‘She showed me a new path, a way forward’
Exploring how navigation influences mental health among Guatemalan gay and bisexual men living with HIV
Datos Bibliográficos
Mental health problems, including anxiety and depression, are a common comorbidity among gay, bisexual and other men who have sex with men (GBMSM) living with HIV. Informed by social support theory, health navigation is a strengths-based intervention that has been demonstrated to improve HIV care outcomes. The purpose of this study was to explore how health navigation influences the mental health of GBMSM living with HIV. We analyzed longitudinal qualitative in-depth interviews conducted with GBMSM (n = 29) in a 12-month multi-component intervention to improve HIV care outcomes, including health navigation. We used narrative and thematic analytic approaches to identify salient themes, including if and how themes changed over time. Participants described that navigator support helped them maintain good mental health, prevent crises and respond to crises. Navigator support included providing motivational messaging, facilitating participants’ control over their health and improving access to care, which aided with supporting mental health. Navigators also responded to acute crises by providing guidance for those newly diagnosed with HIV and support for those experiencing critical life events. Participants emphasized the importance of feeling heard and valued by their navigators and gaining hope for the future as key to their wellbeing. In conclusion, health navigation may be an effective intervention for promoting mental health among GBMSM living with HIV. Additional research is needed to examine mediating pathways between navigation and mental health, including informational support, or if navigator support moderates the relationship between stressors and mental health outcomes for GBMSM.
Family medicine · Feeling · Human immunodeficiency virus (HIV) · Intervention (counseling) · Men who have sex with men · Mental health · Psychiatry · Psychological intervention · Qualitative research · Social support · Sociology · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology · Gerontology
Analyzing Qualitative Data
The Coding Manual for Qualitative Researchers
The global response to HIV in men who have sex with men
Analyzing longitudinal qualitative data
HIV System Navigation
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The ecology of sexual health of sexual minorities in Guatemala City
A mobile application to monitor mode, content and duration of health navigation services for people living with HIV in Guatemala
“She makes me feel that I'm not alone”
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Probing the Processes
I don’t have to do this all by myself”
There are no other options for us because of who we are’
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Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations
Minority Stress and Mental Health in Gay Men
| Obras citantes distintas | 3 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2023 - 2025 (3) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 3 |