title: Identifying Resilience Resources for HIV Prevention Among Sexual Minority Men: A Systematic Review.
abstract: Most HIV prevention for sexual minority men and men who have sex with men targets risk behaviors (e.g., condom use) and helps <50% of participants. Bolstering resilience might increase HIV prevention's effectiveness. This systematic review identified resilience resources (protective factors) in high-risk, HIV-negative, sexual minority men. We reviewed PsycINFO, PsycARTICLES, MEDLINE, references, and Listservs for studies including sexual minority men with 1+ HIV risk factor (syndemics): childhood sexual abuse, partner abuse, substance abuse, or mental health symptoms. From 1356 articles screened, 20 articles met inclusion criteria. Across the articles, we identified and codified 31 resilience resources: socioeconomic (e.g., employment), behavioral coping strategies (e.g., mental health treatment), cognitions/emotions (e.g., acceptance), and relationships. Resilience resources were generally associated with lower HIV risk; there were 18 low-risk associations, 4 high-risk associations, 8 non-significant associations). We generated a set of empirically based resilience variables and a hypothesis to be evaluated further to improve HIV prevention.
authors.affiliation: Central Arkansas Veterans Healthcare System, South Central Mental Illness Research, Education, and Clinical Center (MIRECC), 2200 Fort Roots Drive, Mail code: NLR 58, North Little Rock, AR, 72114, USA. eva.woodward2@va.gov.|Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA. eva.woodward2@va.gov.
authors.forename: Eva N
authors.initials: EN
authors.lastname: Woodward
authors.affiliation: Department of Social Work, Washington University in St. Louis, St. Louis, MO, USA.
authors.forename: Regina J
authors.initials: RJ
authors.lastname: Banks
authors.affiliation: Department of Psychology, Suffolk University, Boston, MA, USA.
authors.forename: Amy K
authors.initials: AK
authors.lastname: Marks
authors.affiliation: Department of Psychology, University of Massachusetts Boston, Boston, MA, USA.|The Fenway Institute, Boston, MA, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Pantalone
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D065840:Protective Factors; D055500:Resilience, Psychological; D012309:Risk-Taking; D021841:Safe Sex; D012725:Sexual Behavior; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D019966:Substance-Related Disorders
keywords: HIV prevention; HIV risk; Men who have sex with men; Resilience; Sexual minority men