Advisor(s)
Pariya Fazeli Wheeler
Committee Member(s)
Andrea Norcini Pala
David Vance
Janet Turan
Jenni Wise
Peng Li
Document Type
Dissertation
Date of Award
1-1-2025
Degree Name by School
Doctor of Philosophy (PhD) School of Nursing
Abstract
This dissertation aims to adapt Meyer’s Minority Stress Model to understand the interplay between minority stress, mental health, and sexual risk behaviors among middle-aged and older adults with and without HIV. The study utilizes data from the MACS WIHS Combined Cohort Study, focusing on adults aged 40 and older. It examines the relationships between perceived stress, psychosocial factors (depression, substance use, social support), and sexual risk behaviors, considering the impact of minority identities such as race, gender, sexual orientation, and HIV status. The findings highlight significant differences in perceived stress, depressive symptoms, substance use, and social support across different intersectional binary identities. Results indicate that SGM status is a strong predictor of perceived stress and social support. Gender and race play significant roles in psychosocial factors. The study underscores the need for targeted interventions to address the unique challenges faced by middle-aged and older PLWH, aiming to reduce HIV transmission and improve mental health outcomes.
Recommended Citation
Thompson, Alexis R Long, "Adapting The Minority Stress Model Among Middle-Aged And Older Adults With And Without Hiv: Understanding The Interplay Between Minority Stress, Mental Health, And Sexual Risk Behaviors" (2025). All ETDs from UAB. 6896.
https://digitalcommons.library.uab.edu/etd-collection/6896
Comments
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