Behavioral MedicinePub Date : 2026-01-01Epub Date: 2026-01-12DOI: 10.1080/08964289.2025.2513322
Racquel E Kohler, Rachel B Wagner, Kathryn Greene, Rula Btoush, Leslie Kantor, Manuel E Jimenez
{"title":"Developing an mHealth Intervention to Increase HPV Vaccine Confidence Among Black Families.","authors":"Racquel E Kohler, Rachel B Wagner, Kathryn Greene, Rula Btoush, Leslie Kantor, Manuel E Jimenez","doi":"10.1080/08964289.2025.2513322","DOIUrl":"10.1080/08964289.2025.2513322","url":null,"abstract":"<p><p>Despite over 15 years of human papillomavirus (HPV) vaccination implementation, uptake remains below national targets. Black/African American adolescents are less likely to complete the HPV vaccine series, due to a myriad of multilevel factors including vaccine hesitancy. The objective of this study was to develop a tailored mHealth intervention to promote vaccine confidence among Black families with adolescents. We generated a message bank from the literature, then prioritized and edited content according to needs identified in previous research with Black parents, community stakeholder input, and expert consensus. We conducted three rounds of prototype feedback sessions with 16 parents of adolescents aged 9-13 years from the Greater Newark Area. We recruited at family-friendly events, through community researchers, and with snow-ball sampling. We employed user-centered design techniques, elicited open-ended feedback, and collected relevance ratings for rapid qualitative analysis. Transcripts were thematically analyzed. Results indicated intervention content and features should be tailored by information source and channel. Fact-based messages with neutral framing balancing cancer prevention benefits and safety were highly rated. Including links to trustworthy sources was perceived as increasing credibility and helpful for family-centered decision-making. Parents also wanted age-appropriate information with graphics to explain the purpose and importance of HPV vaccination to their adolescents. Developing the intervention with families highlighted the need for multi-modalities, including informational short-message-service (SMS) and detailed emails with tailored information. Multi-modal interventions providing accurate information tailored to parents' questions and concerns, have potential to educate and empower parents to protect their children from HPV cancers.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":"52 1","pages":"28-38"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lindsay B Gezinski, Ariel M S Richer, Aundrea Dilanchian, Kathleen Preble, Theresa Anasti, Nathaniel A Dell, Cassandra Price
{"title":"\"If It's Not Relevant to Your Diagnosis, We Don't Need to Ask\": Provider Perspectives on Trauma-Informed Care with Survivors of Sex Trafficking.","authors":"Lindsay B Gezinski, Ariel M S Richer, Aundrea Dilanchian, Kathleen Preble, Theresa Anasti, Nathaniel A Dell, Cassandra Price","doi":"10.1080/08964289.2025.2590433","DOIUrl":"https://doi.org/10.1080/08964289.2025.2590433","url":null,"abstract":"<p><p>There is a lack of research on the impact of trauma-informed care for survivors of sex trafficking. This article examines service providers' perspectives on trauma-informed best practices for engaging survivors in service provision. Twenty-one service providers in the southwestern US participated in a virtual semi-structured interview that was approximately 1-h in length. Interviews were audio-recorded, transcribed, and data analysis consisted of Braun & Clark's six-stage process for thematic analysis. Five themes were generated from the data, including (1) judgment and stigma, (2) building trust through consistency, (3) compassionate communication, (4) providing opportunities for survivor autonomy and choice, and (5) creating a warm and welcoming environment. Survivors experience stigma and distrust healthcare providers, which can impede their access to and engagement with care. This study highlights the vital role of trauma-informed care in fostering survivor-centered support systems that promote dignity and healing for survivors of sex trafficking.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eleni Gkouti, Sofia Benou, Eleni Papachatzi, Sotirios Fouzas, Ageliki Karatza, Gabriel Dimitriou, Despoina Gkentzi
