"I've Been Forged in Fire": Preliminary Theory of HIV Prevention Resilience Among Sexual Minority Men With HIV Risk Factors.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Aids Education and Prevention Pub Date : 2025-02-01 DOI:10.1521/aeap.2025.37.1.56

Eva N Woodward, Anthony W P Flynn, Ethan H Mereish, Regina J Banks, Amy K Marks, David W Pantalone

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引用次数: 0

Abstract

HIV prevention research on sexual minority men focuses predominantly on risk factors, yet there is potential for enhancing HIV risk reduction by also examining resilience factors. We used mixed methods to explore HIV-related resilience pathways among 20 HIV-negative sexual minority men reporting HIV syndemic risks (childhood sexual abuse, partner abuse, mental health problems, substance abuse). Using grounded theory, we found that stress-related growth after mental health problems and/or unwanted sexual experiences can trigger development/use of HIV prevention resilience resources that, in turn, help sexual minority men cope and enhance HIV prevention behavior. We identified 23 HIV resilience resources at individual, interpersonal, community, health system, and structural levels. These findings informed a preliminary Theory of HIV Prevention Resilience for Sexual Minority Men. Our findings identified resilience resources to be nurtured through public health or mental health/substance use-focused interventions at broader levels to better address the HIV epidemic.

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“我在火中锻造”：具有艾滋病危险因素的性少数男性艾滋病预防弹性的初步理论。

针对性少数群体男性的艾滋病毒预防研究主要侧重于风险因素，但也有可能通过检查恢复力因素来加强艾滋病毒风险降低。我们使用混合方法探索了20名报告HIV综合征风险（儿童期性虐待、伴侣虐待、精神健康问题、药物滥用）的HIV阴性性少数男性与HIV相关的恢复途径。通过基于理论的研究，我们发现心理健康问题和/或不想要的性经历后的压力相关增长可以触发HIV预防弹性资源的开发/使用，从而帮助性少数男性应对和加强HIV预防行为。我们在个人、人际、社区、卫生系统和结构层面确定了23种艾滋病毒抵御力资源。这些发现为性少数男性艾滋病预防恢复力的初步理论提供了依据。我们的研究结果确定了在更广泛的层面上通过公共卫生或以精神卫生/物质使用为重点的干预措施来培养复原力资源，以更好地应对艾滋病毒流行。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.