Differences in psychosocial factors that impact immune function and which, therefore, are relevant to HIV infection have been reported between Hispanics and non-Hispanic whites in the cross-cultural literature. To determine whether there were differences between Hispanic and non-Hispanic white HIV-seropositive homosexual males on life stressors, coping style, social support, and emotional distress, a sample (Hispanics = 27, non-Hispanic whites = 49) of participants in a five-year longitudinal study of HIV disease progression was assessed on relevant measures. Hispanics in this sample were not found to evidence psychosocial deficits as compared to non-Hispanic whites. Although not more stressed overall, Hispanics reportedhigher severity of stress on daily interactions related to their homosexual lifestyle than did their non-Hispanic white counterparts. Level ofacculturation isproposedas apossible explanation forthe striking similarities along most other psychosocial parameters.
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References
1.
Antoni, M.H.
, & Goodkin, K. (1988). Host moderator variables in the promotion of cervical neoplasia I. Personality facets. Journal of Psychosomatic Research, 32 (3), 327-338.
2.
Bartrop, R. W.
, Lockhurst, E., Lazarus, L., Kiloh, L. G., & Penny, R. (1977). Depressed lymphocyte function after bereavement. Lancet, 1, 834-836.
3.
Baskin, D.
, Bluestone, H., & Nelson, M. (1981). Ethnicity and psychiatric diagnosis. Journal of Clinical Psychology, 37, 529-537.
4.
Baum, A.
, McKinnon, O., & Silva, C. (1987). Chronic Stress and the Immune System. Paper presented at the Society of Behavioral Medicine, Washington, D.C.
5.
Berkman, L. F.
, & Syme, 1. (1979). Social networks, host resistance and mortality: A nine-year follow up study of Alameda Country residents. Alameda Journal of Epidemiology, 109, 186-204.
6.
Blaney, N. T.
, & Antoni, M. H. (in press). Psychoneuroimmunology and HIV infection. In C. Eisdorfer & C. Millon (Eds.), The BiopsychosocialAspects of HIVInfection. New York: Springer.
7.
Bloom, J. R.
, & Spiegel, D. (1984). The relationship of two dimensions of social support to the psychological well-being and social functioning of women with advanced breast cancer. Social Science and Medicine, 19, 831-837.
8.
Borysenko, M.
(1987). The immune system: An overview. Annals of Behavioral Medicine, 9 (2),5-5.
9.
Broadhead, W. E.
, Kaplan, B. H., James, S. A., Wagner, E. H., Schoenberg, V. J., Grimson, R., Heyden, S., Tibblin, G., & Goblback, S. H. (1983). The epidemiologic evidence for a relationship between social support and health. American Journal of Epidemiology, 117, 521-537.
10.
Buckingham, S. L.
(1987). The HIV antibody test: Psychological issues. Journal of Contemporary Social Work, 68, 387-393.
11.
Burnam, M. A.
, Hough, R. L., Karno, M., Escobar, J. I., & Telles, C. A. (1987). Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. Journal of Health and Social Behavior, 28, 89-102.
12.
Carballo-Dieguez, A.
(1989). Hispanic culture, gay male culture and AIDS: Counseling implications. Journal of Counseling and Development, 68, 26-30.
13.
Carver, C. S.
, Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and SocialPsychology, 56(2), 267-283.
14.
Centers for Disease Control
(1986). Acquired Immunodeficiency Syndrome (AIDS) among Blacks and Hispanics. Mortality Morbidity Weekly Reports, 35, 655-666.
15.
Centers for Disease Control
(1989). Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus Infection in the United States. Mortality Morbidity WeeklyReports, 38, 6-12.
16.
Cervantes, R. C.
, & Castro, F. G. (1985). Stress, coping and Mexican American mental health: A systematic review. Hispanic Journal of Behavioral Sciences, 7(1), 1-73.
17.
Coates, T. J.
, Stall, R. D., Kegeles, S. M., Lo, B., Morin, S. F., & McKusick, L. (1988). AIDS antibody testing: Will it stop the epidemic? Will it help people infected with HIV?American Psychologist, 43, 859-864.
18.
Cohen, S.
, & Syme, S. L. (1985). Issues in the study and application of social support. In S. Cohen & S. L. Syme (Eds.), Social Support. New York: Academic Press.
19.
DiClemente, R. J.
, & Boyer, C. B. (1987). Ethnic and racial misconceptions aboutAIDS. Focus: A review on AIDS Research, 2(3), 3-3.
20.
Dohrenwend, B. P.
, & Dohrenwend, B. S. (1969). Social Status and Psychological Disorder: A Causal Inquiry. New York: Wiley.
21.
Dooley, D.
, & Catalano, R. (1980). Economic change as a cause of behavioral disorder. Psychological Bulletin, 87, 450-468.
22.
Ewedemi, F.
, & Linn, M. W. (1987). Health and hassles in older and younger men. Journal of Clinical Psychology, 43, 347-353.
23.
Friedman, S. R.
, Sotheran, J. L., Abdul-Quader, A., Primm, B. J., Des Jarlais, D. C., Leinman, P., Mauge, C., Goldsmith, D. S., El-Sadr, W., & Maslansky, R. (1987). The AIDS epidemic among Blacks and Hispanics. The Milbank Quarterly, 65(2).
