Internalized Heterosexism among HIV-Positive, Gay-Identified Men: Implications for HIV Prevention and Care

Saved in:
Bibliographic Details
Title: Internalized Heterosexism among HIV-Positive, Gay-Identified Men: Implications for HIV Prevention and Care
Language: English
Authors: Johnson, Mallory O., Carrico, Adam W., Chesney, Margaret A.
Source: Journal of Consulting and Clinical Psychology. Oct 2008 76(5):829-839.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Peer Reviewed: Y
Physical Description: PDF
Page Count: 11
Publication Date: 2008
Document Type: Journal Articles
Reports - Research
Descriptors: Stimulants, Structural Equation Models, Prevention, Sexually Transmitted Diseases, At Risk Persons, Social Bias, Homosexuality, Depression (Psychology), Males, Social Attitudes, Self Esteem, Social Theories, Drug Therapy, Compliance (Psychology), Drug Abuse, Sexuality, Acquired Immunodeficiency Syndrome (AIDS), Negative Attitudes, Affective Behavior
ISSN: 0022-006X
Abstract: Internalized heterosexism (IH), or the internalization of societal antihomosexual attitudes, has been consistently linked to depression and low self-esteem among gay men, and it has been inconclusively associated with substance use and sexual risk in gay and bisexual men. Using structural equation modeling, the authors tested a model framed in social action theory (C. K. Ewart, 1991, 2004) in which IH is associated with HIV transmission risk and poor adherence to HIV antiretroviral therapy (ART) through the mechanisms of negative affect and stimulant use. Data from a sample of 465 gay-identified men interviewed as part of an HIV risk reduction behavioral trial were used to test the fit of the model. Results support the hypothesized model in which IH was associated with unprotected receptive (but not insertive) anal intercourse with HIV-negative or unknown HIV status partners, and with ART nonadherence indirectly via increased negative affect and more regular stimulant use. The model accounted for 15% of the variance in unprotected receptive anal intercourse and 17% of the variance in ART nonadherence. Findings support the potential utility of addressing IH in HIV prevention and treatment with HIV-positive gay men.
Abstractor: As Provided
Entry Date: 2009
Access URL: https://psycnet.apa.org/journals/ccp/76/5/829/
Accession Number: EJ823808
Database: ERIC
FullText Text:
  Availability: 0
Header DbId: eric
DbLabel: ERIC
An: EJ823808
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Internalized Heterosexism among HIV-Positive, Gay-Identified Men: Implications for HIV Prevention and Care
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Johnson%2C+Mallory+O%2E%22">Johnson, Mallory O.</searchLink><br /><searchLink fieldCode="AR" term="%22Carrico%2C+Adam+W%2E%22">Carrico, Adam W.</searchLink><br /><searchLink fieldCode="AR" term="%22Chesney%2C+Margaret+A%2E%22">Chesney, Margaret A.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="SO" term="%22Journal+of+Consulting+and+Clinical+Psychology%22"><i>Journal of Consulting and Clinical Psychology</i></searchLink>. Oct 2008 76(5):829-839.
