Faculty Collaboration Database

Influence of coping, social support, and depression on subjective health status among HIV-positive adults with different sexual identities. Behav Med 2009;34(4):133-44

Date

12/10/2008

Pubmed ID

19064372

Pubmed Central ID

PMC2653049

DOI

10.3200/BMED.34.4.133-144

Scopus ID

2-s2.0-58749085437 (requires institutional sign-in at Scopus site)   25 Citations

Abstract

The authors examined associations between psychosocial variables (coping self-efficacy, social support, and cognitive depression) and subjective health status among a large national sample (N = 3,670) of human immunodeficiency virus (HIV)-positive persons with different sexual identities. After controlling for ethnicity, heterosexual men reported fewer symptoms than did either bisexual or gay men and heterosexual women reported fewer symptoms than did bisexual women. Heterosexual and bisexual women reported greater symptom intrusiveness than did heterosexual or gay men. Coping self-efficacy and cognitive depression independently explained symptom reports and symptom intrusiveness for heterosexual, gay, and bisexual men. Coping self-efficacy and cognitive depression explained symptom intrusiveness among heterosexual women. Cognitive depression significantly contributed to the number of symptom reports for heterosexual and bisexual women and to symptom intrusiveness for lesbian and bisexual women. Individuals likely experience HIV differently on the basis of sociocultural realities associated with sexual identity. Further, symptom intrusiveness may be a more sensitive measure of subjective health status for these groups.

Author List

Mosack KE, Weinhardt LS, Kelly JA, Gore-Felton C, McAuliffe TL, Johnson MO, Remien RH, Rotheram-Borus MJ, Ehrhardt AA, Chesney MA, Morin SF

Authors

Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Timothy L. McAuliffe PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Katie Mosack PhD Associate Professor in the Psychology department at University of Wisconsin - Milwaukee
Lance S. Weinhardt MS,PhD Associate Dean for Research and Professor of Community and Behavioral Health Promotion in the Joseph. J. Zilber School of Public Health department at University of Wisconsin - Milwaukee

MESH terms used to index this publication - Major topics in bold

Adaptation, Psychological
Analysis of Variance
Attitude to Health
Cost of Illness
Cross-Sectional Studies
Depressive Disorder
Female
HIV Seropositivity
Health Status
Humans
Male
Self Efficacy
Self-Assessment
Sexuality
Social Support