Concept Analysis of Psychosocial Distress Among African American and Latine Men Who Have Sex With Men: Implications for HIV Care.
Isaac K Payton, Angela R Starkweather, Drew A Westmoreland and 3 others
PMID 39465614WHAT IT FOUND
Psychosocial distress in African American and Latine men with HIV is defined as suffering from uncontrollable structural threats like racism and stigma.
Existing measures fail to capture these social dimensions, requiring new tools to assess their impact on care.
Key findings
01Psychosocial distress is characterized by suffering due to uncontrollable structural and social factors that threaten existence or livelihood based on social identity.
02Current measurement tools, such as the NCCN Distress Thermometer, do not capture the social-derived attributes of psychosocial distress like racism and discrimination.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only a few included articles explicitly used the term 'psychosocial distress,' requiring interpretation of related concepts. The analysis focuses specifically on African American and Latine MSM, so findings may not apply to other MSM populations or other racial/ethnic groups. The concept may vary by geographic location, which was not fully controlled for in the literature review. As a concept analysis, it does not test the relationship between distress and outcomes in a live population.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not treat this as evidence that a specific intervention reduces distress. This is a theoretical analysis defining a concept and identifying measurement gaps; it does not test whether assessing for structural racism improves patient outcomes.