{"title":"Knowledge, Perceptions and Intention of Acceptance of RSV Vaccine Amongst Women in Western Greece - A Cross-Sectional Study.","authors":"Eleni Gkouti, Sofia Benou, Eleni Papachatzi, Sotirios Fouzas, Ageliki Karatza, Gabriel Dimitriou, Despoina Gkentzi","doi":"10.1080/08964289.2025.2591248","DOIUrl":"https://doi.org/10.1080/08964289.2025.2591248","url":null,"abstract":"<p><p>Immunization of pregnant women against respiratory syncytial virus (RSV) has been recently licensed for use worldwide. In this study, we aimed to assess knowledge, perceptions and potential RSV vaccine acceptance in future pregnancy in mothers of children under 2 years old attending a Tertiary hospital. Α questionnaire-based cross-sectional study was conducted between January and May 2024 (including period of RSV peak circulation in Greek climate), at a university hospital in Greece. A total of 255 participants were enrolled during the 4-month study period. Participants were divided in three categories equally, according to their child's status as follows Admission to the ward with Respiratory tract infection (AR); casualty attendance and Discharge due to Respiratory tract infection that does not need hospitalization (DR) and Admission to the ward for Other reasons (AO), no respiratory tract infection. The majority have not received antenatal vaccination in previous pregnancies with the recommended vaccines, were not aware of RSV, and were not informed about the new RSV vaccine. Most women expressed willingness to receive antenatal vaccination against RSV in future pregnancy, following a healthcare professional's recommendation. Prior antenatal vaccination and knowledge of RSV were found to be positively associated with future vaccine acceptance. Healthcare professional recommendations could play an important role in influencing maternal attitudes toward potential vaccination. These insights underscore the importance of targeted education and communication strategies for women of reproductive age, aiming to enhance uptake of newly introduced antenatal RSV vaccine.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liv Juncker Harsløf, Marianne Lindahl, Cissa Burmeister, Ida Hjortshøj Lindgren, Jacob Suhr Bisschop-Thomsen, Margit Dall Aaslyng
{"title":"Developing Canteen Staff's Skills in Providing Healthy Meals from the Perspective of Vocational School Students: A Mixed Methods Study.","authors":"Liv Juncker Harsløf, Marianne Lindahl, Cissa Burmeister, Ida Hjortshøj Lindgren, Jacob Suhr Bisschop-Thomsen, Margit Dall Aaslyng","doi":"10.1080/08964289.2025.2590430","DOIUrl":"https://doi.org/10.1080/08964289.2025.2590430","url":null,"abstract":"<p><p>Young adults attending vocational education and training schools often engage in various health risk factors, including poor dietary habits. School canteens are key settings that can promote students' healthy food choices. This study aims to enhance the skills of vocational school canteen staff in preparing healthy food, student-centered communication, and meal presentation. A mixed-methods approach incorporated participatory action research and grounded theory (GT) analysis. The participants included 17 staff members, aged 21 to 60 years, working at three canteens that serve 557 students. Over eight months, four workshops were conducted, with staff engaging in exploratory actions between sessions to enhance student interaction and create healthy meals accommodating student preferences. Data collected from observations, field notes, and interviews were analyzed using GT, while survey data on student meal preferences were described statistically. A one-week choice architecture intervention was implemented in one canteen, and receipt data were collected to assess the impact of the new meal presentations and assessed using binomial logistic regression. The GT analysis identified the core category: \"A dialogical hospitality approach facilitates reassurance.\" The workshops enhanced the staff's skills in healthy food preparation, incorporating student preferences and boosting their confidence in employing a hospitality-based dialogical approach, reassuring students to make healthy food choices. The choice architecture intervention led to a significant increase in the sales of healthy meals. This study highlights the importance of involving staff in targeted training through participatory methods to promote students' healthier food options in vocational school settings.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie Palmer, Barbara Storch, Anjali Krishnan, Laura C Reigada
