Risk and Resilience Trajectories from Adverse Childhood Experience Among Men Who Have Sex with Men Living with HIV.
Doug H Cheung, Casey D Xavier Hall, Liying Wang, Hyeouk Chris Hahm, Artur Queiroz, Lorie Okada, Avrum Gillespie, Gina Simoncini, John P Barile, Grace X Ma, Frank Y Wong
Author Information
Doug H Cheung: JC School of Public Health, Chinese University of Hong Kong, Hong Kong, China. ORCID
Casey D Xavier Hall: Center of Population Sciences for Health Equity, College of Nursing, Florida State University.
Liying Wang: Center of Population Sciences for Health Equity, College of Nursing, Florida State University.
Hyeouk Chris Hahm: School of Social Work, Boston University.
Artur Queiroz: Center of Population Sciences for Health Equity, College of Nursing, Florida State University.
Lorie Okada: University of Hawai'i.
Avrum Gillespie: Department of Medicine, Lewis Katz School of Medicine, Temple University.
Gina Simoncini: Department of Medicine, Lewis Katz School of Medicine, Temple University.
John P Barile: University of Hawai'i.
Grace X Ma: Center of Asian Health, Lewis Katz School of Medicine, Temple University.
Frank Y Wong: Center of Population Sciences for Health Equity, College of Nursing, Florida State University.
Adverse childhood experiences (ACEs) significantly contribute to health disparities among minoritized populations. However, the characterization and impact of ACEs and the resilience of men who have sex with men (MSM) living with HIV remains under-examined. This study aimed to examine how the clustering profiles of ACEs and social support networks may affect psychosocial outcomes to elucidate ACEs resilience in relation to social support network among MSM living with HIV. Data (2019-2023) were obtained from a prospective cohort of MSM living with HIV from Hawaii and Philadelphia, USA ( = 261). Latent profile analysis and propensity score-weighted generalized estimating equations were used to estimate group-level differences in psychosocial trajectories over the one-year study period. An ACEs-resilient profile with intensified, poly-types of ACEs and a robust social support network was significantly associated with higher perceived social support from family, resilient coping, lower depressive symptoms, and perceived stress, compared to those with similarly heightened ACEs exposure and a less optimal social support network. Bolstering social support networks could potentially improve the holistic range of ACEs-psychosocial outcome resilience among MSM living with HIV with heightened histories of ACEs. Future studies should examine the more nuanced socio-ecological and intrapersonal pathways of ACEs resilience.
