Citation

Pantalone DW, Valentine SE, Woodward EN, O'Cleirigh C. J. Gay Lesbian Ment. Health 2018; 22(1): 71-87.

Copyright

(Copyright © 2018, Informa - Taylor and Francis Group)

DOI

10.1080/19359705.2017.1389794

PMID

unavailable

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. © 2018 Taylor and Francis Group, LLC. All rights reserved.

Language: en

Keywords

MSM; HIV; Medication adherence; Healthcare utilization; Syndemics