Effects of Discrimination on HIV-Related Symptoms in Heterosexual Men of Color

Autor: James M. McMahon, Janie Simmons, Angela Aidala, Amy Braksmajer
Jazyk: angličtina
Rok vydání: 2018
Předmět:
men of color
Adult
Male
Health (social science)
Social Determinants of Health
lcsh:Medicine
physiological and endocrine disorders
HIV Infections
Anxiety
03 medical and health sciences
Social support
0302 clinical medicine
Moderated mediation
Quality of life (healthcare)
5. Gender equality
Acquired immunodeficiency syndrome (AIDS)
Humans
Medicine
030212 general & internal medicine
Social determinants of health
Heterosexuality
10. No inequality
special populations
psychosocial and cultural issues
030505 public health
Social work
business.industry
lcsh:R
Public Health
Environmental and Occupational Health

Social Support
virus diseases
Hispanic or Latino
Middle Aged
medicine.disease
Special section-HIV/AIDS/STIs
Mental health
Black or African American
Cross-Sectional Studies
Quality of Life
HIV/AIDS
New York City
medicine.symptom
0305 other medical science
business
mental health
Prejudice
Clinical psychology
Zdroj: American Journal of Men's Health, Vol 12 (2018)
American Journal of Men's Health
ISSN: 1557-9891
1557-9883
Popis: HIV-related symptoms have a deleterious effect on quality of life. One determinant of HIV symptom burden among individuals of color may be discrimination. The aim of this study was to explore whether multiple lifetime discrimination events are associated with a greater number of HIV-related symptoms among heterosexual HIV-positive men of color and to examine the influence of anxiety and social support on this relationship. Data for this study were drawn from a cross-sectional survey of 307 heterosexual HIV-positive men recruited from health and social service agencies in New York City (NYC). This study indicated that the number of discrimination events experienced in one’s lifetime was positively associated with the number of HIV-related symptoms experienced in the past month. Moreover, the direct effect of discrimination on HIV symptoms remained significant after anxiety was included as a mediator in the model, and there was a significant indirect effect of discrimination on HIV symptoms through anxiety. Evidence supported a potential moderated mediation effect involving social support: As social support increased, the indirect effect of discrimination on HIV symptoms through anxiety decreased. The results of this study suggest an association between discrimination and HIV-related symptom burden. Furthermore, the relationship between number of major discrimination experiences and HIV symptom burden was partially mediated by anxiety. Future research should consider how lifetime discrimination might be associated with negative health outcomes among HIV-positive individuals of color.
Databáze: OpenAIRE