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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.
- Source :
- Journals of Gerontology Series B: Psychological Sciences & Social Sciences; Jan2022, Vol. 77 Issue 1, p39-49, 11p
- Publication Year :
- 2022
-
Abstract
- Objectives 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. Method 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. Results 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. Discussion 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- STRUCTURAL equation modeling
CONFIDENCE intervals
SELF-perception
MOTIVATION (Psychology)
PHYSICAL fitness
ATTITUDES toward aging
PHYSICAL activity
COMPARATIVE studies
INTERPERSONAL relations
DESCRIPTIVE statistics
MEN who have sex with men
PSYCHOLOGICAL adaptation
GAY people
PSYCHOLOGY of HIV-positive persons
BODY image
MIDDLE age
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 10795014
- Volume :
- 77
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journals of Gerontology Series B: Psychological Sciences & Social Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 154928486
- Full Text :
- https://doi.org/10.1093/geronb/gbab076