Psychosocial Syndemic Classes and Longitudinal Transition Patterns Among Sexual Minority men Living with or Without HIV in the Multicenter AIDS Cohort Study (MACS)

被引：2

作者：

Liu, Yiyang ^{[1
]}

Ramos, Stephen D. ^{[2
]}

Hanna, David B. ^{[3
]}

Jones, Deborah L. ^{[4
]}

Lazar, Jason M. ^{[5
]}

Kizer, Jorge R. ^{[6
]}

Cohen, Mardge H. ^{[7
]}

Haberlen, Sabina A. ^{[8
]}

Adimora, Adaora A. ^{[9
]}

Lahiri, Cecile D. ^{[10
]}

Wise, Jenni M. ^{[11
]}

Friedman, Mackey R. ^{[12
]}

Plankey, Michael ^{[13
]}

Chichetto, Natalie E. ^{[1
]}

机构：

[1] Univ Florida, Gainesville, FL 32611 USA

[2] Univ Calif San Diego, La Jolla, CA USA

[3] Albert Einstein Coll Med, Bronx, NY USA

[4] Univ Miami, Miller Sch Med, Miami, FL USA

[5] SUNY Downstate Med Ctr, Brooklyn, NY USA

[6] Univ Calif San Francisco, San Francisco Vet Affairs Hlth Care Syst, San Francisco, CA USA

[7] Cook Cty Hlth & Hosp Syst, Stroger Hosp, Chicago, IL USA

[8] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[9] Univ N Carolina, Chapel Hill, NC USA

[10] Emory Univ, Dept Med, Div Infect Dis, Atlanta, GA USA

[11] Univ Alabama Birmingham, Birmingham, AL USA

[12] Rutgers State Univ, Sch Publ Hlth Newark, New Brunswick, NJ USA

[13] Georgetown Univ, Med Ctr, Washington, DC USA

来源：

AIDS AND BEHAVIOR | 2023年 / 27卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Sexual Minority Men; Psychosocial Syndemic; Mental Health; Substance Use; HIV; SUBSTANCE USE; RISK BEHAVIOR; LATENT CLASS; BLACK-MEN; HEALTH; DEPRESSION; ADHERENCE; GAY; ASSOCIATIONS; COMMUNITY;

D O I：

10.1007/s10461-023-04123-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Mental health and substance use epidemics interact to create psychosocial syndemics, accelerating poor health outcomes. Using latent class and latent transition analyses, we identified psychosocial syndemic phenotypes and their longitudinal transition pathways among sexual minority men (SMM) in the Multicenter AIDS Cohort Study (MACS, n = 3,384, mean age 44, 29% non-Hispanic Black, 51% with HIV). Self-reported depressive symptoms and substance use indices (i.e., smoking, hazardous drinking, marijuana, stimulant, and popper use) at the index visit, 3-year and 6-year follow-up were used to model psychosocial syndemics. Four latent classes were identified: "poly-behavioral" (19.4%), "smoking and depression" (21.7%), "illicit drug use" (13.8%), and "no conditions" (45.1%). Across all classes, over 80% of SMM remained in that same class over the follow-ups. SMM who experienced certain psychosocial clusters (e.g., illicit drug use) were less likely to transition to a less complex class. These people could benefit from targeted public health intervention and greater access to treatment resources.

引用

页码：4094 / 4105

页数：12

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