Harper Gary W, Bruce Douglas, Hosek Sybil G, Fernandez M Isabel, Rood Brian A
1 Department of Health Behavior and Health Education, School of Public Health, University of Michigan , Ann Arbor, Michigan.
AIDS Patient Care STDS. 2014 Dec;28(12):666-76. doi: 10.1089/apc.2013.0330.
Given the increasing numbers of young gay/bisexual men (YGBM) diagnosed with HIV, it is important to understand the resilience processes enacted by this population in order to develop interventions that support their healthy development. Qualitative interviews were conducted with 54 YGBM (ages 17 to 24; 57% African American, 22% Latino) living with HIV from four geographically diverse clinics in the United States. Resilience processes clustered into four primary thematic areas: (1) engaging in health-promoting cognitive processes; (2) enacting healthy behavioral practices; (3) enlisting social support from others; and (4) empowering other young gay/bisexual men. These data suggest that YGBM living with HIV demonstrate resilience across multiple dimensions, including intrapersonal-level resilience related to individual cognitions and behaviors, as well as interpersonal-level resilience related to seeking support and providing support to others. Implications for the development of culturally-appropriate and strengths-based secondary prevention and other psychosocial interventions for YGBM living with HIV are discussed.
鉴于被诊断出感染艾滋病毒的年轻男同性恋者/双性恋男性（YGBM）数量不断增加，了解这一人群所采用的恢复力过程对于制定支持他们健康发展的干预措施至关重要。对来自美国四个地理位置不同诊所的54名感染艾滋病毒的YGBM（年龄在17至24岁之间；57%为非裔美国人，22%为拉丁裔）进行了定性访谈。恢复力过程分为四个主要主题领域：（1）参与促进健康的认知过程；（2）践行健康的行为习惯；（3）获得他人的社会支持；（4）赋予其他年轻男同性恋者/双性恋男性力量。这些数据表明，感染艾滋病毒的YGBM在多个维度上表现出恢复力，包括与个人认知和行为相关的个人层面的恢复力，以及与寻求支持和向他人提供支持相关的人际层面的恢复力。讨论了针对感染艾滋病毒的YGBM制定文化适宜且基于优势的二级预防和其他心理社会干预措施的意义。
