Risk and Resilience Trajectories from Adverse Childhood Experience Among Men Who Have Sex with Men Living with HIV
View abstract on PubMed
Summary
This summary is machine-generated.Adverse childhood experiences (ACEs) impact men who have sex with men (MSM) living with HIV. A strong social support network can foster resilience, improving psychosocial outcomes despite high ACE exposure.
Area Of Science
- Public Health
- Psychology
- HIV/AIDS Research
Background
- Adverse childhood experiences (ACEs) are linked to health disparities, particularly in minoritized groups.
- The resilience and psychosocial outcomes of men who have sex with men (MSM) living with HIV concerning ACEs are understudied.
Purpose Of The Study
- To investigate how ACEs clustering and social support networks influence psychosocial outcomes in MSM living with HIV.
- To elucidate pathways to ACEs resilience in this population, focusing on the role of social support.
Main Methods
- Prospective cohort study (2019-2023) of 261 MSM living with HIV in Hawaii and Philadelphia.
- Latent profile analysis and propensity score-weighted generalized estimating equations were used to analyze psychosocial trajectories over one year.
Main Results
- An ACEs-resilient profile, characterized by diverse ACEs and strong social support, correlated with better psychosocial outcomes.
- This profile was associated with higher perceived family support, resilient coping, and lower depressive symptoms and stress.
Conclusions
- Bolstering social support networks may enhance ACEs resilience and improve psychosocial well-being for MSM living with HIV with significant ACE histories.
- Further research into socio-ecological and intrapersonal factors influencing ACEs resilience is warranted.
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