Emotional health outcomes are influenced by sexual minority identity and HIV serostatus

Annie L. Nguyen, Erin Sundermann, Anna A. Rubtsova, Samir Sabbag, Anya Umlauf, Robert Heaton, Scott Letendre, Dilip V. Jeste, María J. Marquine

Research output: Contribution to journalArticlepeer-review


For people living with HIV (PLWH) and sexual minorities (SM), the intersection of identities can compound experiences like stigma and discrimination resulting in poor emotional health. We investigated the separate and interactive associations of HIV serostatus and sexual identity with emotional health. Our dataset included 371 participants. Emotional health was assessed by the NIH Toolbox emotion battery which yields negative affect, social satisfaction, and psychological well-being. Regressions were conducted for each composite, with HIV serostatus, sexual identity, and their interaction as independent variables along with covariates. The HIV serostatus x SM identity interaction was statistically significant in the regression of Negative Affect (p =.01): heterosexuals living with HIV had worse Negative Affect compared to heterosexual HIV-persons (p =.01). The interaction terms were for social satisfaction and psychological well-being were not significant. However, among PLWH, sexual minorities reported better Social Satisfaction (p =.03) and marginally better psychological well-being (p =.07) compared to heterosexuals.


  • AIDS
  • Well-being
  • negative affect
  • psychological well-being
  • social satisfaction

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

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