Evidence map›Paper›PMID 27502073›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2017

Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior.

H Jonathon Rendina, Kristi E Gamarel, John E Pachankis, Ana Ventuneac, Christian Grov, Jeffrey T Parsons

Open access · greenAbstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Differential gene expression in response to AWARENESS: A randomized controlled trial of an intersectional minority stress intervention.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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  19. Psychosocial Phenotype and Risky Sexual Behavior Among People Living with HIV in Changsha: A Latent Profile Analysis.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

H Jonathon RendinaCenter for HIV/AIDS Educational Studies and Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.
Kristi E GamarelAlpert Medical School of Brown University, Providence, RI, USA.
John E PachankisDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA.
Ana VentuneacCenter for HIV/AIDS Educational Studies and Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.
Christian GrovCenter for HIV/AIDS Educational Studies and Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA.
Jeffrey T ParsonsCenter for HIV/AIDS Educational Studies and Training (CHEST), Hunter College of the City University of New York (CUNY), New York, NY, USA. Jeffrey.Parsons@hunter.cuny.edu.
City University of New York · USBrown University · USHunter College · USThe Graduate Center, CUNY · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Scientific/Technical CoreP2CHD041028 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 2017 to 2026
$6.5M
Training in Child/Adolescent Biobehavioral HIV ResearchT32MH078788 · NIMH · RHODE ISLAND HOSPITAL · PI LARRY K BROWN · 2007 to 2026
$6.2M
Compulsive Behaviors, Mental Health, and HIV RiskR01MH087714 · NIMH · HUNTER COLLEGE · PI PARSONS, JEFFREY T · 2010 to 2014
$2.8M
Developing a mobile emotion regulation intervention for HIV-positive menK01DA039030 · NIDA · HUNTER COLLEGE · PI RENDINA, H. JONATHON · 2015 to 2018
$743k
NCATS NIH HHS UL1 TR001863NICHD NIH HHS P2C HD041028NIDA NIH HHS K01 DA039030NIMH NIH HHS R01 MH087714NIMH NIH HHS T32 MH078788
6 · The paper itself

Abstract

backgroundMinority stress theory represents the most plausible conceptual framework for explaining health disparities for gay and bisexual men (GBM). However, little focus has been given to including the unique stressors experienced by HIV-positive GBM. PURPOSE: We explored the role of HIV-related stress within a minority stress model of mental health and condomless anal sex.

methodsLongitudinal data were collected on a diverse convenience sample of 138 highly sexually active, HIV-positive GBM in NYC regarding sexual minority (internalized homonegativity and gay-related rejection sensitivity) and HIV-related stressors (internalized HIV stigma and HIV-related rejection sensitivity), emotion dysregulation, mental health (symptoms of depression, anxiety, sexual compulsivity, and hypersexuality), and sexual behavior (condomless anal sex with all male partners and with serodiscordant male partners).

resultsAcross both sexual minority and HIV-related stressors, internalized stigma was significantly associated with mental health and sexual behavior outcomes while rejection sensitivity was not. Moreover, path analyses revealed that emotion dysregulation mediated the influence of both forms of internalized stigma on symptoms of depression/anxiety and sexual compulsivity/hypersexuality as well as serodiscordant condomless anal sex.

conclusionsWe identified two targets of behavioral interventions that may lead to improvements in mental health and reductions in sexual transmission risk behaviors-maladaptive cognitions underlying negative self-schemas and difficulties with emotion regulation. Techniques for cognitive restructuring and emotion regulation may be particularly useful in the development of interventions that are sensitive to the needs of this population while also highlighting the important role that structural interventions can have in preventing these disparities for future generations.

Indexed as

Mental HealthRisk-TakingAdultAnxietyBisexualityDepressionHealth Status DisparitiesHIV SeropositivityHomosexuality, MaleHumansLongitudinal StudiesMaleMiddle AgedMinority GroupsMinority HealthModels, TheoreticalGay and bisexual menHIV-positiveMental healthMinority stressSexual behaviorStigma

Identifiers

PMID27502073
PMCPMC5299076
OpenAlexW2518990303

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.