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Abstract
This qualitative study explores the future life goals reported by a sample of HIV-positive gay/bisexual male emerging adults. Semi-structured interviews were conducted with 54 participants ages 17-24 at four geographically and demographically diverse adolescent HIV medicine programs to explore the content of participants’ goals, perceived obstacles and sources of resilience. We provide descriptive data on goals articulated by participants to begin to understand (1) how gay male emerging adults may differ from the heteronormative samples that have characterized most research on emerging adulthood to date, (2) how living with HIV/AIDS may impact the future life goals of this population, and (3) implications for HIV/AIDS service providers as HIV-positive emerging adults are transitioned from adolescent to adult care.
References
Section:
|
Arnett, J. J. (2004). Emerging adulthood. New York, NY: Oxford U. Press. Google Scholar | |
|
Bandura, A. (2000). The primacy of self-regulation in health promotion. Applied Psychology, 54, 245-254. Google Scholar | Crossref | ISI | |
|
Baumgartner, L. M. (2007). The incorporation of the HIV/AIDS identity into the self over time. Qualitative Health Research, 17, 919-931. Google Scholar | SAGE Journals | ISI | |
|
Baumgartner, L. M., David, K. N. (2009). Accepting being poz: The incorporation of the HIV identity into the self. Qualitative Health Research, 19, 1730-1743. Google Scholar | SAGE Journals | ISI | |
|
Bell, L. E., Bartosh, S. M., Davis, C. L., Dobbels, F., Al-Uzri, A., Lotstein, D., Reiss, J., Dharnidharka, V. R. (2008). Adolescent transition to adult care in solid organ transplantation: A consensus conference report. American Journal of Transplantation, 8, 2230-2242. Google Scholar | Crossref | Medline | ISI | |
|
Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA: Harvard University. Google Scholar | |
|
Cantor, N., Kihlstrom, J. F. (1987). Personality and social intelligence. Englewood Cliffs, NJ: Prentice-Hall. Google Scholar | |
|
Cantor, N., Langston, C. (1989). Ups and downs of life tasks in a life transition. In Pervin, L (Ed.), Goal concepts in personality and social psychology (127-168). Hillsdale, NJ: Erlbaum. Google Scholar | |
|
Cass, V. C. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4, 219-235. Google Scholar | Crossref | Medline | ISI | |
|
Centers for Disease Control and Prevention . (2008). HIV/AIDS surveillance report, Vol. 18: Cases of HIV infection and AIDS in the United States, 2006. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Google Scholar | |
|
Centers for Disease Control and Prevention . (2009). HIV/AIDS surveillance report, Vol. 19: Cases of HIV infection and AIDS in the United States, 2007. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Google Scholar | |
|
Charmaz, K. (1995). The body, identity, and self: Adapting to impairment. Sociological Quarterly, 36, 657-680. Google Scholar | Crossref | ISI | |
|
Cohler, B. J. (2009). In the beginning: American boyhood and the life stories of gay men. In Hammack, P. L., Cohler, B. J. (Eds.), The story of sexual identity: Life course and sexual identity narrative perspectives on gay and lesbian identity. New York, NY: Oxford University. Google Scholar | Crossref | |
|
Coleman, E. (1982). Developmental stages of the coming out process. Journal of Homosexuality, 9, 105-126. Google Scholar | |
|
D’Augelli (2006). Developmental and contextual factors and mental health among Lesbian, gay, and bisexual youths. In Omoto, A. M., Kurtzman, H. S. (Eds.), Sexual orientation and mental health. Washington, DC: American Psychological Association. Google Scholar | Crossref | |
|
D’Augelli, A. R., Grossman, A. H., Starks, M. T. (2005). Parents’ awareness of lesbian, gay, and bisexual youths’ sexual orientation. Journal of Marriage and Family, 67, 474-482. Google Scholar | Crossref | ISI | |
|
