Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV
Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV
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DOI：
10.1089/lgbt.2016.0135
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发表时间：
2017-08-01
期刊：
影响因子：
4.8
通讯作者：
Hightow-Weidman, Lisa B.
中科院分区：
文献类型：
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作者：
Hussen, Sophia A.;Harper, Gary W.;Hightow-Weidman, Lisa B.
目的：艾滋病毒/艾滋病不成比例地影响年轻的男同性恋、双性恋和其他男男性行为者（Y-GBMSM）。在Y-GBMSM艾滋病毒感染者中，复原力仍然研究不足，但代表了改善这一人群艾滋病毒相关结果的潜在重要框架。我们试图探索认知和行为层面的弹性和他们之间的相关性Y-GBMSM获得洞察力，以告知未来的interventions.Methods：我们的研究样本包括200 Y-GBMSM艾滋病毒感染者参加了一个多站点的研究，青少年医学试验网络艾滋病毒/艾滋病干预措施（ATN）。参与者完成了一个一次性的，自我管理的结构化问卷，包括验证的规模捕捉一系列的认知，行为，人口统计学和心理社会数据。利用这些数据，我们研究了认知和行为维度的弹性和潜在的心理社会correlations.Results：多元回归分析表明，教育，耻辱，社会支持，种族认同，内化同性负性，和行为弹性的认知弹性的统计学显着预测（P < 0.001，R-2 = 0.678）。社会支持满意度和认知弹性是行为弹性的显著预测因素（P < 0.001，R-2 = 0.141）。结论：我们的研究结果指出了将促进行为弹性的特征纳入未来干预措施以支持Y-GBMSM感染HIV的潜在策略。具体而言，在这一人群中，基于力量的干预措施应寻求加强社会支持，促进积极的身份发展，并鼓励教育。未来的研究还可以寻求利用和改进我们对青年复原力的衡量。
Purpose: HIV/AIDS disproportionately affects young gay, bisexual, and other men who have sex with men (Y-GBMSM). Resilience remains understudied among Y-GBMSM living with HIV, but represents a potentially important framework for improving HIV-related outcomes in this population. We sought to explore cognitive and behavioral dimensions of resilience and their correlates among Y-GBMSM to gain insights to inform future interventions.Methods: Our study sample consisted of 200 Y-GBMSM living with HIV enrolled in a multisite study of the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN). Participants completed a one-time, self-administered structured questionnaire, including validated scales capturing a range of cognitive, behavioral, demographic, and psychosocial data. Utilizing these data, we examined cognitive and behavioral dimensions of resilience and their potential psychosocial correlates using linear regression modeling.Results: Multiple regression analyses demonstrated that education, stigma, social support, ethnic identity, internalized homonegativity, and behavioral resilience were statistically significant predictors of cognitive resilience (P < 0.001, R-2 = 0.678). Social support satisfaction and cognitive resilience were significant predictors of behavioral resilience (P < 0.001, R-2 = 0.141).Conclusions: Our findings point to potential strategies for incorporating resilience-promoting features into future interventions to support Y-GBMSM living with HIV. Specifically, strengths-based interventions in this population should seek to enhance social support, promote positive identity development, and encourage education. Future research can also seek to utilize and refine our measures of resilience among youth.