Mental Health Pathways From Interpersonal Violence to Health-Related Outcomes in HIV-Positive Sexual Minority Men
Identifieur interne : 001A19 ( Main/Exploration ); précédent : 001A18; suivant : 001A20Mental Health Pathways From Interpersonal Violence to Health-Related Outcomes in HIV-Positive Sexual Minority Men
Auteurs : David W. Pantalone [Royaume-Uni] ; Danielle M. Hessler [États-Unis] ; Jane M. Simoni [États-Unis]Source :
- Journal of consulting and clinical psychology [ 0022-006X ] ; 2010.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé mentale, Violence, Santé publique, Homme.
English descriptors
- KwdEn :
Abstract
Objective: We examined mental health pathways between interpersonal violence (IPV) and health-related outcomes in HIV-positive sexual minority men engaged with medical care. Method: HIV-positive gay and bisexual men (N = 178) were recruited for this cross-sectional study from 2 public HIV primary care clinics that treated outpatients in an urban setting. Participants (M age = 44.1 years, 36% non-White) filled out a computer-assisted survey and had health-related data extracted from their electronic medical records. We used structural equation modeling to test associations among the latent factors of adult abuse and partner violence (each comprising indicators of physical, sexual, and psychological abuse) and the measured variables: viral load, health-related quality of life (HRQOL), HIV medication adherence, and emergency room (ER) visits. Mediation was tested for the latent construct mental health problems, comprising depression, anxiety, symptomatology of posttraumatic stress disorder, and suicidal ideation. Results: The final model demonstrated acceptable fit, χ2(123) = 157.05, p = .02, CFI = .95, TLI = .94, RMSEA = .04, SRMR = .06, accounting for significant portions of the variance in viral load (13%), HRQOL (41 %), adherence (7%), and ER visits (9%), as well as the latent variable mental health problems (24%). Only 1 direct link emerged: a positive association between adult abuse and ER visits. Conclusions: Findings indicate a significant role of IPV and mental health problems in the health of people living with HIV/AIDS. HIV care providers should assess for IPV history and mental health problems in all patients and refer for evidence-based psychosocial treatments that include a focus on health behaviors.
Affiliations:
- Royaume-Uni, États-Unis
- Californie, Washington (État)
- San Francisco, Seattle
- Université de Washington
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Hessler</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Simoni, Jane M" sort="Simoni, Jane M" uniqKey="Simoni J" first="Jane M." last="Simoni">Jane M. 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Pantalone</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Suffolk University</s1><s3>GBR</s3><sZ>1 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Suffolk University</wicri:noRegion></affiliation></author><author><name sortKey="Hessler, Danielle M" sort="Hessler, Danielle M" uniqKey="Hessler D" first="Danielle M." last="Hessler">Danielle M. Hessler</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>University of California</s1><s2>San Francisco</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">San Francisco</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Simoni, Jane M" sort="Simoni, Jane M" uniqKey="Simoni J" first="Jane M." last="Simoni">Jane M. Simoni</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>University of Washington</s1><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><settlement type="city">Seattle</settlement><region type="state">Washington (État)</region></placeName><orgName type="university">Université de Washington</orgName></affiliation></author></analytic><series><title level="j" type="main">Journal of consulting and clinical psychology</title><title level="j" type="abbreviated">J. consult. clin. psychol.</title><idno type="ISSN">0022-006X</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of consulting and clinical psychology</title><title level="j" type="abbreviated">J. consult. clin. psychol.</title><idno type="ISSN">0022-006X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Concomitant disease</term><term>Cross sectional study</term><term>Homosexuality</term><term>Human</term><term>Human immunodeficiency virus</term><term>Interpersonal relation</term><term>Male</term><term>Mental disorder</term><term>Mental health</term><term>Minority</term><term>Public health</term><term>Social environment</term><term>Social interaction</term><term>Symptomatology</term><term>United States</term><term>Violence</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Santé mentale</term><term>Relation interpersonnelle</term><term>Interaction sociale</term><term>Violence</term><term>SIDA</term><term>Minorité</term><term>Virus immunodéficience humaine</term><term>Homosexualité</term><term>Etude transversale</term><term>Association morbide</term><term>Symptomatologie</term><term>Trouble psychiatrique</term><term>Santé publique</term><term>Environnement social</term><term>Etats-Unis</term><term>Homme</term><term>Mâle</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé mentale</term><term>Violence</term><term>Santé publique</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: We examined mental health pathways between interpersonal violence (IPV) and health-related outcomes in HIV-positive sexual minority men engaged with medical care. Method: HIV-positive gay and bisexual men (N = 178) were recruited for this cross-sectional study from 2 public HIV primary care clinics that treated outpatients in an urban setting. Participants (M age = 44.1 years, 36% non-White) filled out a computer-assisted survey and had health-related data extracted from their electronic medical records. We used structural equation modeling to test associations among the latent factors of adult abuse and partner violence (each comprising indicators of physical, sexual, and psychological abuse) and the measured variables: viral load, health-related quality of life (HRQOL), HIV medication adherence, and emergency room (ER) visits. Mediation was tested for the latent construct mental health problems, comprising depression, anxiety, symptomatology of posttraumatic stress disorder, and suicidal ideation. Results: The final model demonstrated acceptable fit, χ<sup>2</sup>(123) = 157.05, p = .02, CFI = .95, TLI = .94, RMSEA = .04, SRMR = .06, accounting for significant portions of the variance in viral load (13%), HRQOL (41 %), adherence (7%), and ER visits (9%), as well as the latent variable mental health problems (24%). Only 1 direct link emerged: a positive association between adult abuse and ER visits. Conclusions: Findings indicate a significant role of IPV and mental health problems in the health of people living with HIV/AIDS. HIV care providers should assess for IPV history and mental health problems in all patients and refer for evidence-based psychosocial treatments that include a focus on health behaviors.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Californie</li><li>Washington (État)</li></region><settlement><li>San Francisco</li><li>Seattle</li></settlement><orgName><li>Université de Washington</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Pantalone, David W" sort="Pantalone, David W" uniqKey="Pantalone D" first="David W." last="Pantalone">David W. Pantalone</name></noRegion></country><country name="États-Unis"><region name="Californie"><name sortKey="Hessler, Danielle M" sort="Hessler, Danielle M" uniqKey="Hessler D" first="Danielle M." last="Hessler">Danielle M. Hessler</name></region><name sortKey="Simoni, Jane M" sort="Simoni, Jane M" uniqKey="Simoni J" first="Jane M." last="Simoni">Jane M. Simoni</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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