D’Augelli, A. R., Hershberger, S. L. (1993). Lesbian, gay, and bisexual youth in community settings: Personal challenges and mental health problems. American Journal of Community Psychology, 21, 421-448. Google Scholar | Crossref | Medline | ISI | |
|
D’Augelli, A. R., Rendina, H. J., Grossman, A. H., Sinclair, K. O. (2008). Lesbian and gay youths’ aspirations for marriage and raising children. Journal of LGBT Issues in Counseling, 1(4), 77-98. Google Scholar | Crossref | |
|
Erickson, E. H. (1968). Identity, youth, and crisis. New York, NY: Norton. Google Scholar | |
|
Gavaghan, M. P., Roach, J. E. (1987). Ego identity development of adolescents with cancer. Journal of Pediatric Psychology, 12, 203-213. Google Scholar | Crossref | Medline | ISI | |
|
Goggin, J. (1993). Coping styles and psychosocial adjustment of HIV-positive young gay men. International Conference on AIDS, June 1993. Berlin, Germany. Google Scholar | |
|
Harding, R., Molloy, T. (2008). Positive futures? The impact of HIV infection on achieving health, wealth, and future planning. AIDS Care, 20, 565-570. Google Scholar | Crossref | Medline | ISI | |
|
Harper, G. W. (2007). Sex isn’t that simple: Culture and context in HIV prevention interventions for gay and bisexual male adolescents. American Psychologist, 62, 806-819. Google Scholar | Crossref | ISI | |
|
Harper, G. W., Hosek, S. (2003). Promoting healthy development with youth who are chronically ill. In Gullotta, T., Bloom, M. (Eds.), The Encyclopedia of Primary Prevention and Health (pp. 292–300). New York, NY: Kluwer Academic/Plenum. Google Scholar | Crossref | |
|
Harper, G. W., Schneider, M. (2003). Oppression and discrimination among lesbian, gay, bisexual, and transgendered people and communities: A challenge for community psychology. American Journal of Community Psychology, 31(3-4), 243-252. Google Scholar | Crossref | Medline | ISI | |
|
Hosek, S. G., Harper, G. W., Lemos, D., Martinez, J.. (2008). An ecological model of stressors experienced by youth newly diagnosed With HIV. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 9, 192-218. Google Scholar | |
|
Hosek, S. G., Harper, G. W., Robinson, W. L. (2002). Identity development in adolescents living with HIV disease. Journal of Adolescence, 25, 355-364. Google Scholar | Crossref | Medline | ISI | |
|
Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 117-126. Google Scholar | Crossref | ISI | |
|
Jessor, R. (1993). Successful adolescent development among youth in high-risk settings. American Psychology, 48, 117-126. Google Scholar | Crossref | Medline | ISI | |
|
Kagitcibasi, C. (1996). The autonomous-relational self: A new synthesis. European Psychologist, 1, 180-186. Google Scholar | Crossref | ISI | |
|
Kruks, G. (1991). Gay and lesbian homeless/street youth: special issues and concerns. Journal of Adolescent Health, 12, 515-518. Google Scholar | Crossref | Medline | ISI | |
|
Maes, S., Karoly, P. (2005). Self-regulation assessment and intervention in physical health and illness: A review. Applied Psychology, 54, 267-299. Google Scholar | Crossref | ISI | |
|
Markus, H., Nurius, P. (1986). Possible selves. American Psychologist, 41, 954-996. Google Scholar | Crossref | ISI | |
|
Miles, K., Edwards, S., Clapson, M. (2004). Transition from paediatric to adult services: Experiences of HIV-positive adolescents. AIDS Care, 16, 305-314. Google Scholar | Crossref | Medline | ISI | |
|
Paiva, V., Filipe, E. V., Santos, N., Lina, T. M., Segurado, A. (2003). The right to love: The desire for parenthood among men living with HIV. Reproductive Health Matters, 11(22), 91-100. Google Scholar | Crossref | Medline | ISI | |
|
Park, M. J., Mulye, T. P., Adams, S. H., Brindis, C. D., Irwin, C. E. (2006). The health status of young adults in the United States. Journal of Adolescent Health, 39, 305-317. Google Scholar | Crossref | Medline | ISI | |
|
Pilkington, N. W., D’Augelli, A. R. (1995). Victimization of lesbian, gay, and bisexual youth in community settings. Journal of Community Psychology, 23, 33-56. Google Scholar | Crossref | ISI | |
|
