Effects of HIV infection, perceived health and clinical status on a cohort at risk for aids
dc.contributor.author | Kessler, Ronald C. | en_US |
dc.contributor.author | O'Brien, Kerth | en_US |
dc.contributor.author | Joseph, Jill G. | en_US |
dc.contributor.author | Ostrow, David G. | en_US |
dc.contributor.author | Phair, John P. | en_US |
dc.contributor.author | Chmiel, Joan S. | en_US |
dc.contributor.author | Wortman, Camille B. | en_US |
dc.contributor.author | Emmons, Carol-Ann | en_US |
dc.date.accessioned | 2006-04-07T20:32:55Z | |
dc.date.available | 2006-04-07T20:32:55Z | |
dc.date.issued | 1988 | en_US |
dc.identifier.citation | Kessler, Ronald C., O'Brien, Kerth, Joseph, Jill G., Ostrow, David G., Phair, John P., Chmiel, Joan S., Wortman, Camille B., Emmons, Carol-Ann (1988)."Effects of HIV infection, perceived health and clinical status on a cohort at risk for aids." Social Science & Medicine 27(6): 569-578. <http://hdl.handle.net/2027.42/27577> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6VBF-49YDC85-1/2/12c8b754f5c13ae833c22c146bb80da8 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/27577 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=3227364&dopt=citation | en_US |
dc.description.abstract | Data from a general population sample of 621 healthy homosexual men are used to evaluate the social and emotional effects of HIV antibody status, clinical signs detected by medical examination, and subjectively perceived symptoms. Participants are unaware of their serologic status at the time of data collection, thus allowing the effects of the virus to be separated from reactions to the knowledge of serologic status.The data show that seropositivity for HIV is not associated with elevated levels of social or emotional impairment. Clinical signs lead to impairment in baseline data, but these effects do not persist at a second wave. This weakening suggests that the effects are mediated by psychological pathways rather than biologic ones. This suspicion is confirmed in further analyses, which show that the effects of clinical signs are mediated by subjectively perceived symptoms.These results show that neither social nor emotional impairment is likely to be a prodromal sign of HIV infection in otherwise healthy homosexual men. The substantial levels of distress found among these men is more directly influenced by psychological determinants than biologic ones. This suggests that physicians should be aware of the psychological toll imposed on gay men who develop health problems in the current atmosphere of uncertainty regarding risk of AIDS. | en_US |
dc.format.extent | 1211466 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Effects of HIV infection, perceived health and clinical status on a cohort at risk for aids | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbsecondlevel | Sociology | en_US |
dc.subject.hlbsecondlevel | Anthropology and Archaeology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Sociology, University of Michigan, Ann Arbor, MI 48106, USA; Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA. | en_US |
dc.contributor.affiliationum | Department of Epidemiology, University of Michigan, Ann Arbor, MI 48106, USA | en_US |
dc.contributor.affiliationum | Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA; Department of Medicine, University of Michigan, Ann Arbor, MI 48106, USA. | en_US |
dc.contributor.affiliationum | Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA; Department of Psychology, University of Michigan, Ann Arbor, MI 48106, USA. | en_US |
dc.contributor.affiliationum | Institute for Social Research, University of Michigan, Ann Arbor, MI 48106, USA. | en_US |
dc.contributor.affiliationother | Department of Psychology, Portland State University, Portland, OR 97207, USA | en_US |
dc.contributor.affiliationother | Department of Medicine, Northwestern University, Chicago, IL 60611, U.S.A. | en_US |
dc.contributor.affiliationother | Department of Medicine, Northwestern University, Chicago, IL 60611, U.S.A. | en_US |
dc.identifier.pmid | 3227364 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/27577/1/0000621.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0277-9536(88)90004-4 | en_US |
dc.identifier.source | Social Science & Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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