Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
AIDS Behav. 2013 May;17(4):1423-30. doi: 10.1007/s10461-012-0392-x.
Health disparities research among gay and bisexual men has focused primarily on risk and deficits. However, a focus on resiliencies within this population may greatly benefit health promotion. We describe a pattern of resilience (internalized homophobia (IHP) resolution) over the life-course and its associations with current health outcomes. 1,541 gay and bisexual men from the Multi-Center AIDS Cohort study, an ongoing prospective study of the natural and treated histories of HIV, completed a survey about life-course events thought to be related to health. The majority of men resolved IHP over time independent of demographics. Men who resolved IHP had significantly higher odds of positive health outcomes compared to those who did not. These results provide evidence of resilience among participants that is associated with positive health outcomes. Understanding resiliencies and incorporating them into interventions may help to promote health and well-being among gay and bisexual men.
男同性恋和双性恋男性的健康不平等研究主要集中在风险和缺陷上。然而,关注这一人群的韧性可能会极大地促进健康促进。我们描述了一种贯穿一生的韧性模式(内化的恐同症(IHP)解决)及其与当前健康结果的关联。来自多中心艾滋病队列研究的 1541 名男同性恋和双性恋男性,这是一项正在进行的关于 HIV 的自然和治疗史的前瞻性研究,完成了一项关于被认为与健康相关的生活事件的调查。随着时间的推移,大多数男性独立于人口统计学因素解决了 IHP。与没有解决 IHP 的男性相比,解决了 IHP 的男性有更高的健康结果的可能性。这些结果提供了参与者韧性的证据,这与健康结果有关。了解韧性并将其纳入干预措施可能有助于促进男同性恋和双性恋男性的健康和福祉。
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