Exposure to Crime and Trauma Among HIV-Infected Men Who Have Sex With Men: Associations With HIV Stigma and Treatment Engagement

Soto, Tomas; Komaie, Goldie; Neilands, Torsten B.; Johnson, Mallory O.

doi:10.1016/j.jana.2012.11.008

Cited by 15 publications

(7 citation statements)

References 31 publications

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“…23,26 Furthermore, not all of the social support scales measured the same dimensions of social support. Some studies chose social support scales that measured emotional and instrumental social support, 20,23,26,39 some selected measures of general social support, 22,33,35,54 and others selected measures of social support specific to medication adherence. 37,40 Similarly, the studies measured MA using a variety of methods and this could also have contributed to the inconsistency of result findings across the studies.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the studies had inadequate power to find a significant difference either because of a small sample size 33,39,40,45 or because their study sample did not include sufficient variation in a SDH factor. 20,21,30,32,35,37,44 Less than half of the studies evaluated the influence of two or more SDH factors on MA. In addition, relatively few studies accounted for other types of factors that may influence MA beside demographic characteristics such as age, sex, and race.…”

Section: Discussionmentioning

confidence: 99%

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The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis

et al. 2021

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BACKGROUND: Medication adherence (MA) is critical to successful chronic disease management. It is not clear how social determinants of health (SDH) impact MA. We conducted a systematic review and meta-analysis to summarize the evidence on the relationship between SDH and MA. METHODS: We conducted a systematic review of the literature using a Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) format. A literature search was performed using three databases: PubMed, Scopus, and Cochrane Clinical Trials Register in December of 2018. Included studies were completed in the USA, included adults aged 18 years and older, measured at least one social determinant of health, and medication adherence was the primary outcome measure. Data from included full texts were independently extracted using a standardized data extraction form. We then conducted a meta-analysis and pooled the odds ratios from the included studies for each social determinant as well as for all SDH factors collectively. RESULTS: A total of 3137 unduplicated abstracts were identified from our database searches. A total of 173 were selected for full text review after evaluating the abstract. A total of 29 articles were included for this systematic review. Economic-related SDH factors and MA were mostly commonly examined. The meta-analysis revealed a significant relationship between food insecurity (aOR = 0.56; 95% CI 0.42-0.7), housing instability (aOR = 0.64; 95% CI 0.44-0.93), and social determinants overall (aOR = 0.75; 95% CI 0.65-0.88) and medication adherence. DISCUSSION: Food insecurity and housing instability most consistently impacted medication adherence. Although included studies were heterogenous and varied widely in SDH and MA measurements, adverse social determinants overall were significantly associated with lower MA. The relationship between SDH and MA warrants more attention and research by health care providers and policymakers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis

et al. 2021

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“…Gay identity related stigma has been linked to a number of negative health indicators, such as psychological distress, depression, and social isolation, and problematic behaviors, such as substance use and sexual risk behaviors (e.g., Bruce, Ramirez-Valles, & Campbell, 2008; Russell & Joyner, 2001). Similarly, HIV/AIDS-related stigma—which likely is of salience to this group of men, given the average number of years since their diagnosis—has been linked to less social support, higher levels of depression, and lower self-esteem (e.g., Dowshen, Binns, & Garofalo, 2009; Soto, Komaie, Neilands, & Johnson, 2013; Wohl et al, 2013). Further, our sample consisted of individuals with a mean age in the mid 40s who were of low socioeconomic status (e.g., the majority were unemployed and many were living below the poverty line).…”

Section: Discussionmentioning

confidence: 99%

Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV.

Rood¹,

McConnell²,

Pantalone³

2015

Psychology of Sexual Orientation and Gender Diversity

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Stigma and stress may place HIV-positive men who have sex with men (HIV+ MSM) at risk for depression. Additionally, HIV+ MSM might utilize multiple HIV-related services as a way to gain support for, and more effectively manage, HIV-related stressors. Although prior research has demonstrated that depression severity and utilizing support services are associated with functional or dysfunctional coping strategies, researchers have not investigated the impact of different coping combinations—specifically, the concurrent use of functional and dysfunctional strategies—in this population. Thus, we explored (1) how items on one measure of coping, the Brief COPE, capture HIV-related coping of HIV+ MSM using Principal Components Analysis, (2) how HIV+ MSM’s coping groups into unique combinations, and (3) how these coping combinations relate to depression and the scope of HIV-related support service utilization. Our sample consisted of 170 HIV+ MSM engaged with medical care. Results indicated the use of both functional and dysfunctional coping strategies. Unique combinations of functional and dysfunctional strategies showed differential associations with depression and the extent of HIV-related support service utilization. Specifically, individuals who engaged in low levels of both functional and dysfunctional coping, compared to individuals who more frequently engaged in functional coping strategies, were significantly less likely to utilize a range of critical HIV-related services. Individuals who reported frequent use of dysfunctional coping strategies, regardless of functional coping strategy use, reported higher levels of depression. Therefore, providers should continue to focus more closely on identifying functional coping strategies and reducing dysfunctional coping when working with HIV+ MSM.

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“…Additionally, sexual orientation based stigma has been associated with higher levels of HIV-related stigma for MSM (Wohl et al, 2013). This relation has important implications for health outcomes given that HIV-related stigma may decrease medication adherence (Rao et al, 2012) and increase concerns about receiving ART (Soto, Komaie, Neilands, & Johnson, 2013). Therefore, further establishing adequate measurement of perceived sexual orientation based stigma may be important to both mental and physical health outcomes for YMSM.…”

Section: Implications Of Stigma On Mental Health Substance Use and mentioning

confidence: 99%

Internalized Homophobia and Perceived Stigma: a Validation Study of Stigma Measures in a Sample of Young Men who Have Sex with Men

Puckett

Newcomb²,

Ryan³

et al. 2016

Sex Res Soc Policy

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Young men who have sex with men (YMSM) experience minority stressors that impact their mental health, substance use, and sexual risk behaviors. Internalized homophobia (IH) and perceived stigma represent two of these minority stressors, and there has been limited research empirically validating measures of these constructs. We validated measures of IH and perceived stigma with a sample of 450 YMSM (mean age=18.9) and a sample of 370 YMSM (mean age=22.9). Results from exploratory and confirmatory factor analyses supported modifications to the IH and perceived stigma scales, ultimately revealing a three factor and one factor structure, respectively. Convergent and discriminant validity were examined utilizing correlations between IH, perceived stigma, and other variables related to minority stress (e.g., victimization). We evaluated predictive validity by examining relations with mental health, substance use, and risky sexual behaviors measured 12-months from baseline. There were mixed findings for IH, with subscales varying in their relations to mental health, drinking, and sexual risk variables. Perceived stigma was not related to mental health or substance use, but was associated with greater prevalence of STIs. Findings supported the use of these modified scales with YMSM and highlight the need for further measurement studies.

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Exposure to Crime and Trauma Among HIV-Infected Men Who Have Sex With Men: Associations With HIV Stigma and Treatment Engagement

Cited by 15 publications

References 31 publications

The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis

The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis

Distinct coping combinations are associated with depression and support service utilization in men who have sex with men living with HIV.

Internalized Homophobia and Perceived Stigma: a Validation Study of Stigma Measures in a Sample of Young Men who Have Sex with Men

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