Skip to main content
Journal cover image

Examining How Health Navigation Affects Mental Health Among Gay, Bisexual, and Other Men Who Have Sex with Men Living with Human Immunodeficiency Virus in Guatemala.

Publication ,  Journal Article
Davis, DA; Angeles, G; McNaughton-Reyes, L; Matthews, DD; Muessig, KE; Northbrook, S; Barrington, C
Published in: AIDS patient care and STDs
April 2021

Gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by mental health problems and human immunodeficiency virus (HIV). Health navigation has the potential to improve both HIV and mental health outcomes; however, few studies have measured the impact of navigation on mental health among people living with HIV. We analyzed longitudinal data from a sociobehavioral survey and navigation monitoring system with GBMSM living with HIV in Guatemala (n = 346) that participated in a 12-month differentiated care intervention. We examined relationships between navigation characteristics (frequency, duration, mode of interactions, and level of emotional, instrumental, and informational navigation support) and anxiety and depression using fixed-effects regression. We also examined if these relationships were moderated by baseline social support. We found that as navigation interactions increased, anxiety significantly improved [B = -0.03, standard error (SE) = 0.01 p = 0.05]. Participants who received high levels of informational navigator support also experienced a significant improvement in anxiety compared with those receiving low levels of informational support (B = -0.81, SE = 0.40, p = 0.04). Unexpectedly, we found that as the proportion of in-person navigation interactions increased, anxiety worsened (B = 1.12, SE = 0.54, p = 0.04). No aspects of navigation were significantly associated with depression and baseline social support did not moderate the relationship between navigation and anxiety and depression. To improve the mental health of key populations affected by HIV, health navigation programs should prioritize frequent interaction and informational navigation support for clients with anxiety while considering other strategies that specifically target reducing depressive symptoms, including other cost-effective modalities, such as mobile apps.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

AIDS patient care and STDs

DOI

EISSN

1557-7449

ISSN

1087-2914

Publication Date

April 2021

Volume

35

Issue

4

Start / End Page

126 / 133

Related Subject Headings

  • Virology
  • Sexual and Gender Minorities
  • Mental Health
  • Male
  • Humans
  • Homosexuality, Male
  • HIV Infections
  • HIV
  • Guatemala
  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Davis, D. A., Angeles, G., McNaughton-Reyes, L., Matthews, D. D., Muessig, K. E., Northbrook, S., & Barrington, C. (2021). Examining How Health Navigation Affects Mental Health Among Gay, Bisexual, and Other Men Who Have Sex with Men Living with Human Immunodeficiency Virus in Guatemala. AIDS Patient Care and STDs, 35(4), 126–133. https://doi.org/10.1089/apc.2021.0008
Davis, Dirk A., Gustavo Angeles, Luz McNaughton-Reyes, Derrick D. Matthews, Kathryn E. Muessig, Sanny Northbrook, and Clare Barrington. “Examining How Health Navigation Affects Mental Health Among Gay, Bisexual, and Other Men Who Have Sex with Men Living with Human Immunodeficiency Virus in Guatemala.AIDS Patient Care and STDs 35, no. 4 (April 2021): 126–33. https://doi.org/10.1089/apc.2021.0008.
Davis DA, Angeles G, McNaughton-Reyes L, Matthews DD, Muessig KE, Northbrook S, et al. Examining How Health Navigation Affects Mental Health Among Gay, Bisexual, and Other Men Who Have Sex with Men Living with Human Immunodeficiency Virus in Guatemala. AIDS patient care and STDs. 2021 Apr;35(4):126–33.
Davis, Dirk A., et al. “Examining How Health Navigation Affects Mental Health Among Gay, Bisexual, and Other Men Who Have Sex with Men Living with Human Immunodeficiency Virus in Guatemala.AIDS Patient Care and STDs, vol. 35, no. 4, Apr. 2021, pp. 126–33. Epmc, doi:10.1089/apc.2021.0008.
Davis DA, Angeles G, McNaughton-Reyes L, Matthews DD, Muessig KE, Northbrook S, Barrington C. Examining How Health Navigation Affects Mental Health Among Gay, Bisexual, and Other Men Who Have Sex with Men Living with Human Immunodeficiency Virus in Guatemala. AIDS patient care and STDs. 2021 Apr;35(4):126–133.
Journal cover image

Published In

AIDS patient care and STDs

DOI

EISSN

1557-7449

ISSN

1087-2914

Publication Date

April 2021

Volume

35

Issue

4

Start / End Page

126 / 133

Related Subject Headings

  • Virology
  • Sexual and Gender Minorities
  • Mental Health
  • Male
  • Humans
  • Homosexuality, Male
  • HIV Infections
  • HIV
  • Guatemala
  • 4206 Public health