Examining HIV Stigma, Depression, Stress, and Recent Stimulant Use in a Sample of Sexual Minority Men Living with HIV: An Application of the Stigma and Substance Use Process Model.
Examining HIV Stigma, Depression, Stress, and Recent Stimulant Use in a Sample of Sexual Minority Men Living with HIV: An Application of the Stigma and Substance Use Process Model.
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检查HIV污名，抑郁，压力和最近在患有艾滋病毒的性少数族裔男性样本中使用：污名和药物使用过程模型的应用。
DOI：
10.1007/s10461-021-03517-0
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发表时间：
2022-01
影响因子：
4.4
通讯作者：
Horvath KJ
中科院分区：
文献类型：
--
作者：
Meyers-Pantele SA;Lammert S;Rendina HJ;Shalhav O;Talan AJ;Smith LR;Pitpitan EV;Horvath KJ
感染艾滋病毒的性少数男性（SMM）受到耻辱和心理健康障碍的影响不成比例。在污名和物质使用过程模型的指导下，我们评估了艾滋病毒污名如何影响艾滋病毒感染者的心理健康结果。数据来自Thrive With Me，这是一项针对SMM艾滋病毒感染者的ART依从性的移动健康干预的RCT。路径分析测试了艾滋病污名，抑郁，压力和最近的兴奋剂使用之间的关系。总体而言，49.1%（194/401）有抑郁症状，68.8%（276/401）有中度至高度压力，28.1%（111/401）在基线时尿样中可检测到兴奋剂使用。在路径分析中，基线内化的艾滋病毒污名与基线后5个月的抑郁和压力相关，而制定的污名与基线后11个月的兴奋剂使用相关。我们确定了内化和制定艾滋病毒的耻辱，但不是预期的耻辱，作为潜在的重要干预目标，兴奋剂使用，抑郁症，并强调SMM与艾滋病毒。
Sexual minority men (SMM) with HIV are disproportionately impacted by stigma and mental health disorders. Guided by the Stigma and Substance Use Process Model, we evaluated how HIV stigma impacts mental health outcomes among SMM with HIV. Data were drawn from Thrive With Me, an RCT of an mHealth intervention targeting ART adherence among SMM with HIV. Path analyses tested the relationships between HIV stigma, depression, stress, and recent stimulant use. Overall, 49.1% (194/401) had depression symptoms, 68.8% (276/401) had moderate-to-high stress, and 28.1% (111/401) had detectable stimulant use in urine samples at baseline. In path analyses, baseline internalized HIV stigma was associated with depression and stress 5-months post-baseline and enacted stigma was associated with recent stimulant use 11-months post-baseline. We identified internalized and enacted HIV stigma, but not anticipated stigma, as potentially important intervention targets for stimulant use, depression, and stress among SMM with HIV.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.4
作者：
Horvath, Keith J.;Oakes, J. Michael;Rosser, B. R. Simon;Danilenko, Gene;Vezina, Heather;Amico, K. Rivet;Williams, Mark L.;Simoni, Jane
通讯作者：
Simoni, Jane
影响因子：
1.6
作者：
Frye, Victoria;Paige, Mark Q.;Taylor-Akutagawa, Vaughn
通讯作者：
Taylor-Akutagawa, Vaughn
影响因子：
3.3
作者：
Crockett, Kaylee B.;Kalichman, Seth C.;Katner, Harold P.
通讯作者：
Katner, Harold P.
DOI：
10.1007/s11524-019-00390-0
发表时间：
2019-12-01
影响因子：
6.6
作者：
Felker-Kantor, Erica A.;Wallace, Maeve E.;Theall, Katherine
通讯作者：
Theall, Katherine