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Social constraints and depression in HIV infection: Effects of sexual orientation and area of residence
Journal article   Peer reviewed

Social constraints and depression in HIV infection: Effects of sexual orientation and area of residence

Philip M ULLRICH, Susan K LUTGENDORF and Jack T STAPLETON
Journal of social and clinical psychology, Vol.21(1), pp.46-65
2002
DOI: 10.1521/jscp.21.1.46.22402

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Abstract

Living with HIV infection is often associated with increased levels of stress and depression. Persons with HIV in non-metropolitan areas often have fewer community resources, greater social stigma, and face greater threats to mental health than their metropolitan counterparts. The purpose of this study was to examine associations among mental health, sexual orientation, and social constraints between persons living with HIV in metropolitan settings versus those living in non-metropolitan settings, focusing on the effects of social constraints on mental health. A total of 121 persons with HIV completed questionnaires at one timepoint. Neither area of residence nor sexual orientation appeared to be directly related to poorer mental health. However, gay men in non-metropolitan areas were more likely to experience both depression and social constraints with respect to talking about HIV. Individuals with greater social constraints had more depression. Social constraints appeared to account for the association between non-metropolitan residence and depression among gay male participants.
Infectious Diseases Psychology. Psychoanalysis. Psychiatry Adult and adolescent clinical studies Viral diseases Psychopathology. Psychiatry Viral diseases of the lymphoid tissue and the blood. Aids Mood disorders Biological and medical sciences Depression Medical sciences Human viral diseases

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