| Publication Abstract Display | | Type: Published Abstract | | Title: Ethnic differences in depression, coping, social support among HIV-infected men. | | Authors: Cherner M, Patterson T, Semple S, Koch W, Manly J, Atkinson JH, Grant I, and the HNRC Group | | Year: 1994 | | Publication: Annals of Behavioral Medicine | | Volume: 16 Issue: S Pages: S181 | | Abstract:This study examined ethnic group differences in life adversity, social support, coping, and depressive symptoms in 137 HIV positive men (33 Hispanic, 50 African American, 54 non-Hispanic White). The majority of subjects self-identified as homosexual or bisexual, ranged in age from 18 to 45 years, and were either asymptomatic or mildly symptomatic. There were no significant differences among ethnic groups on age, education, SES, or stage of infection (CDC 1993 criteria).
Ethnic group differences in psychosocial measures were examined through univariate analyses. Minority subjects (Hispanic and African American) reported significantly more depression as well as more "avoidant" coping activities when compared to non-Hispanic Whites. While the average size of support networks was not significantly different among the ethnic groups, non-Hispanic Whites more often reported high satisfaction with emotional support provided by their mate and neighbors as compared to minority subjects. Hispanic and African American subjects, however reported high satisfaction with support received from core relatives. Number, severity, and type of life adversity did not differ between minority subjects and non-Hispanic Whites.
We speculate that the increased depressive symptoms among minority subjects may be related to greater stigma associated with homosexuality and HIV infection in minority communities. The finding that minority subjects reported more family support may be a reflection of their reticence to disclose their sexual orientation and serostatus to family members. As minority subjects become more symptomatic, we may observe changes in their support networks. As noted in the literature, avoidant coping is predictive of depressive symptoms. However, among minority subjects, it may be that higher levels of depressive symptoms lead to more avoidant coping. The relationship should be addressed in future research. |
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