Sources of Resilience as Mediators of the Effect of Minority Stress on Stimulant Use and Sexual Risk Behavior Among Young Black Men who have Sex with Men

被引：35

作者：

Storholm, Erik D. ^{[1
]}

Huang, Wenjing ^{[1
]}

Siconolfi, Daniel E. ^{[1
]}

Pollack, Lance M. ^{[2
]}

Carrico, Adam W. ^{[3
]}

Vincent, Wilson ^{[2
]}

Rebchook, Gregory M. ^{[2
]}

Huebner, David M. ^{[4
]}

Wagner, Glenn J. ^{[1
]}

Kegeles, Susan M. ^{[2
]}

机构：

[1] RAND Corp, 1776 Main St,Off 5227, Santa Monica, CA 90407 USA

[2] Univ Calif San Francisco, Dept Med, Ctr AIDS Prevent Studies, San Francisco, CA 94143 USA

[3] Univ Miami, Sch Med, Miami, FL USA

[4] George Washington Univ, Sch Publ Hlth, Washington, DC USA

来源：

AIDS AND BEHAVIOR | 2019年 / 23卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Stimulant use; Resilience; Minority stress; Sexual risk; YBMSM; AFRICAN-AMERICAN MEN; CLUB DRUG-USE; HIV RISK; SOCIAL SUPPORT; MPOWERMENT PROJECT; SUBSTANCE USE; HELP-SEEKING; GAY; HEALTH; METHAMPHETAMINE;

D O I：

10.1007/s10461-019-02572-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The greatest proportion of new HIV infections among men who have sex with men (MSM) is occurring among young Black MSM (YBMSM) ages 13-24. Consequently, research is needed to understand the psychosocial pathways that influence HIV risk and resilience in YBMSM. Minority Stress Theory proposes that the stigma, prejudice, and discrimination facing sexual and racial minorities are chronic stressors that lead to increased engagement in risk behaviors. The present study examined whether minority stress is associated with stimulant use and sexual risk behaviors by depleting psychosocial resilience. We recruited 1817 YBMSM, ages 18-29, from multiple venues in two major cities in Texas for participation in a brief survey. Results from structural equation modeling indicated that decreased resilience partially mediated the association of minority stress with sexual risk behavior. Resilience was also negatively associated with stimulant use. Interventions focused on cultivating psychosocial resilience could mitigate the deleterious consequences of minority stress and reduce stimulant use in YBMSM.

引用

页码：3384 / 3395

页数：12

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