Psychological Connection to the Gay Community and Negative Self-Appraisals in Middle-Aged and Older Men Who Have Sex With Men: The Mediating Effects of Fitness Engagement.
Aged
Aging
/ psychology
Body Dissatisfaction
/ psychology
Exercise
/ psychology
HIV Infections
/ psychology
Homosexuality, Male
/ psychology
Humans
Male
Middle Aged
Physical Fitness
/ physiology
Resilience, Psychological
Self Concept
Sexual and Gender Minorities
/ psychology
Social Identification
Social Support
Coping
HIV/AIDS
Sexual minority
Social support
Subjective age
Journal
The journals of gerontology. Series B, Psychological sciences and social sciences
ISSN: 1758-5368
Titre abrégé: J Gerontol B Psychol Sci Soc Sci
Pays: United States
ID NLM: 9508483
Informations de publication
Date de publication:
12 01 2022
12 01 2022
Historique:
received:
04
12
2020
pubmed:
5
5
2021
medline:
15
2
2022
entrez:
4
5
2021
Statut:
ppublish
Résumé
Connections to the gay community may elicit negative self-appraisals among men who have sex with men (MSM), which may be exacerbated for people with HIV (PWH). Fitness engagement may mediate self-appraisals by maintaining or improving appearance and health. We hypothesized that gay community connections would be positively related to negative self-appraisal and explored whether this association would be mediated by fitness engagement and moderated by HIV status. Data were obtained from the Multicenter AIDS Cohort Healthy Aging study (N = 1,026; PWH n = 525; people without HIV [PWOH] n = 501). Structural equation modeling (SEM) examined associations between gay community connections, negative self-appraisal (body image dissatisfaction, self-perception of aging), and fitness engagement (physical activity, motivation to be fit). Multiple-group SEM tested the moderating effects of HIV serostatus. The SEM fit the data well (root mean square error of approximation = 0.056; 90% CI: 0.046, 0.066). Connection to the gay community was inversely related to negative self-appraisals and positively related to fitness engagement. Fitness engagement mediated the association between community connections and negative self-appraisal and was inversely related to negative self-appraisals. Among PWH, the association between community connections and self-appraisal was weaker and the effect of fitness engagement on negative self-appraisal was stronger compared to PWOH. Connection to the gay community may be a source of resilience for aging MSM by lessening negative self-appraisals and promoting strategies that address body image dissatisfaction and self-perceptions of aging. Interventions facilitating connections to the gay community may support healthy aging in this population.
Identifiants
pubmed: 33945614
pii: 6264660
doi: 10.1093/geronb/gbab076
pmc: PMC8755915
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
39-49Subventions
Organisme : NIAID NIH HHS
ID : P30 AI027767
Pays : United States
Organisme : NIA NIH HHS
Pays : United States
Organisme : NIMHD NIH HHS
ID : R01 MD010680
Pays : United States
Organisme : NIAAA NIH HHS
Pays : United States
Organisme : NIH HHS
ID : P30-AI-027767
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146242
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146204
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146241
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146192
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146208
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146193
Pays : United States
Organisme : NICHD NIH HHS
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146203
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000004
Pays : United States
Organisme : NIDDK NIH HHS
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050410
Pays : United States
Organisme : NIH HHS
ID : P30-AI-050410
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050409
Pays : United States
Organisme : NIDCD NIH HHS
Pays : United States
Organisme : NIDCR NIH HHS
Pays : United States
Organisme : NINR NIH HHS
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146202
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146245
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146205
Pays : United States
Organisme : NIMH NIH HHS
Pays : United States
Organisme : NIH HHS
ID : UL1-TR000004
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146333
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146240
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146201
Pays : United States
Organisme : NINDS NIH HHS
Pays : United States
Organisme : NIH HHS
ID : P30-AI-050409
Pays : United States
Organisme : NCI NIH HHS
Pays : United States
Organisme : NIDA NIH HHS
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL146194
Pays : United States
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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