Hays R B, Catania J A, McKusick L, Coates T J
Center for AIDS Prevention Studies, University of California, San Francisco 94105.
Am J Community Psychol. 1990 Oct;18(5):743-55. doi: 10.1007/BF00931240.
Examined help-seeking and psychological distress among four groups of gay men (30 AIDS-diagnosed, 107 HIV-seropositive, 149 HIV-seronegative, 244 untested) in the AIDS Behavioral Research Project, a longitudinal survey of San Francisco gay men. The men reported high levels of anxiety, depression, and help-seeking from their social networks. AIDS-diagnosed and HIV-positives reported the most AIDS worry and were the most likely to seek help. High percentages of AIDS-diagnosed men sought help from all sources (peers, professionals, family), whereas nondiagnosed men were more likely to seek help from peers. Regardless of the men's HIV status, peers were perceived to be the most helpful source. Family members were less likely sought and perceived as least helpful. The strengths and limitations of peers as social support providers for AIDS-related concerns are discussed, including implications for the design of community programs to enhance the abilities of peer helpers.
在艾滋病行为研究项目中,对四组男同性恋者(30名艾滋病确诊者、107名HIV血清阳性者、149名HIV血清阴性者、244名未检测者)的求助行为和心理困扰进行了调查,该项目是对旧金山男同性恋者的一项纵向研究。这些男性报告称,他们存在高度焦虑、抑郁情绪,并且会向自己的社交网络寻求帮助。艾滋病确诊者和HIV阳性者报告的艾滋病担忧程度最高,也最有可能寻求帮助。高比例的艾滋病确诊男性会向所有来源(同龄人、专业人士、家人)寻求帮助,而未确诊的男性更有可能向同龄人寻求帮助。无论男性的HIV状况如何,同龄人都被认为是最有帮助的来源。家人则较少被求助,且被认为帮助最小。文中讨论了同龄人作为艾滋病相关问题社会支持提供者的优势和局限性,包括对设计社区项目以增强同伴帮助者能力的启示。