Journal
AIDS AND BEHAVIOR
Volume 26, Issue 9, Pages 2844-2854Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-022-03629-1
Keywords
HIV; Depression; Mental health; African American; Sexual and gender minorities
Funding
- National Institutes of Health [P30 AI040509]
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This study found that mental health comorbidities were prevalent among young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) living with HIV. Unemployment, substance use, and HIV stigma emerged as particularly salient correlates of psychological morbidity in this population.
Mental health comorbidities are prevalent among young Black gay, bisexual, and other men who have sex with men (YB-GBMSM) living with HIV and can adversely impact HIV-related outcomes. We conducted a cross-sectional survey study with 100 YB-GBMSM recruited from two HIV care centers in Atlanta, and constructed multivariable logistic and linear regression models to examine correlates of depression, anxiety, trauma symptoms, and general well-being. In adjusted models, full-time employment was associated with fewer depressive symptoms, while HIV stigma and substance use were associated with higher levels of depressive symptoms. Younger age and full-time employment were negatively associated with severe anxiety, while HIV stigma was positively associated with severe anxiety and trauma symptoms. Trust in physicians, lower HIV stigma, full-time employment, and lack of substance use were associated with higher average general well-being scores. In conclusion, we found high frequency of depressive, anxiety, and trauma-related symptoms among this sample of YB-GBMSM living with HIV. Unemployment, substance use, and HIV stigma emerged as particularly salient correlates of psychological morbidity, suggesting a need for structural and community-level interventions to address mental health in this population.
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