关。同样，之前观察到的社会支持充足性与采取安全性行为之间的正相关关系是在白人参与者中观察到的，但在黑人参与者中却没有观察到。这些试点研究结果表明，感染艾滋病毒的同性恋/双性恋男性在社会支持系统的构成和利用方面存在重要的种族、民族或文化差异。在设计和实施心理健康和/或行为干预措施时可能需要考虑这些差异。
The mediating role of social support in the mental health and behaviours of persons coping with life-threatening chronic illness is of potentially great importance in determining the quality of life of persons with HIV infection (PWHs). As part of a biracial pilot study of the ways black and white men manage the stresses of sexually acquired HIV infection, we have examined the relationship between social support and mental health and behaviors. Forty homosexual/bisexual men (20 white and 20 black) attending a Detroit (Michigan, USA) hospital-based HIV outpatient clinic were recruited for the study and underwent physical and mental health (HSCL-59) and NIMH DIS interview), behavioral and psychosocial evaluations, and a neuropsychologic screening test battery. The black and white men did not differ in terms of age, education, sexual behaviours, physical or mental health status. However, the black men were less likely to be open about their sexuality to their primary social support network, and to report that their social support was less affirmative than did the white men. When correlations between the six-dimensional social support measures (Wortman and O'Brien, 1987) and HSC-L distress scores were examined, both availability of material social support and affirmation were correlated negatively with distress among the white men but positively among the black men. Similarly, the previously observed positive relationship between perceived adequacy of social support and adoption of safer sexual practices was observed among white but not black participants. These pilot study findings suggest important racial, ethnic, or cultural differences in the composition and utilization of social support systems among homosexual/bisexual men with HIV infection. Such differences may need to be considered in the design and implementation of mental health and/or behavioural interventions.