| Autor: |
Woodward EN; Central Arkansas Veterans Healthcare System, South Central Mental Illness Research, Education, and Clinical Center (MIRECC), 2200 Fort Roots Drive, Mail code: NLR 58, North Little Rock, AR, 72114, USA. eva.woodward2@va.gov.; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA. eva.woodward2@va.gov., Banks RJ; Department of Social Work, Washington University in St. Louis, St. Louis, MO, USA., Marks AK; Department of Psychology, Suffolk University, Boston, MA, USA., Pantalone DW; Department of Psychology, University of Massachusetts Boston, Boston, MA, USA.; The Fenway Institute, Boston, MA, USA. |
| Abstrakt: |
Most HIV prevention for sexual minority men and men who have sex with men targets risk behaviors (e.g., condom use) and helps <50% of participants. Bolstering resilience might increase HIV prevention's effectiveness. This systematic review identified resilience resources (protective factors) in high-risk, HIV-negative, sexual minority men. We reviewed PsycINFO, PsycARTICLES, MEDLINE, references, and Listservs for studies including sexual minority men with 1+ HIV risk factor (syndemics): childhood sexual abuse, partner abuse, substance abuse, or mental health symptoms. From 1356 articles screened, 20 articles met inclusion criteria. Across the articles, we identified and codified 31 resilience resources: socioeconomic (e.g., employment), behavioral coping strategies (e.g., mental health treatment), cognitions/emotions (e.g., acceptance), and relationships. Resilience resources were generally associated with lower HIV risk; there were 18 low-risk associations, 4 high-risk associations, 8 non-significant associations). We generated a set of empirically based resilience variables and a hypothesis to be evaluated further to improve HIV prevention. |
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