title: Barbara Snell Dohrenwend memorial lecture. The impact of AIDS on a gay community: changes in sexual behavior, substance use, and mental health.
abstract: This report describes progress made to date on a study of the impact of the AIDS epidemic on the gay community of New York City. Using a model of the life stress process described by Barbara Dohrenwend and her colleagues, the AIDS epidemic was conceptualized as a community stressor resulting in two key stress-inducing events: death of loved ones due to AIDS and potential illness and death of oneself due to infection with human immunodeficiency virus (HIV). It was hypothesized that these stressors would be significantly related to three domains of health outcomes: sexual behavior, drug and alcohol use, and psychological distress. Descriptive trends over time are provided for both the health outcome variables and the stressor variables. Cross-sectional analyses for 3 years of data provide evidence in support of the main hypothesis. The implications of these findings are discussed from the standpoints of methodology, public health, and the psychology of stress processes in community settings.
authors: Columbia University, School of Public Health, New York, New York 10032.
authors: J L
authors: JL
authors: Martin
authors: L
authors: L
authors: Dean
authors: M
authors: M
authors: Garcia
authors: W
authors: W
authors: Hall
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000523:psychology*; D000328:Adult; D000342:Affective Symptoms / Q000523:psychology; D001601:Bereavement; D006679:HIV Seropositivity / Q000523:psychology; D006716:Homosexuality; D006801:Humans; D013287:Illicit Drugs / Q000008:administration & dosage; D008016:Life Change Events; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008960:Models, Psychological; D012725:Sexual Behavior; D019966:Substance-Related Disorders / Q000523:psychology
chemical_list: D013287:Illicit Drugs