Psychometric Validation of the Connectedness to the LGBT Community Scale among Black Sexual Minority Men Living with HIV
Journal of Community Health,
Journal Year:
2024,
Volume and Issue:
50(1), P. 63 - 70
Published: Aug. 27, 2024
LGBTQ
+
community
connectedness
is
generally
a
protective
health
factor
for
sexual
and
gender
minorities.
However,
existing
scales
have
not
been
validated
among
Black
minority
men
living
with
HIV
(SMMLWH),
who
face
unique
marginalized
experiences
that
disproportionately
impact
several
outcomes
compared
to
the
general
LGBT
community.
We
Connectedness
Community
Scale
SMMLWH.
9-item
from
Frost
Meyer
using
preliminary
data
cohort
of
Mid-Atlantic
SMMLWH
(n
=
650).
Factor
analysis
intercorrelations
were
conducted
assess
unidimensionality,
Cronbach's
alpha
was
measured
reliability.
Correlations
cumulative
ordinal
regression
models
generated
internalized
homophobia,
hopelessness,
depression,
stigma,
social
support,
resilience
as
criterion
constructs.
Models
adjusted
sociodemographic
behavioral
characteristics.
The
demonstrated
high
internal
consistency
(alpha
0.948)
strong
item
intercorrelation
single
structure.
scale
associated
all
measures
before
after
adjustment,
including
lower
homophobia
(aCOR
0.19,
95%
CI
0.15-0.25),
hopelessness
0.53,
0.41-0.68),
stigma
0.58,
0.47-0.72),
depression
0.61,
0.50-0.75).
also
greater
support
2.38,
1.91-2.97)
2.53,
2.03-3.15).
valid
measure
use
Future
studies
should
explore
relationships
between
care
quality
life
Language: Английский
Intersecting Epidemics: Examining the Impact of Internalized Homophobia and Depression Symptoms on HIV Testing Through a Suicide Syndemic Among Young Black Men Who Have Sex with Men
Journal of Racial and Ethnic Health Disparities,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 30, 2024
Abstract
Young
Black
men
who
have
sex
with
(BMSM)
in
the
USA
face
disproportionate
rates
of
HIV
incidence.
Mental
health
vulnerabilities,
including
depression,
anxiety,
substance
use,
and
trauma,
further
exacerbate
epidemic
among
this
population.
Internalized
homophobia,
discrimination,
depression
contribute
to
elevated
suicidal
behavior
young
BMSM,
which
turn
may
influence
engagement
prevention
behaviors,
such
as
testing.
However,
limited
research
has
examined
interplay
internalized
testing
BMSM.
This
study
utilized
syndemic
theory
explore
relationships
these
factors
a
sample
400
BMSM
ages
18–29.
Results
indicate
alarming
significant
associations
symptoms,
behavior,
The
findings
underscore
urgent
need
for
targeted
mental
interventions
services
tailored
address
unique
challenges
faced
by
Comprehensive,
multi-level,
community-centered
are
essential
syndemics
affecting
promoting
holistic
well-being
while
improving
outcomes
across
continuum.
Language: Английский