{"title":"Gastrointestinal Symptoms in New York City College Students: The Influence of GI-Specific Anxiety, Adversity, and Sociodemographic Differences.","authors":"Natalie Palmer, Barbara Storch, Anjali Krishnan, Laura C Reigada","doi":"10.1080/08964289.2025.2571115","DOIUrl":"https://doi.org/10.1080/08964289.2025.2571115","url":null,"abstract":"<p><p>Emerging adulthood is a critical developmental period characterized by physiological and psychosocial vulnerabilities that may increase susceptibility to gastrointestinal (GI) symptoms and disorders. Stress during this time can disrupt gut-brain communication, exacerbating GI distress and associated health risks. Gender and race/ethnicity are also associated with GI symptom presentation and pain perception, yet these factors remain understudied. This study examines GI symptoms (Gastrointestinal Symptom Rating Scale), GI-specific anxiety (Visceral Sensitivity Index), and adverse childhood experiences (ACEs) in a diverse, non-medical college sample, exploring discernable differences among gender and racial/ethnic identities for key variables. The study included 1364 participants who were on average approximately 20 years old, recruited from five four-year colleges within a large public university system in New York City, completed an online survey. Multiple correspondence analysis (MCA), a multivariate technique, was used to identify patterns across categorical variables. MCA results showed that all GI symptoms were associated with GI-specific anxiety but were mostly unrelated to ACEs. Males and transgender females had significantly less GI symptoms and GI-specific anxiety compared to females and gender non-conforming participants. Participants who identified as White had significantly more GI symptoms and GI-specific anxiety compared to those who identified as Black. This work underscores the need for better recognition and intervention given the substantial burden of GI discomfort experienced by a sizable portion of this emerging adult sample, the strong link between GI-specific anxiety and symptoms, and differences in burden by gender and race/ethnicity.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavioral MedicinePub Date : 2025-10-01Epub Date: 2025-06-05DOI: 10.1080/08964289.2025.2508971
Craig P Polizzi, Emma Katz, Maria Ting, Cameron Busser, Matthew Paszkiewicz, Eileen Barden, DeAnna L Mori, Barbara L Niles
{"title":"Physical Activity and Functioning Following Tai Chi and a Wellness Comparison Intervention in Veterans with Gulf War Illness.","authors":"Craig P Polizzi, Emma Katz, Maria Ting, Cameron Busser, Matthew Paszkiewicz, Eileen Barden, DeAnna L Mori, Barbara L Niles","doi":"10.1080/08964289.2025.2508971","DOIUrl":"10.1080/08964289.2025.2508971","url":null,"abstract":"<p><p>Gulf War Illness (GWI) is a highly prevalent chronic, multisymptomatic condition associated with worsening physical health and quality of life among veterans. Specifically, GWI symptoms may disrupt physical functioning that negatively impacts overall health. Complementary and integrative health interventions that promote physical activity, such as Tai Chi, may be critical to addressing physical functioning in veterans with GWI. The present study is a secondary analysis of data from a randomized controlled trial comparing Tai Chi to a Wellness intervention on physical functioning outcomes in a sample of 53 veterans with GWI and pain. Gait speed, fast walking speed, lower body strength, and self-reported physical activity were assessed across four timepoints: baseline, posttreatment, 3-month follow-up, and 9-month follow-up. Treatments were delivered in a 60-minute group format twice a week for 12 weeks (24 sessions total). Results from multilevel regression models revealed that Tai Chi was related to greater increases in time spent on flexibility exercise whereas improvements in gait speed were associated with Wellness, though between-treatment differences were small. These findings are promising because they provide preliminary evidence for the utility of <i>two</i> treatments that may improve specific physical functioning outcomes in veterans with GWI, especially in accommodating physical difficulties associated with the condition that few treatments have addressed.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"347-357"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavioral MedicinePub Date : 2025-10-01Epub Date: 2025-03-10DOI: 10.1080/08964289.2025.2471875
Celina R Furman, Ingrid A Worth, Jacki D Zhang, Ashley N Gearhardt