– Name: Avail
  Label: Availability
  Group: Avail
  Data: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
– Name: PeerReviewed
  Label: Peer Reviewed
  Group: SrcInfo
  Data: Y
– Name: PhysDesc
  Label: Physical Description
  Group: PhysDesc
  Data: PDF
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 11
– Name: DatePubCY
  Label: Publication Date
  Group: Date
  Data: 2008
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: Journal Articles<br />Reports - Research
– Name: Subject
  Label: Descriptors
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Stimulants%22">Stimulants</searchLink><br /><searchLink fieldCode="DE" term="%22Structural+Equation+Models%22">Structural Equation Models</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Sexually+Transmitted+Diseases%22">Sexually Transmitted Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Bias%22">Social Bias</searchLink><br /><searchLink fieldCode="DE" term="%22Homosexuality%22">Homosexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Depression+%28Psychology%29%22">Depression (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Males%22">Males</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Attitudes%22">Social Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Esteem%22">Self Esteem</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Theories%22">Social Theories</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Compliance+%28Psychology%29%22">Compliance (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Abuse%22">Drug Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Sexuality%22">Sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Acquired+Immunodeficiency+Syndrome+%28AIDS%29%22">Acquired Immunodeficiency Syndrome (AIDS)</searchLink><br /><searchLink fieldCode="DE" term="%22Negative+Attitudes%22">Negative Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+Behavior%22">Affective Behavior</searchLink>
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0022-006X
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Internalized heterosexism (IH), or the internalization of societal antihomosexual attitudes, has been consistently linked to depression and low self-esteem among gay men, and it has been inconclusively associated with substance use and sexual risk in gay and bisexual men. Using structural equation modeling, the authors tested a model framed in social action theory (C. K. Ewart, 1991, 2004) in which IH is associated with HIV transmission risk and poor adherence to HIV antiretroviral therapy (ART) through the mechanisms of negative affect and stimulant use. Data from a sample of 465 gay-identified men interviewed as part of an HIV risk reduction behavioral trial were used to test the fit of the model. Results support the hypothesized model in which IH was associated with unprotected receptive (but not insertive) anal intercourse with HIV-negative or unknown HIV status partners, and with ART nonadherence indirectly via increased negative affect and more regular stimulant use. The model accounted for 15% of the variance in unprotected receptive anal intercourse and 17% of the variance in ART nonadherence. Findings support the potential utility of addressing IH in HIV prevention and treatment with HIV-positive gay men.
– Name: AbstractInfo
  Label: Abstractor
  Group: Ab
  Data: As Provided
– Name: DateEntry
  Label: Entry Date
  Group: Date
  Data: 2009
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://psycnet.apa.org/journals/ccp/76/5/829/" linkWindow="_blank">http://psycnet.apa.org/journals/ccp/76/5/829/</link>
– Name: AN
  Label: Accession Number
  Group: ID
  Data: EJ823808
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ823808
RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 829
    Subjects:
      – SubjectFull: Stimulants
        Type: general
      – SubjectFull: Structural Equation Models
        Type: general
      – SubjectFull: Prevention
        Type: general
      – SubjectFull: Sexually Transmitted Diseases
        Type: general
      – SubjectFull: At Risk Persons
        Type: general
      – SubjectFull: Social Bias
        Type: general
      – SubjectFull: Homosexuality
        Type: general
      – SubjectFull: Depression (Psychology)
        Type: general
      – SubjectFull: Males
        Type: general
      – SubjectFull: Social Attitudes
        Type: general
      – SubjectFull: Self Esteem
        Type: general
      – SubjectFull: Social Theories
        Type: general
      – SubjectFull: Drug Therapy
        Type: general
      – SubjectFull: Compliance (Psychology)
        Type: general
      – SubjectFull: Drug Abuse
        Type: general
      – SubjectFull: Sexuality
        Type: general
      – SubjectFull: Acquired Immunodeficiency Syndrome (AIDS)
        Type: general
      – SubjectFull: Negative Attitudes
        Type: general
      – SubjectFull: Affective Behavior
        Type: general
    Titles:
      – TitleFull: Internalized Heterosexism among HIV-Positive, Gay-Identified Men: Implications for HIV Prevention and Care
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Johnson, Mallory O.
      – PersonEntity:
          Name:
            NameFull: Carrico, Adam W.
      – PersonEntity:
          Name:
            NameFull: Chesney, Margaret A.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Type: published
              Y: 2008
          Identifiers:
            – Type: issn-print
              Value: 0022-006X
          Numbering:
            – Type: volume
              Value: 76
            – Type: issue
              Value: 5
          Titles:
            – TitleFull: Journal of Consulting and Clinical Psychology
              Type: main
ResultId 1