ABSTRACT

Behavioral HIV interventions focused on strengthening young sexual minority men’s (SMM) internal (assets) and external (resources) protective factors are promising, yet their evaluation as resilience-supportive strategies to minimize or negate HIV-related risks remain understudied. The objective of this scoping review was to describe resilience-supportive intervention strategies that have been used to achieve desired HIV behavioral outcomes and to identify how these strategies have been evaluated using a resilience analytic framework. Our scoping review uncovered 271 peer-reviewed articles, of which 38 were eligible for inclusion based on our review criteria. The majority of interventions relied on social support strategies as their primary resilience-supportive strategy. A third of interventions reviewed analyzed their findings from a deficits-focused model, another third used compensatory resilience models, and the remaining interventions employed a hybrid (i.e., deficit and compensatory model) strategy. None of the interventions evaluated their intervention effects using a risk-protective model. From our synthesis regarding the current state of research around resilience-informed interventions, we propose strategies to inform the design of resilience-supportive approaches and make recommendations to move the field forward on how to develop, implement, and measure young SMM’s resiliency processes.

摘要

专注于加强年轻性少数男性 (SMM) 内部（资产）和外部（资源）保护因素的行为 HIV 干预措施很有希望，但将其作为恢复力支持策略以最小化或消除 HIV 相关风险的评估仍未得到充分研究。本范围界定审查的目的是描述已用于实现预期 HIV 行为结果的恢复力支持干预策略，并确定如何使用恢复力分析框架评估这些策略。我们的范围界定审查发现了 271 篇经过同行评审的文章，其中 38 篇根据我们的审查标准符合纳入条件。大多数干预措施都依赖社会支持策略作为其主要的恢复力支持策略。三分之一的干预措施分析了他们从以缺陷为中心的模型中得出的结果，另外三分之一使用补偿性弹性模型，其余干预措施采用混合（即缺陷和补偿模型）策略。没有一项干预措施使用风险保护模型评估其干预效果。根据我们关于弹性知情干预研究现状的综合，我们提出了为弹性支持方法的设计提供信息的策略，并提出建议以推动该领域如何开发、实施和衡量年轻 SMM 的弹性过程。没有一项干预措施使用风险保护模型评估其干预效果。根据我们关于弹性知情干预研究现状的综合，我们提出了为弹性支持方法的设计提供信息的策略，并提出建议以推动该领域如何开发、实施和衡量年轻 SMM 的弹性过程。没有一项干预措施使用风险保护模型评估其干预效果。根据我们关于弹性知情干预研究现状的综合，我们提出了为弹性支持方法的设计提供信息的策略，并提出建议以推动该领域如何开发、实施和衡量年轻 SMM 的弹性过程。