Table 2.
Outcomes | Baseline Mean (SD)(n = 21) | 3-mo follow-up Mean (SD)(n = 17) | T-Test Effect Size Hedges’s g | Change in the expected direction |
---|---|---|---|---|
Mental health outcomes | ||||
Depressive symptomsa | 22.10 (11.89) | 20.35 (12.01) | .15 | ✓ |
Depression severityb | 11.00 (4.79) | 10.53 (6.07) | .09 | ✓ |
Anxietyc | 12.05 (3.54) | 11.88 (6.07) | .03 | ✓ |
Psychological distressd | 2.12 (0.87) | 2.05 (1.03) | .07 | ✓ |
Suicidal ideatione | 4.33 (9.63) | 3.41 (8.20) | .10 | ✓ |
Alcohol usef | 16.90 (6.57) | 17.53 (8.77) | .08 | --- |
Sexual health outcomes | ||||
Condom use self-efficacyg | 48.05 (16.33) | 49.24 (14.32) | .08 | ✓ |
Sexual compulsivityh | 18.38 (7.11) | 18.18 (8.89) | .02 | ✓ |
Recent PrEP usei | 0.31 (0.48) | 0.33 (0.49) | .04 | ✓ |
Recent HIV-risk acts (baseline risk group)j | 13.67 (15.24) | 12.67 (11.84) | .07 | ✓ |
Recent HIV-risk acts (full sample)k | 4.10 (10.12) | 8.29 (11.38) | .38 | --- |
Identity-related stress mechanismsl | ||||
Sexual minority stressors | ||||
Sexual orientation rejection sensitivitym | 10.73 (5.66) | 9.92 (5.97) | .14 | ✓ |
Sexual orientation concealmentn | 2.15 (0.97) | 2.01 (0.95) | .14 | ✓ |
Internalized homophobiao | 1.53 (0.68) | 1.53 (0.78) | .00 | --- |
Racial minority stressors | ||||
Race-related anticipatory stressp | 5.26 (1.05) | 5.00 (1.39) | .21 | ✓ |
Race-related ruminationq | 3.37 (1.54) | 3.06 (1.50) | .20 | ✓ |
Race-related vigilancer | 3.29 (1.39) | 3.24 (1.30) | .04 | ✓ |
Intersectional stressors | ||||
Homophobia in racial communitys | 1.94 (1.70) | 1.82 (1.50) | .07 | ✓ |
Racism in LGBT communityt | 2.02 (1.49) | 1.99 (1.49) | .02 | ✓ |
Racism in close LGBT relationshipsu | 2.29 (1.56) | 1.95 (1.53) | .22 | ✓ |
Note. PrEP = preexposure prophylaxis; HIV = human immunodeficiency virus; LGBT = lesbian, gay, bisexual, transgender; GBM = gay, bisexual, and other men who have sex with men.
Center for Epidemiological Studies-Depression Scale (Radloff, 1977); α = .92.
Overall Depression Severity and Impairment Scale (Bentley et al., 2014); α = .91.
Overall Anxiety Severity and Impairment Scale (Norman et al., 2006); α = .90.
Brief Symptom Inventory (Derogatis & Melisaratos, 1983; Meijer et al., 2011); α = .95.
Suicidal Ideation Attributes Scale (Van Spijker et al., 2014); α = .89.
Alcohol Use Disorders Identification Test (Saunders et al., 1993); α = .93.
Safer Sex Self-Efficacy Questionnaire (Parsons et al., 2000); α = .96.
Sexual Compulsivity Scale (Kalichman & Rompa, 2001); α = .92.
Proportion of participants who reported any PrEP use over the past 3 months.
Past-90-day timeline follow-back interview (Sobell & Sobell, 1992). HIV-risk behavior was calculated as the number of past-90-day sex acts in which key harm-reduction strategies were not employed (e.g., condom, PrEP, viral load suppression).
Past-90- day timeline follow-back calculations restricted to participants reporting at least one sex act with HIV-transmission risk at baseline (n = 6).
Analyses restricted to HIV-negative participants at Time 1 (n = 19) and Time 2 (n = 15).
Gay-Related Rejection Sensitivity Scale (Pachankis et al., 2008); α = .94.
Self-Concealment Scale (Larson & Chastain, 1990) as previously modified for use with GBM (Schrimshaw et al., 2013); α = .89.
Internalized Homophobia Scale (Martin & Dean, 1992); α = .93.
Anticipatory Race-Related Stress—Psychological Subscale of the Prolonged Activation and Anticipatory Race-Related Stress Scale (Utsey et al., 2013); α = .73.
Perseverative Cognitive Subscale of the Prolonged Activation and Anticipatory Race-Related Stress Scale (Utsey et al., 2013); α = .89.
Racism-Related Vigilance Scale (Hicken et al., 2013); α = .94.
Heterosexism in Racial Ethnic Minority Communities Subscale of the LGBT People of Color (POC) Microaggression Scale (Balsam et al., 2011); α = .88.
Racism in LGBT Communities Subscale of the LGBT POC Microaggression Scale (Balsam et al., 2011); α = .88.
Racism in Dating and Close Relationships Subscale of the LGBT POC Microaggression Scale (Balsam et al., 2011); α = .88.