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AIDS and Behavior
Published in: AIDS and Behavior 8/2013

01-10-2013 | Original Paper

The Psychological Cost of Anticipating HIV Stigma for HIV-Negative Gay and Bisexual Men

Authors: Tyrel J. Starks, H. Jonathon Rendina, Aaron S. Breslow, Jeffrey T. Parsons, Sarit A. Golub

Published in: AIDS and Behavior | Issue 8/2013

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Abstract

Much research has examined the impact of HIV-associated stigma on HIV-positive individuals, but little work has explored its impact on HIV-negative persons. However, many gay and bisexual men may imagine the stigma they would experience upon seroconverting, and this anticipated stigma may be associated with negative mental health. Such concerns may be exacerbated among men who identify with the receptive role during anal sex, because of greater risk for infection. This study examined the association between anticipated HIV stigma and negative affect among 683 HIV-negative gay and bisexual men living in New York City. Anticipated HIV stigma predicted negative affect over and above internalized homonegativity. Sexual role identity was associated directly with anticipated stigma and indirectly with negative affect. Results suggest that anticipated HIV stigma may be an important mental health issue for gay and bisexual men. Public health messaging discussing sexual positioning should be sensitive to the potential for exacerbating anticipated HIV stigma among bottom-identified men.
Literature
1.
Earnshaw V, Chaudoir S. From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures. AIDS Behav. 2009;13(6):1160–77.PubMedCrossRef
2.
Maman S, Abler L, Parker L, et al. A comparison of HIV stigma and discrimination in five international sites: the influence of care and treatment resources in high prevalence settings. Soc Sci Med. 2009;68(12):2271–8.PubMedCrossRef
3.
Stutterheim SE, Pryor JB, Bos AER, Hoogendijk R, Muris P, Schaalma HP. HIV-related stigma and psychological distress: the harmful effects of specific stigma manifestations in various social settings. AIDS. 2009;23(17):2353–7.PubMedCrossRef
4.
Dowshen N, Binns HJ, Garofalo R. Experiences of HIV-related stigma among young men who have sex with men. AIDS Patient Care STDS. 2009;23(5):371–6.PubMedCrossRef
5.
Grov C, Golub SA, Parsons JT, Brennan M, Karpiak SE. Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care. 2010;22(5):630–9.PubMedCrossRef
6.
Berger B, Ferrans C, Lashley F. Measuring stigma in people with HIV: psychometric assessment of the HIV stigma scale. Res Nurs Health. 2001;24(6):518–29.PubMedCrossRef
7.
Lichtenstein B, Laska MK, Clair JM. Chronic sorrow in the HIV-positive patient: issues of race, gender, and social support. AIDS Patient Care STDS. 2002;16(1):27–38.PubMedCrossRef
8.
Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006;10(5):473–82.PubMedCrossRef
9.
Courtenay-Quirk C, Wolitski RJ, Parsons JT, Gomez CA. Is HIV/AIDS stigma dividing the gay community? Perceptions of HIV-positive men who have sex with men. AIDS Educ Prev. 2006;18(1):56–67.PubMedCrossRef
10.
Purcell D, Johnson C, Lansky A, et al. Calculating HIV and syphilis rates for risk groups: estimating the national population size of men who have sex with men. Paper presented at: National STD Prevention Conference 2010; Atlanta, GA.
11.
Chesney MA, Smith AW. Critical delays in HIV testing and care. Am Behav Sci. 1999;42(7):1162.CrossRef
12.
Eisenman DP, Cunningham WE, Zierler S, Nakazono TT, Shapiro MF. Effect of violence on utilization of services and access to care in persons with HIV. J Gen Intern Med. 2003;18(2):125–7.PubMedCrossRef
13.
