Adversity and Syndemic Production Among Men Participating in the Multicenter AIDS Cohort Study: A Life-Course Approach

被引：109

作者：

Herrick, Amy L. ^{[1
]}

Lim, Sin How ^{[1
]}

Plankey, Michael W. ^{[2
]}

Chmiel, Joan S. ^{[3
]}

Guadamuz, Thomas T. ^{[1
]}

Kao, Uyen ^{[4
]}

Shoptaw, Steven

Carrico, Adam ^{[5
]}

Ostrow, David ^{[6
]}

Stall, Ron ^{[1
]}

机构：

[1] Univ Pittsburgh, Grad Sch Publ Hlth, Dept Behav & Community Hlth Sci, 130 DeSoto St, Pittsburgh, PA 15260 USA

[2] Georgetown Univ, Med Ctr, Dept Med, Washington, DC 20007 USA

[3] Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Family Med, Los Angeles, CA 90095 USA

[5] Univ Calif San Francisco, Dept Med, Ctr AIDS Prevent Studies, San Francisco, CA USA

[6] Univ Chicago, Natl Opin Res Ctr, Ogburn Stouffer Ctr Social Org Res, Chicago, IL 60637 USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2013年 / 103卷 / 01期

关键词：

PSYCHOSOCIAL HEALTH-PROBLEMS; UNITED-STATES; GAY; HIV; SEX; DISCRIMINATION; PREVALENCE; SYMPTOMS; ADULTS;

D O I：

10.2105/AJPH.2012.300810

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. We tested a theory of syndemic production among men who have sex with men (MSM) using data from a large cohort study. Methods. Participants were 1551 men from the Multicenter AIDS Cohort Study enrolled at 4 study sites: Baltimore, Maryland Washington, DC; Chicago, Illinois; Los Angeles, California; and Pittsburgh, Pennsylvania. Participants who attended semiannual visits from April 1, 2008, to March 31, 2009, completed an additional survey that captured data about events throughout their life course thought to be related to syndemic production. Results. Using multivariate analysis, we found that the majority of life-course predictor variables (e.g., victimization, internalized homophobia) were significantly associated with both the syndemic condition and the component psychosocial health outcomes (depressive symptoms, stress, stimulant use, sexual compulsivity, intimate partner violence). A nested negative binomial analysis showed that the overall life course significantly explained variability in the syndemic outcomes (chi(2) = 247.94; P<.001; df = 22). Conclusions. We identified life-course events and conditions related to syndemic production that may help to inform innovative interventions that will effectively disentangle interconnecting health problems and promote health among MSM. (Am J Public Health. 2013;103:79-85. doi:10.2105/AJPH.2012.300810)

引用

页码：79 / 85

页数：7

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