24.
Fromm, E.
, & Maccoby, M. (1970). Social Character in a Mexican Village. Englewood Cliffs, NJ: Prentice-Hall.
25.
Glaser, R.
, Kiecolt-Glaser, J. K., Speicher, C., & Holliday, J. E. (1985). Stress, loneliness, and changes in herpes virus latency. Journal of Behavioral Medicine, 8, 249-260.
26.
Glaser, R.
, Rice, J., Sheridan, J., Fertel, R., Stout, J., Speicher, C., Pinsky, D., Kotur, M., Post, A., Beck, M., & Kiecolt-Glaser, J. K. (1987). Stress related immune suppression: Health implications. Brain, Behavior and Immunity.
27.
Goodkin, K.
(1988). Psychiatric aspects of HIV infection. Te-xas Medicine, 84, 55-61.
28.
Goodkin, K.
, Antoni, M. H., & Blaney, P. H. (1986). Stress and hopelessness in the promotion of cervical intraepithelial neoplasia to invasive squamous cell carcinoma of the cervix. Journal of Psychosomatic Research, 30(1), 67-76.
29.
Goodkin, K.
, Fuchs, I., Gullion, C. M., Lecka, J., & Dickson Rishel, D. (1989). Paper presented at the Annual Meeting of the American Association for the Advancement of Science.
30.
Griffith, J.
, & Villavicencio, S. (1985). Relationship among acculturation, sociodemographic characteristics and social support in Mexican American adults. Hispanic Journal of Behavioral Sciences, 7, 75-92.
31.
Gurak, D. T.
, & Rogler, L. H. (1980, Summer). New York's new immigrants: Who and where they are. The Hispanics. New York University Education Quarterly, 11(4).
32.
Irwin, M.
, Daniels, M., Smith, T. L., Blood, E., & Weiner, H. (1987). Impaired natural killer cell activity during bereavement. Brain, Behavior and Immunity, 1, 98-104.
33.
Kagan, S.
(1981). Ecology and the acculturation of cognitive and social styles among MexicanAmerican children. Hispanic Journal of Behavioral Sciences, 3, 111-144.
34.
Kanner, A. D.
, Coyne, J. C., Schaefer, C., & Lazarus, R. S. (1981). Comparison of two modes of stress measurement: Daily hassles and uplifts versus major life events. Journal of Behavioral Medicine, 4, 1-39.
35.
Karno, M.
, Burnam, M. A., Hough, R. L., Escobar, J. I., & Golding, J. M. (1987). Mental disorder among Mexican Americans and non-Hispanic whites in Los Angeles. In M. Gaviria & J. D. Arana (Eds.), Health and behavior: Research agenda for Hispanics. Sim6n Bolivar Research Monograph No. 1. Chicago: University of Illinois Press.
36.
Keefe, S. E.
(1980). Acculturation and the extended family among urban Mexican Americans. In A. M. Padialla (Ed.),Acculturation: Theory, models and some newfindings. Boulder, CO: Westview.
37.
Kessler, R. C.
(1979). Stress, social status and psychological distress. Journal of Health and Social Behavior, 2, 259-272.
38.
Kessler, R. C.
, & Cleary, P. D. (1980). Social class and psychological stress. American Sociological Review, 24, 687-690.
39.
Kiecolt-Glaser, J. K.
, Garner, W., Speicher, C. E., Penn, G., & Glaser, R. (1984). Psychosocial modifiers of immunocompetence in medical students. Psychosomatic Medicine, 46, 7-14.
40.
Kluckhohn, C.
(1962). Culture and Behavior. New York: Free Press.
41.
Komaroff, A. L.
, Masuda, M., & Holmes, T. H. (1968). The social readjustment rating scale: A comparative study of Negro, Mexican and white Americans. Journal of Psychosomatic Research, 12(2), 121-128.
42.
Levy, S. M.
, Herberman, R., Lippman, M., & d'Angelo, T. (1987). Correlation of stress factors with sustained depression of killer cell activity and predicted prognosis in patients with breast cancer. Journal of Clinical Oncology, 5, 348-353.
43.
Lewis, O.
(1969). A Puerto Rican boy. In Finney, Culture Change, Mental Health and Poverty. Lexington: University of Kentucky Press.
44.
Linn, M.
(1986). A global assessment of recent stress (GARS) scale. International Journal of Psychiatry in Medicine, 15, 47-59.
45.
Locke, S. E.
, Kraus, L., Leserman, J., Hurst, M. W., Heisel, J. S., & Williams, R. M. (1984). Life change stress, psychiatric symptoms, and natural killer cell activity. Psychosomatic Medicine, 46, 441-453.
46.
Malyon, A.
(1982). Psychotherapeutic implications of intemalized homophobia in gay men. Journal of Homosexuality, 7, 59-69.
47.
McClelland, D. C.
(1989). Motivational factors in health and disease. American Psychologist, 44, 675-683.
48.
McNair, D. M.
