Document Detail


Environmental risk, social cognition, and drug use among young men who have sex with men: longitudinal effects of minority status on health processes and outcomes.
MedLine Citation:
PMID:  22749680     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Young men who have sex with men (YMSM) continue to be at elevated risk for substance use; however, models explaining this phenomenon have often focused on a limited array of explanatory constructs. This study examined the longitudinal relationship of contextual risk factors, social cognitive processes, mental health, and health protective behavior to identify key mechanisms of illicit drug use of YMSM as they aged through emerging adulthood.
METHODS: Our sample included an ethnically diverse cohort of 487 YMSM recruited through venue based probability sampling in Los Angeles. We used latent growth curve modeling to understand relationships between environmental risk factors, changing individual and social process variables, health protective behavior, psychological distress, and illicit drug use outcomes among YMSM.
RESULTS: Age, ethnicity, violence and discrimination, depression, and previous histories of illicit drug use were key elements of risk for future illicit drug use among YMSM. During this theoretically distinct time period, health as a value, self-efficacy, and social support are vital social cognitive processes for promoting self-change among YMSM, and YMSM have independent growth within each process. Health as a value, self-efficacy, and social support were dynamic social cognitive processes, which served as key mechanisms by which risk factors were converted into health promotion strategies or psychological distress, and ultimately illicit drug use.
CONCLUSIONS: The efficacy of prevention interventions aimed at reducing illicit drug use among YMSM can be enhanced by addressing social cognitive processes for this underserved portion of the male population.
Authors:
Dorian E Traube; Sheree M Schrager; Ian W Holloway; George Weiss; Michele D Kipke
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-06-30
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  127     ISSN:  1879-0046     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-18     Completed Date:  2013-09-19     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  1-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cognition
Data Collection / methods
Health Behavior / ethnology*
Homosexuality, Male / ethnology*,  psychology
Humans
Longitudinal Studies
Male
Minority Groups* / psychology
Risk Factors
Sexual Behavior / ethnology*,  psychology
Social Behavior
Social Environment*
Social Support
Substance-Related Disorders / ethnology*,  psychology
Young Adult
Grant Support
ID/Acronym/Agency:
R03 DA024976/DA/NIDA NIH HHS; R03 DA024976/DA/NIDA NIH HHS; UL1 TR000130/TR/NCATS NIH HHS
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