Fortenberry JD, McFarlane M, Bleakley A, et al. Relationships of stigma and shame to gonorrhea and HIV screening. Am J Public Health. 2002;92(3):378–81.PubMedCrossRef
14.
Yi H, Shidlo A, Sandfort T. Assessing maladaptive responses to the stress of being at risk of HIV infection among HIV-negative gay men in New York City. J Sex Res. 2010;48(1):62–73.CrossRef
15.
Lombardo AP. Anatomy of fear: mead’s theory of the past and the experience of the HIV/AIDS “worried well”. Symb Interact. 2004;27(4):531–48.CrossRef
16.
Arrindell WA, Ross MW, Robert Bridges K, van Hout W, Hofman A, Sanderman R. Fear of AIDS: are there replicable, invariant questionnaire dimensions? Adv Behav Res Ther. 1989;11(2):69–115.CrossRef
17.
Harowski KJ. The worried well: maximizing coping in the face of AIDS. J Homosex. 1987;14(1–2):299–306.PubMedCrossRef
18.
Pachankis JE, Goldfried MR, Ramrattan ME. Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. J Consult Clin Psychol. 2008;76(2):306–17.PubMedCrossRef
19.
20.
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674–97.PubMedCrossRef
21.
Purcell DW, Johnson CH, Lansky A, et al. Estimating the population size of men who have sex with men in the United States to obtain HIV and syphilis rates. Open AIDS J. 2012;6 Suppl 1: M6:98–107.
22.
Halkitis P, Zade D, Shrem M, Marmor M. Beliefs about HIV non-infection and risky sexual behavior among MSM. AIDS Educ Prev. 2004;15(5):448–58.CrossRef
23.
Koblin BA, Husnik MJ, Colfax G, et al. Risk factors for HIV infection among men who have sex with men. AIDS. 2006;20(5):731–9.PubMedCrossRef
24.
Osmond DH, Pollack LM, Paul JP, Catania JA. Changes in prevalence of HIV infection and sexual risk behavior in men who have sex with men in San Francisco: 1997–2002. Am J Public Health. 2007;97:1677–83.PubMedCrossRef
25.
Jin F, Crawford J, Prestage GP, et al. Unprotected anal intercourse, risk reduction behaviours, and subsequent HIV infection in a cohort of homosexual men. AIDS. 2009;23(2):243–52.PubMedCrossRef
26.
Parsons JT, Schrimshaw EW, Wolitski RJ, et al. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19:S13–25.PubMedCrossRef
27.
Balthasar H, Jeannin A, Lociciro S, Dubois-Arber F. Intentional risk reduction practices of men in Switzerland who have anal intercourse with casual male partners. J Acquir Immune Defic Syndr. 2010;54(5):542.PubMedCrossRef
28.
Van de Ven P, Kippax S, Crawford J, et al. In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. AIDS Care. 2002;14(4):471–80.PubMed
29.
Szymanski DM, Kashubeck-West S, Meyer IH. Internalized heterosexism measurement, psychosocial correlates, and research directions. Counsel Psychol. 2008;36(4):525–74.CrossRef
30.
Newcomb ME, Mustanski B. Internalized homophobia and internalizing mental health problems: a meta-analytic review. Clin Psychol Rev. 2010;30(8):1019–29.PubMedCrossRef
31.
Parsons JT, Bimbi DS. Intentional unprotected anal intercourse among sex who have sex with men: barebacking—from behavior to identity. AIDS Behav. 2007;11(2):277–87.PubMedCrossRef
32.
Grov C, Parsons JT, Bimbi DS. The association between penis size and sexual health among men who have sex with men. Arch Sex Behav. 2010;39(3):788–97.PubMedCrossRef
33.
Pantalone DW, Bimbi D, Holder CA, Golub SA, Parsons JT. Consistency and change in club drug use by sexual minority men in New York City, 2002 to 2007. Am J Public Health. 2010;100(10):1892–5.PubMedCrossRef
34.
Miller KW, Wilder LB, Stillman FA, Becker DM. The feasibility of a street-intercept survey method in an African-American community. Am J Public Health. 1997;87(4):655–8.PubMedCrossRef
35.
Grov C, Bimbi DS, Parsons JT, Nanín JE. Race, ethnicity, gender, and generational factors associated with the coming-out process among gay, lesbian, and bisexual individuals. J Sex Res. 2006;43(2):115–21.PubMedCrossRef
