Cognitive and behavioral resilience among young gay and bisexual men living with HIV

Sophia A. Hussen, Gary W. Harper, Caryn R.R. Rodgers, Jacob J. Van Den Berg, Nadia Dowshen, Lisa B. Hightow-Weidman

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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, R2 = 0.678). Social support satisfaction and cognitive resilience were significant predictors of behavioral resilience (P < 0.001, R2 = 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.

Original languageEnglish (US)
Pages (from-to)275-282
Number of pages8
JournalLGBT Health
Volume4
Issue number4
DOIs
StatePublished - Aug 1 2017

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HIV
Social Support
Acquired Immunodeficiency Syndrome
Adolescent Medicine
Education
Population
Sexual Minorities
Linear Models
Regression Analysis
Demography

Keywords

  • adolescents
  • HIV/AIDS
  • resilience
  • sexual minority health

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Urology

Cite this

Hussen, S. A., Harper, G. W., Rodgers, C. R. R., Van Den Berg, J. J., Dowshen, N., & Hightow-Weidman, L. B. (2017). Cognitive and behavioral resilience among young gay and bisexual men living with HIV. LGBT Health, 4(4), 275-282. https://doi.org/10.1089/lgbt.2016.0135

Cognitive and behavioral resilience among young gay and bisexual men living with HIV. / Hussen, Sophia A.; Harper, Gary W.; Rodgers, Caryn R.R.; Van Den Berg, Jacob J.; Dowshen, Nadia; Hightow-Weidman, Lisa B.

In: LGBT Health, Vol. 4, No. 4, 01.08.2017, p. 275-282.

Research output: Contribution to journalArticle

Hussen, SA, Harper, GW, Rodgers, CRR, Van Den Berg, JJ, Dowshen, N & Hightow-Weidman, LB 2017, 'Cognitive and behavioral resilience among young gay and bisexual men living with HIV', LGBT Health, vol. 4, no. 4, pp. 275-282. https://doi.org/10.1089/lgbt.2016.0135
Hussen SA, Harper GW, Rodgers CRR, Van Den Berg JJ, Dowshen N, Hightow-Weidman LB. Cognitive and behavioral resilience among young gay and bisexual men living with HIV. LGBT Health. 2017 Aug 1;4(4):275-282. https://doi.org/10.1089/lgbt.2016.0135
Hussen, Sophia A. ; Harper, Gary W. ; Rodgers, Caryn R.R. ; Van Den Berg, Jacob J. ; Dowshen, Nadia ; Hightow-Weidman, Lisa B. / Cognitive and behavioral resilience among young gay and bisexual men living with HIV. In: LGBT Health. 2017 ; Vol. 4, No. 4. pp. 275-282.
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