, Lorr, M., & Droppleman, L. F. (1971). Profile of Mood States Manual. San Diego, CA: Educational and Industrial Testing Service.
49.
Mendoza, P. A.
(1981). Responding to stress: Ethnic and sex differences in coping behavior. In A. Baron (Ed.), Explorations in Chicano psychology. New York: Praeger.
50.
Millon, T.
(1988). Manual for the MCMI-II. Minneapolis: National Computer Systems, Inc.
51.
Mindel, C. H.
(1980). Extended familism among urban Mexican Americans, Anglos and Blacks. Hispanic Journal of Behavioral Sciences, 2, 21-34.
52.
Moscicki, E. K.
, Rae, D., Regier, D. A., & Locke, B. Z. (1987). The Hispanic Health and Nutrition Examination Survey: Depression among Mexican Americans, Cuban Americans, Puerto Ricans. In M. Gaviria and J.D. Arana (Eds.), Health and behavior: Research agenda for Hispanics. Sim6n Bolivar Research Monograph No. 1. Chicago: University of Illinois Press.
53.
New York City AIDS Task Force
. (1988). Report of the data work group. NYC Department of Health, November 1988 revision.
54.
Ortiz, V.
, & Arce, C. J. (1984). Language orientation and mental health status among persons of Mexican descent. Hispanic Journal of Behavioral Sciences6, 127-143.
55.
Pennebaker, Kiecolt-Glaser, J. G.
, & Glaser, R. (1988). Disclosure of trauma and immune function: Implications for psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239-245.
56.
Pettingale, K. W.
, Greer, S., & Tee, D.E.H. (1977). Serum IgAand emotional expression in breast cancer patients. Journal of Psychosomatic Research, 21, 395-399.
57.
Peplau, L. A.
, & Perlman, D. (1982). Loneliness: A sourcebook of current theory, research and therapy. New York: Wiley.
58.
Pine, C. J.
, Padilla, A. M., & Maldonado, M. (in press). Ethnicity and life event cognitive appraisals and experiences. Journal of Clinical Psychology.
59.
Raymond, J. S.
, Rhoads, D. L., & Raymond, R. 1. (1980). The relative impact of family and social involvement on Chicano mental health. American Journal of Community Psychology, 8(5), 557-569.
60.
Roberts, R.
(1980). Prevalence of psychological distress among Mexican Americans. Journal of Health and Social Behavior, 21, 134-145.
61.
Rodin, J.
(1988). Aging, control and health. Paper presented at the meeting of the Society of Behavioral Medicine, Boston, MA.
62.
Rogler, L. H.
, Malgady, R. G., & Rodriguez, O. (1989). Hispanics and mental health: A framework for research. Malabar, FL: Kraeger.
63.
Russell, D.
, & Cutrona, C. (1984). The provisions of social relationships and adaptation to stress. Paper presented at the meeting of the American Psychological Association, Toronto, Ontario.
64.
Russell, D.
, Peplau, L. A., & Cutrona, C. E. (1980). The Revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39, 472-480.
65.
Sarason, I. G.
, Johnson, J. H., & Siegel, J. M. (1978). Assessing the impact of life changes: Development of the Life Experiences Survey. Journal of Consulting and Clinical Psychology, 46, 932-946.
66.
Schleifer, S. J.
, Keller, S. E., Camerino, M., Thornton, J. C., & Stein, M. (1983). Suppression of lymphocyte stimulation following bereavement. Journal of the American MedicalAssociation, 250, 374-377.
67.
Schleifer, S. J.
, Keller, S. E., Kiris, S. G., Davis, K. L., & Stein, M. (1985). Depression and immunity.Archives of General Psychiatry, 42, 129-133.
68.
Seeman, T. E.
, & Syme, L. (1987). Social networks and coronary artery disease: A comparison of the structure and function of social relations as predictors of disease. Psychosomatic Medicine, 49, 341-354.
69.
Szapocznik, J.
, Kurtines, W. M., & Fernandez, T. (1980). Bicultural involvement and adjustment in Hispanic American youths. International Journal of Intercultural Relations, 4, 353-366.
70.
Szapocznik, J.
, Scopetta, M. A., Kurtines, W. H., & Arnalde, M. A. (1978). Theory and measurement of acculturation. Interamerican Journal of Psychology, 12, 113-130.
71.
Temoshok, L., Zich, J. M., Mandel, J. S., & Moulton, J. M. (1986). Research and clinical impressions from psychosocial investigations of AIDS in San Francisco. Unpublished research report.
72.
Tross, S.
, Hirsch, D. A., Rabkin, B., Berry, C., & Holland, J. C. (1987). Determinants of current psychiatric disorder in AIDS spectrum patients. Proceedings of the IIIInternational Conference on Acquired Immunodeficiency Syndrome (AIDS). Washington, DC.
73.
Vogel, W. H.
(1986). Effects of coping and noncoping with stressful events on the immune system. In N. P. Plotnikoss, R. E. Faith, A. J. Murgo, & R. A. Good (Eds.), Enkephalins and endorphins: Stress and the immune system. New York: Plenum Press.
74.
Weston, G.
(1986). AIDS in the Black community. Black/Out, 1 (2),15-15.
