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Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men.

Hatzenbuehler, Mark L., Nolen-Hoeksema, Susan, Erickson, Sarah J.·2008·Health Psychology

Abstract

OBJECTIVE: Minority stress is the most frequently hypothesized risk factor for the increased rates of adverse behavioral and mental health outcomes among sexual minorities. However, there is a paucity of longitudinal research addressing this hypothesis. DESIGN: Prospective, community-based cohort of 74 bereaved gay men. Participants were assessed before the partner or close friend died of AIDS and then at 1, 6, 13, and 18 months postloss. MAIN OUTCOME MEASURES: HIV risk behavior (unprotected anal intercourse), substance use and abuse symptoms, and depressive symptoms. RESULTS: Hierarchical Linear Modeling analyses revealed that changes in internalized homophobia, discrimination experiences, and expectations of rejection were differentially associated with HIV risk behavior, substance use, and depressive symptoms, respectively. In contrast to the significant effects of minority stress, bereavement-related stressors (e.g., length of partner illness, quality of relationship with deceased) were largely unrelated to these outcomes. CONCLUSION: The results provide evidence for the predictive validity of minority stress, even in the context of a major life stressor, and suggest the importance of targeting minority stress experiences in HIV and mental health interventions with gay men. Future studies are needed to assess the mechanisms through which minority stress is associated with adverse health outcomes.

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Metadata

Authors
Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Erickson, S. J.
Venue
Health Psychology
Published
2008-07
Volume
27
Issue
4
Pages
455-462
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
OpenAlex
W2071278397
Cited by
435
References
10
FWCI
17.37
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men. https://app.cochat.ai/papers/10.1037/0278-6133.27.4.455
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Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Erickson, S. J. (2008). Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men. Health Psychology. https://doi.org/10.1037/0278-6133.27.4.455

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