36.
Koken JA, Parsons JT, Severino J, Bimbi DS. Exploring commercial sex encounters in an urban community sample of gay and bisexual men: a preliminary report. J Psychol Human Sex. 2005;17:197–213.CrossRef
37.
Grov C, Parsons JT, Bimbi DS. Exploring racial/ethnic differences in drug use among urban gay and bisexual men. J Drug Educ. 2006;36:105–23.PubMed
38.
Kalichman SC, Simbaya L. Traditional beliefs about the cause of AIDS and AIDS-related stigma in South Africa. AIDS Care. 2004;16:572–80.PubMedCrossRef
39.
Carey MP, Braaten LS, Jaworski BC, Durant LE, Forsyth AD. HIV and AIDS relative to other health, social, and relationship concerns among low-income women: a brief report. J Womens Health Gend Based Med. 1999;8:657–61.PubMedCrossRef
40.
Chen JL, Kodagoda D, Lawrence AM, Kerndt PR. Rapid public health interventions in response to an outbreak of syphilis in Los Angeles. Sex Transm Dis. 2002;29:285–7.CrossRef
41.
Rotheram-Borus MJ, Lee M, Zhou S, et al. Variation in health and risk behavior among youth living with HIV. AIDS Educ Prev. 2001;13:42–54.PubMedCrossRef
42.
Benotsch EG, Kalichman SC, Cage M. Men who have met sex partners via the internet: prevalence, predictors, and implications for HIV prevention. Arch Sex Behav. 2002;31:177–83.PubMedCrossRef
43.
Kalichman SC, Benotsch E, Rompa D, et al. Unwanted sexual experiences and sexual risks in gay and bisexual men: associations among revictimization, substance use and psychiatric symptoms. J Sex Res. 2001;28:1–9.CrossRef
44.
Halkitis P, Parsons J. Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. J Gay Lesbian Soc Serv. 2003;14(4):19–38.CrossRef
45.
Radloff LS. The CES-D scale: a self-report despression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef
46.
Cole JC, Rabin AS, Smith TL, Kaufman AS. Development and validation of a Rasch-derived CES-D short form. Psychol Assess. 2004;16(4):360–72.PubMedCrossRef
47.
Mayfield W. The development of an internalized homonegativity inventory for gay men. J Homosex. 2001;41(2):53–76.PubMedCrossRef
48.
Nyblade LC. Measuring HIV stigma: existing knowledge and gaps. Psychol Health Med. 2006;11(3):335–45.PubMedCrossRef
49.
Muthen LK, Muthen BO. Mplus user’s guide. 5th ed. Los Angeles: Muthen & Muthen; 2010.
50.
Weston R, Gore PA. A brief guide to structural equation modeling. Counsel Psychol. 2006;34(5):719–51.CrossRef
51.
Hayes AF. Beyond Baron and Kenny: statistical mediation analysis in the new millennium. Commun Monogr. 2009;76(4):408–20.CrossRef
52.
Herek GM. Beyond “homophobia”: thinking about sexual prejudice and stigma in the twenty-first century. Sex Res Social Policy. 2004;1(2):6–24.CrossRef
53.
Frost DM, Meyer IH. Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. J Couns Psychol. 2009;56(1):97–109.PubMedCrossRef
54.
Greene B. Ethnic-minority lesbians and gay men: mental health and treatment issues. J Consult Clin Psychol. 1994;62(2):243–51.PubMedCrossRef
55.
Ritter KY, Terndrup AI. Handbook of affirmative psychotherapy with lesbians and gay men. New York: The Guilford Press; 2002.
56.
Green EC, Witte K. Can fear arousal in public health campaigns contribute to the decline of HIV prevalence? J Health Commun. 2006;11(3):245–59.PubMedCrossRef
57.
Witte K, Allen M. A meta-analysis of fear appeals: implications for effective public health campaigns. Health Educ Behav. 2000;27(5):591–615.PubMedCrossRef
Metadata
Title
The Psychological Cost of Anticipating HIV Stigma for HIV-Negative Gay and Bisexual Men
Authors
Tyrel J. Starks
H. Jonathon Rendina
Aaron S. Breslow
Jeffrey T. Parsons
Sarit A. Golub
Publication date
01-10-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0425-0

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