{"title":"The Moderating Effect of Social Skills and Social Support on the Association Between Poverty Ratio and Health Promotion Behaviors in Adolescence.","authors":"Celina R Furman, Ingrid A Worth, Jacki D Zhang, Ashley N Gearhardt","doi":"10.1080/08964289.2025.2471875","DOIUrl":"10.1080/08964289.2025.2471875","url":null,"abstract":"<p><p>Eating and exercise habits established in adolescence are associated with immediate and long-term health outcomes. These habits may be influenced by adolescents' socioeconomic status (SES), such that low SES households often experience inequitable access to nutritious foods and opportunities for exercise. Emerging evidence suggests that social factors, such as social skills and social support may support adolescents' health behavior engagement. Thus, this study tested if social factors might be a viable target for interventions to reduce SES disparities in health behavior among adolescents. Using data from the Future of Families and Child Wellbeing Study, we examined (1) if household SES is associated with adolescents' self-reported frequency of healthy eating and exercise, and (2) if social factors (e.g., social skills, connectedness, social support) mitigate the negative association between SES and each health behavior. Regression analyses revealed that adolescents in lower SES households reported fewer days of healthy eating and exercise. Social skills and support were positively associated with exercise for all adolescents, but did not reduce the SES disparity. Social skills and support were only associated with healthy eating for adolescents with higher SES, but connectedness was associated with healthy eating for all adolescents. Even so, connectedness did not reduce the SES difference in healthy eating. These findings suggest that high quality social relationships and social skills may have a significant but small positive effect on health behavior for adolescents in low SES households, and that systemic change is needed to achieve health equity and improve health outcomes for all adolescents.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"290-300"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depressive Symptoms and Behavioral Manifestations in Children and Adolescents with Cerebral Palsy: A Parent-Child Perspective Study.","authors":"Daiki Asano, Masaki Takeda, Hirokazu Abe, Satoshi Nobusako, Hirotaka Gima","doi":"10.1080/08964289.2025.2494535","DOIUrl":"10.1080/08964289.2025.2494535","url":null,"abstract":"<p><p>Individuals with cerebral palsy (CP) often exhibit mental health problems, including depressive symptoms. This study investigated self-reported depressive symptoms in children and adolescents with and without CP and associated factors. Herein, 52 and 38 children and adolescents with and without CP were enrolled in the CP and typically developing (TD) groups. Depressive symptoms were assessed using the Birleson Depression Self-Rating Scale for Children. Parents of the participants completed the Strengths and Difficulties Questionnaire. Self-reported depressive symptoms were more severe in the CP group than in the TD group, which was primarily attributed to declining activities and enjoyment in daily life. Depressive symptoms in the CP group were not correlated with age, the severity of CP, or parent-reported behavioral features. However, in the overall cohort, the cluster with high levels of depressive symptoms had significantly higher proportions of individuals with CP and participants with conduct, emotional, and peer problems. Multivariate analyses revealed that only peer problems were associated with increased depressive symptoms. Furthermore, peer problems fully mediated the relationship between the presence of CP and depressive symptoms. Our study suggests that providing opportunities for activities involving social interactions with peers and offering support to enable the enjoyment of such activities from an early age are imperative to prevent an increase in depressive symptoms in children with CP.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"313-322"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavioral MedicinePub Date : 2025-10-01Epub Date: 2025-05-12DOI: 10.1080/08964289.2025.2494536
Luciana Tornquist, Nathália Quaiatto Félix, Helen Freitas D'avila, Éboni Marília Reuter, Pâmela Ferreira Todendi, Karin Allor Pfeiffer, David P Ferguson, Andréia Rosane de Moura Valim, Jane Dagmar Pollo Renner, Cézane Priscila Reuter