Ryan, C., Futterman, D. (1998). Lesbian and gay youth: Care and counseling. New York, NY: Columbia University Press. Google Scholar | |
|
Ryan, C., Huebner, D., Diaz, R. M., Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in white and latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346-352. Google Scholar | Crossref | Medline | ISI | |
|
Savin-Williams, R. C. (1995). Lesbian, gay male, and bisexual adolescents. D’Augelli, A. R., Patterson, C. J. (Eds.), Lesbian, gay, and bisexual identities over the lifespan: Psychological perspectives. (pp. 165-189). New York, NY: Oxford University Press. Google Scholar | Crossref | |
|
Savin-Williams, R. C. (2005). The new gay teenager. Cambridge, MA: Harvard University Press. Google Scholar | Crossref | |
|
Sayer, A. G., Hauser, S. T., Jacobson, A. M., Willett, J. B., Cole, C. F. (1995). Developmental influences on adolescent health. In Wallander, J. L., Siegel, L. J. (Eds.), Adolescent health problems. : New York, NY: Guilford. Google Scholar | |
|
Schwartz, L. A., Drotar, D. (2009). Health-related hindrance of personal goal pursuit and well-being of young adults with cystic fibrosis, pediatric cancer survivors, and peers without a history of chronic illness. Journal of Pediatric Psychology, 34, 954-965. Google Scholar | Crossref | Medline | ISI | |
|
Sneed, J. R., Johnson, J. G., Cohen, P., Gilligan, C., Chen, H., Crawford, T. N., Kasen, S. (2006). Gender differences in the age-changing relationship between instrumentality and family contact in emerging adulthood. Developmental Psychology, 42, 787-797. Google Scholar | Crossref | Medline | ISI | |
|
Tenner, A. D., Trevithick, L. A., Wagner, V., Burch, R. (1998). Seattle YouthCare’s prevention, intervention and education program: A model of care for HIV-positive, homeless, and at-risk youth. Journal of Adolescent Health, 23, 96-106. Google Scholar | Crossref | Medline | ISI | |
|
Tewksbury, R., McGaughey, D. (1998). Identities and identity transformations among persons with HIV disease. Journal of Gay, Lesbian, and Bisexual Identity, 3, 213-232. Google Scholar | |
|
Troiden, R. R. (1989). The formation of homosexual identities. Journal of Homosexuality, 17, 43-73. Google Scholar | Crossref | Medline | ISI | |
|
Valenzuela, J. M., Buchanan, C. L., Radcliffe, J., Ambrose, C., Hawkins, L. A., Tanney, M., Rudy, B. J. (2011). Transition to adult services among behaviorally infected adolescents with HIV—A qualitative study. Journal of Pediatric Psychology. 36(2), 134-140. Google Scholar | Crossref | Medline | ISI | |
|
Wallander, J. L., Varni, J. W. (1992). Adjustment in children with chronic physical disorders: Programmatic research on a disability-stress-coping model. In La Greca, A. M., Siegal, L. J., Wallander, J. L., Walker, C. E. (Eds.), Stress and coping in child health (pp. 279-298). New York, NY: Guilford. Google Scholar | |
|
Wiener, L. S., Battles, H. B. (2006). Untangling the web: A close look at diagnosis disclosure among HIV-infected adolescents. Journal of Adolescent Health, 38, 307-309. Google Scholar | Crossref | Medline | ISI |
Bios
Douglas Bruce, PhD, MSW, is a research scientist at the Adolescent Community Health Research Group, Master of Public Health Program, DePaul University. His research interests are in HIV/AIDS treatment and prevention, stigmatization, and marginalization, and health promotion among gay and bisexual male adolescents and emerging adults.
Gary W. Harper, PhD, MPH is professor of psychology, and director of the Master of Public Health Program at DePaul University. Dr. Harper’s research is focused on developing community-based HIV prevention interventions for adolescents and young adults who are marginalized in society, with a focus on gay/bisexual male youth and inner-city ethnic-minority youth (primarily African American and Latino/a). He also conducts research on the development of psychosocial interventions for adolescents living with HIV, with a focus on youth newly diagnosed with HIV and gay/bisexual male youth living with HIV.
