Abstract
Research on men who have sex with men (MSM) has uncovered psychosocial factors (syndemic indicators) that are associated additively with poor health. To test these relations in a sample of HIV-positive MSM, we enrolled 166 patients from two HIV clinics. We investigated relations between syndemic indicators and outcomes, including medication nonadherence, condomless anal sex (CAS), and healthcare utilization. A large proportion of participants reported each syndemic indicator: polysubstance use 43%, suicide attempt 28%, childhood sexual abuse 39%, partner abuse 64%. Analyses confirmed an additive effect, whereby endorsing 1+ indicator was associated with increased odds of medication nonadherence and medical hospitalization.
| Original language | English |
|---|---|
| Pages (from-to) | 71-87 |
| Number of pages | 17 |
| Journal | Journal of Gay and Lesbian Mental Health |
| Volume | 22 |
| Issue number | 1 |
| DOIs | |
| State | Published - Nov 21 2018 |
ASJC Scopus Subject Areas
- Health(social science)
- Clinical Psychology
- Psychiatry and Mental health
Keywords
- Healthcare utilization
- HIV
- Medication adherence
- MSM
- Syndemics
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