Having Supportive Social Relationships is Associated with Reduced Risk of Unrecognized HIV Infection Among Black and Latino Men who Have Sex with Men

Springer Science and Business Media LLC - Tập 16 - Trang 508-515 - 2011
Jennifer L. Lauby1, Gary Marks2, Trista Bingham3, Kai-Lih Liu4, Adrian Liau2, Ann Stueve5, Gregorio A. Millett2
1Public Health Management Corporation, Philadelphia, USA
2Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, USA
3Los Angeles County Department of Public Health, Los Angeles, USA
4New York City Department of Mental Health and Hygiene, New York, USA
5Education Development Center, Inc, New York, USA

Tóm tắt

We examined the hypothesis that black and Latino men who have sex with men (MSM) who have supportive social relationships with other people are less likely to have unrecognized HIV infection compared with MSM of color who report lower levels of social support. We interviewed 1286 black and Latino MSM without known HIV infection in three metropolitan areas who were recruited using respondent driven sampling. Participants completed a computer-administered questionnaire and were tested for HIV. Unrecognized HIV infection was found in 118 men (9.2%). MSM who scored higher on the supportive relationship index had significantly lower odds of testing HIV-positive in the study. The mediation analysis identified two possible behavioral pathways that may partially explain this association: men who had strong supportive relationships were more likely to have had a test for HIV infection in the past 2 years and less likely to have recently engaged in high-risk sexual behavior. The findings illuminate the protective role of social relationships among MSM of color in our sample.

Tài liệu tham khảo

Centers for Disease Control and Prevention. Subpopulation estimates from the HIV incidence surveillance system—United States, 2006. MMWR. 2008;57:985–9. Office of the President. National HIV/AIDS Strategy for the United States. 2010. Helms DJ, Weinstock HS, Mahle KC, et al. HIV testing frequency among men who have sex with men attending sexually transmitted disease clinics: implications for HIV prevention and surveillance. JAIDS. 2009;50:320–6. Centers for Disease Control and Prevention. Prevalence and awareness of HIV infection among men who have sex with men—21 cities, United States, 2008. MMWR. 2010;59:1201–7. Marks G, Crepaz N, Janssen RS. Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the United States. AIDS. 2006;20:1447–50. Marks G, Millett GA, Bingham T, et al. Understanding differences in HIV sexual transmission among Latino and Black Men who have sex with men: the Brothers y Hermanos Study. AIDS Behav. 2009;13:682–90. House JS, Landis KR, Umberson D. Social relationships and health. Science. 1988;241:540–5. Cohen S. Psychosocial models of social support in the etiology of physical disease. Health Psychol. 1988;7:269–97. Cacioppo JT, Hawkley LC. Social isolation and health, with an emphasis on underlying mechanisms. Perspect Biol Med. 2003;46(supp 3):S39–52. Cohen S. Social relationships and health. Am Psychol. 2004;59:676–84. Uchinio BN, Cacioppo JT, Kiecolt-Glaser JK. The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychol Bull. 1996;119:488–531. Uchino BN. Social support and health: a review of physiological processes potentially underlying links to disease outcomes. J Behav Med. 2008;29:377–87. Uchino BN. Understanding the links between social support and physical health: a life-span perspective with emphasis on the separability of perceived and received support. Perspect Psychol Sci. 2009;4:236–55. Mashburn AJ, Peterson JL, Bakeman R, Miller RL, Clark LF, Community Intervention Trials for Youth Study Team. Influences on HIV testing among young African-American men who have sex with men and the moderating effect of geographic setting. J Community Psychol. 2004;32:45–60. Peterson JL, Coates TJ, Catania JA, Middleton L, Hilliard B, Hearst N. High-risk sexual behavior and condom use among gay and bisexual African-American men. AJPH. 1992;82:1490–4. Ostrow DG, Whitaker RE, Frasier K, et al. Racial differences in social support and mental health in men with HIV infection: a pilot study. AIDS Care. 1991;3(1):55–63. Zea MC, Reisen CA, Poppen PJ, Bianchi FT, Echeverry JJ. Disclosure of HIV status and psychological well-being among Latino gay and bisexual men. AIDS Behav. 2005;9:15–26. Power R, Koopman C, Volk J, et al. Social support, substance use and denial in relationship to antiretroviral treatment adherence among HIV-infected persons. AIDS Patient Care STDs. 2003;17:245–52. Lam PK, Naar-King S, Wright K. Social support and disclosure as predictors of mental health in HIV-positive youth. AIDS Patient Care STDs. 2007;21:20–9. Patterson TL, Shaw WS, Semple SJ, et al. Relationship of psychosocial factors to HIV disease progression. Ann Behav Med. 1996;18:30–9. Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44(2):174–99. Heckathorn DD. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49(1):11–34. Wang J, Carlson RG, Falck RS, Siegal HA, Rahman A, Li L. Respondent-driven sampling to recruit MDMA users: a methodological assessment. Drug Alcohol Depend. 2005;78:47–157. Diaz RM, Campbell RT. From networks to populations: the development and application of respondent-driven sampling among IDUs and Latino Gay Men. AIDS Behav. 2005;9(4):387–402. Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32:705–14. Ensel WM, Woelfel M. Measuring the instrumental and expressive functions of social support. In: Lin N, Dean A, Ensel W, editors. Social support, life events and depression. Academic Press; 1986. Centers for Disease Control and Prevention. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2006;55 (RR14):1–17. Thiede H, Jenkins RA, Carey JW, et al. Determinants of recent HIV infection among Seattle-area men who have sex with men. Am J Public Health. 2009;99(Suppl. 1):S157–64. Rietmeijer CA, Wolitski RJ, Fishbein M, Corby N, Cohn D. Sex hustling, injection drug use and non-gay identification by men who have sex with men: associations with high-risk sexual behaviors and condom use. Sex Transm Dis. 1998;25:353–60. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–82. Herr NR. Mediation with dichotomous variables. Available at http://nrherr.bol.ucla.edu/Mediation/logmed.html. Accessed 2009. MacKinnon DP, Dwyer JH. Estimating mediated effects in prevention studies. Eval Rev. 1993;17:144–58. Preacher KJ, Leonardelli GJ. Calculation for the Sobel test: an interactive calculation tool for mediation tests. Available at http://www.people.ku.edu/~preacher/sobel/sobel.htm. Accessed 2009. Kawachi I, Berkamn LF. Social ties and mental health. J Urban Health. 2001;78:458–66. Mosack KE, Weinhardt LS, Kelly JA, et al. Influence of coping, social support and depression on subjective health status among HIV-positive adults with different sexual identities. Behav Med. 2009;34:133–44.