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AIDS and Behavior
Erschienen in: AIDS and Behavior 3/2017

14.11.2016 | Original Paper

Prospective Effects of a Syndemic on HIV and STI Incidence and Risk Behaviors in a Cohort of Young Men Who Have Sex with Men

verfasst von: Brian Mustanski, Gregory Phillips II, Daniel T. Ryan, Gregory Swann, Lisa Kuhns, Rob Garofalo

Erschienen in: AIDS and Behavior | Ausgabe 3/2017

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Abstract

Young men who have sex with men continue to be highly affected by HIV. To improve understanding of the role that multiple co-occurring health issues (i.e., syndemics) play in HIV acquisition, sophisticated modeling methods are needed. The purpose of this study was to use structural equation modeling to understand the structure of the syndemic and to test its longitudinal association with condomless anal sex. Data are from a longitudinal study of 450 YMSM. A primary syndemic component comprised of substance use, violence, and internalizing mental health factors significantly predicted the number of condomless anal sex partners in the full sample. Analyses exploring associations by race/ethnicity found a significant association among White YMSM, but not among Black or Latino YMSM. Higher-order factor modeling suggests these psychosocial factors form a syndemic in all racial/ethnic groups, but the syndemic, as conceptualized here, may be less relevant to racial/ethnic minority YMSM.
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Metadaten
Titel
Prospective Effects of a Syndemic on HIV and STI Incidence and Risk Behaviors in a Cohort of Young Men Who Have Sex with Men
verfasst von
Brian Mustanski
Gregory Phillips II
Daniel T. Ryan
Gregory Swann
Lisa Kuhns
Rob Garofalo
Publikationsdatum
14.11.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1607-3

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