{"title":"Relationship Between Parental Obesity, Body Mass Index and High-Sensitivity C-Reactive Protein Levels in Offspring.","authors":"Luciana Tornquist, Nathália Quaiatto Félix, Helen Freitas D'avila, Éboni Marília Reuter, Pâmela Ferreira Todendi, Karin Allor Pfeiffer, David P Ferguson, Andréia Rosane de Moura Valim, Jane Dagmar Pollo Renner, Cézane Priscila Reuter","doi":"10.1080/08964289.2025.2494536","DOIUrl":"10.1080/08964289.2025.2494536","url":null,"abstract":"<p><p>Childhood obesity has been associated with high levels of systemic inflammation, increasing the risk of metabolic and cardiovascular diseases throughout life. Genetic and environmental factors, such as parental body mass index (BMI), can influence this relationship, impacting the inflammatory health of offspring from childhood. This study investigates the influence of parental BMI on the relationship between BMI and high-sensitivity C-reactive protein (hs-CRP) levels in offspring. A cross-sectional study was conducted with 423 children and adolescents from a municipality in southern Brazil. Offspring BMI was calculated using measured weight and height, while parental BMI was determined from self-reported measurements and classified based on World Health Organization cutoff points. hs-CRP levels were assessed using a high-sensitivity assay. The moderating effect of parental BMI on the relationship between offspring BMI and hs-CRP levels was analyzed through multiple linear regression models using the PROCESS macro extension for SPSS. Results indicated a direct association between offspring BMI and hs-CRP levels across all models, showing that hs-CRP levels increased linearly with BMI in offspring. A direct relationship between paternal obesity and offspring hs-CRP levels was observed, along with a significant inverse interaction between paternal BMI and offspring BMI with hs-CRP levels. Among schoolchildren with lower BMI, those with parents with obesity exhibited higher hs-CRP levels compared to peers with parents classified as eutrophic or overweight. These findings suggest that children of parents with obesity tend to have elevated levels of inflammation, regardless of their own BMI.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"323-331"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Behavioral MedicinePub Date : 2025-10-01Epub Date: 2025-03-25DOI: 10.1080/08964289.2025.2480562
Doug H Cheung, Casey D Xavier Hall, Liying Wang, Hyeouk Chris Hahm, Artur Queiroz, Lorie Okada, Avrum Gillespie, Gina Simoncini, John P Barile, Grace X Ma, Frank Y Wong
{"title":"Risk and Resilience Trajectories from Adverse Childhood Experience Among Men Who Have Sex with Men Living with HIV.","authors":"Doug H Cheung, Casey D Xavier Hall, Liying Wang, Hyeouk Chris Hahm, Artur Queiroz, Lorie Okada, Avrum Gillespie, Gina Simoncini, John P Barile, Grace X Ma, Frank Y Wong","doi":"10.1080/08964289.2025.2480562","DOIUrl":"10.1080/08964289.2025.2480562","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) significantly contribute to health disparities among minoritized populations. However, the characterization and impact of ACEs and the resilience of men who have sex with men (MSM) living with HIV remains under-examined. This study aimed to examine how the clustering profiles of ACEs and social support networks may affect psychosocial outcomes to elucidate ACEs resilience in relation to social support network among MSM living with HIV. Data (2019-2023) were obtained from a prospective cohort of MSM living with HIV from Hawaii and Philadelphia, USA (<i>N</i> = 261). Latent profile analysis and propensity score-weighted generalized estimating equations were used to estimate group-level differences in psychosocial trajectories over the one-year study period. An ACEs-resilient profile with intensified, poly-types of ACEs and a robust social support network was significantly associated with higher perceived social support from family, resilient coping, lower depressive symptoms, and perceived stress, compared to those with similarly heightened ACEs exposure and a less optimal social support network. Bolstering social support networks could potentially improve the holistic range of ACEs-psychosocial outcome resilience among MSM living with HIV with heightened histories of ACEs. Future studies should examine the more nuanced socio-ecological and intrapersonal pathways of ACEs resilience.</p>","PeriodicalId":55395,"journal":{"name":"Behavioral Medicine","volume":" ","pages":"301-312"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}