Sexual minority (i.e., nonheterosexual) individuals are at greater risk than heterosexual individuals for substance use and poor mental health attributed to exposure to minority stress (Meyer, 2003). Minority stress is stress that places an additional burden on sexual minority people over and above the stress experienced by heterosexual people. Sexual minority men may also be subject to minority stress related to intersecting identities or individual characteristics (e.g., HIV status, race). This study obtained initial feedback about the AWARENESS intervention from sexual minority men living with HIV who use substances and determined the feasibility of the intervention to address minority stress related to intersecting identities. AWARENESS is a 9-session cognitive-behavioral intervention targeting minority stress as a driver of greater substance use and poorer mental and physical health. Ten sexual minority men living with HIV who were episodic substance users (>1 episode of illicit drug use or binge drinking in the previous 3 months) began the intervention. Feedback on the intervention was obtained through open-ended interviews analyzed using thematic analysis and Likert scale questionnaires about experiences with the intervention. Therapists tracked identities discussed in relation to minority stress to evaluate feasibility of AWARENESS to address intersectional minority stress. Participants identified they gained cognitive-behavioral skills to cope with intersectional minority stress and described destigmatization and integration of identities. Participants discussed an average of 3.2 identity characteristics in addition to sexual minority status in relation to intervention content. This study lays the groundwork for additional testing of this intervention. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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意识：开发认知行为干预措施，以解决使用药物感染艾滋病毒的性少数男性的交叉性少数群体压力。

与少数群体相比，性少数群体（即非异性恋）的人由于暴露于少数群体的压力而遭受药物滥用和精神健康不良的风险更大（Meyer，2003年）。少数民族压力是一种压力，除了异性恋者所承受的压力之外，还给性少数群体带来了额外的负担。性少数群体男性也可能遭受与相交身份或个人特征（例如艾滋病毒状况，种族）有关的少数群体压力。这项研究从使用药物的艾滋病性少数男性感染者那里获得了有关AWARENESS干预措施的初步反馈，并确定了干预措施解决与相交身份有关的少数群体压力的可行性。AWARENESS是一项9个阶段的认知行为干预措施，针对的是少数群体压力，因为这是大量使用药物以及精神和身体健康状况较差的驱动力。十名感染性爱滋病毒的少数性少数男性是发作性吸毒者（在过去三个月中> 1次非法药物使用或暴饮暴食）开始干预。干预措施的反馈意见是通过不限成员名额访谈（使用主题分析和利克特量表对干预经历进行分析）进行分析得出的。治疗师追踪了与少数群体压力有关的身份，以评估AWARENESS解决交叉少数群体压力的可行性。参加者确认他们获得了认知行为技能，以应对少数群体的交际压力，并描述了耻辱和身份整合。参加者们讨论了与干预内容相关的除性少数地位之外的平均3.2个身份特征。这项研究为进一步测试该干预措施奠定了基础。（PsycINFO数据库记录（c）2019 APA，保留所有权利）。