The Disparities in Mental Health Between Gay and Bisexual Men Following Positive HIV Diagnosis in China

A One-Year Follow-Up Study

Dados Bibliográficos

ID15510319
AutoresRui Luo (0000-0003-0711-8039, Central South University), Vincent M B Silenzio (Rutgers, The State University of New Jersey), Vincent Silenzio (0000-0003-1408-7955, Rutgers, the State University of New Jersey), Yunxiang Huang (0000-0001-6231-5639, Central South University), Xi Chen (0000-0002-2058-0351, Hunan Provincial Center for Disease Control and Prevention), Dan Luo (0000-0002-0811-2854, Central South University, autor correspondente)
Ano2020
Volume17
Fascículo10
Páginas3414-3414
Data de publicação2020-05-14
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17103414
PMID32422918
OpenAlexW3025836769
IdiomaEN
Citações recebidas4
Referências citadas63

This study aimed to determine the change in mental health (depression and anxiety) among HIV-positive gay and bisexual men (GBM) one year after diagnosis and the disparities in trajectories of mental health between them. The potential factors contributing to the disparities were also investigated. This was a one-year follow-up study focusing on the mental health of newly diagnosed HIV-positive individuals. Participants rated their depression, anxiety, stress, and social support levels at baseline and one year later. Information on the utilization of mental healthcare and the initiation of antiretroviral therapy (ART) after diagnosis was collected at one-year follow-up. A total of 171 and 87 HIV-positive gay and bisexual men, respectively, completed two-time points surveys in this study. The depressive and anxiety symptoms experienced by HIV-positive GBM improvement one year after diagnosis. These improvements tended to be smaller in gay participants. Other factors including mental health care utilization and ART status during the one-year follow-up period, changes in social stress scores and objective social support scores were also associated with the changes in depression and anxiety, and all these factors, except for change in objective support, were found to be statistically different between HIV-positive GBM. Special attention should be given to the mental health of HIV-positive gay men. Promoting HIV-positive gay men to assess to mental health services and ART may be important for these populations to improve mental health. Enhancing social support and reducing stress levels may also be necessary for the vulnerable HIV-positive sexual minority groups

Anxiety · Depression (economics · Mental health · Psychiatry · Social support · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology