Diversity of Psychosocial Syndemic Indicators and Associations with Sexual Behavior with Male and Female Partners Among Early Adolescent Sexual Minority Males

被引:5
作者
Perry, Nicholas S. [1 ,2 ]
Nelson, Kimberly M. [1 ,2 ,3 ]
Carey, Michael P. [1 ,2 ,3 ]
机构
[1] Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI 02912 USA
[2] Miriam Hosp, Ctr Behav & Prevent Med, Suite 309,164 Summit Ave, Providence, RI 02906 USA
[3] Brown Univ, Sch Publ Hlth, Dept Behav & Social Sci, Providence, RI 02912 USA
关键词
adolescent; mental health; sexual minority; syndemics; CHILDHOOD TRAUMA QUESTIONNAIRE; HIV TRANSMISSION RISK; YOUNG MEN; HEALTH-PROBLEMS; AUDIT-C; MSM; DEPRESSION; GAY; DISPARITIES; PREVENTION;
D O I
10.1089/lgbt.2019.0113
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose: Psychosocial syndemic indicators (e.g., internalizing symptoms, alcohol/substance use, and violence exposure) have been associated with increased risk for HIV among older adolescent sexual minority males and adult sexual minority men. No studies have examined these concerns among early adolescents (<16 years old). The purpose of this study was to examine syndemic indicators among early adolescent sexual minority males and their associations with sexual behavior. Methods: Sexual minority males (N = 207; ages 14-17; drawn from 40 U.S. states) completed a cross-sectional online survey. Descriptive statistics were used to document profiles of syndemic indicators. Firth logistic regressions tested the associations between count of syndemic indicators and sexual behavior with male and female partners. Results: Psychosocial syndemic indicators were highly prevalent and co-occurring, with diverse psychosocial profiles. After controlling for age, race, and ethnicity, having more syndemic indicators was significantly positively associated with condomless anal sex with male partners (adjusted odds ratio [AOR] = 1.37, 95% confidence interval [CI] 1.02-1.84) and vaginal and/or anal sex with females (AOR = 1.75, 95% CI 1.25-2.47). Conclusions: This study documents the psychosocial profiles of syndemic indicators with a sample of early adolescent sexual minority males and the association of syndemic indicators with sexual behavior. Among early adolescent sexual minority males, psychosocial concerns were prevalent, similar to rates seen among adult sexual minority males, and conferred vulnerability to HIV transmission. Behavioral and psychosocial interventions must reach sexual minority males in early adolescence to address mental health and substance use concerns and to help reduce the risk of HIV acquisition.
引用
收藏
页码:386 / 392
页数:7
相关论文
共 50 条
[21]   Mental Health Care Use Among Adolescent Sexual Minority Males Before and During COVID-19 [J].
Perry, Nicholas S. ;
Nelson, Kimberly M. .
PSYCHOLOGY OF SEXUAL ORIENTATION AND GENDER DIVERSITY, 2024, 11 (02) :353-360
[22]   Co-Occurring Psychosocial Problems and Multiple Sexual Partners among Men Who Have Sex with Men in Shanghai, China: A Syndemic Approach [J].
Wang, Zezhou ;
Zhao, Xu ;
Zhang, Zhan ;
Luo, Mengyun ;
Shen, Qiuming ;
Dong, Yuanyuan ;
Wang, Ying ;
Cai, Yong .
JOURNAL OF SEX RESEARCH, 2018, 55 (07) :892-901
[23]   Psychosocial Syndemic Classes and Longitudinal Transition Patterns Among Sexual Minority men Living with or Without HIV in the Multicenter AIDS Cohort Study (MACS) [J].
Liu, Yiyang ;
Ramos, Stephen D. ;
Hanna, David B. ;
Jones, Deborah L. ;
Lazar, Jason M. ;
Kizer, Jorge R. ;
Cohen, Mardge H. ;
Haberlen, Sabina A. ;
Adimora, Adaora A. ;
Lahiri, Cecile D. ;
Wise, Jenni M. ;
Friedman, Mackey R. ;
Plankey, Michael ;
Chichetto, Natalie E. .
AIDS AND BEHAVIOR, 2023, 27 (12) :4094-4105
[24]   HIV and Sexually Transmitted Disease Testing Behavior Among Adolescent Sexual Minority Males: Analysis of Pooled Youth Risk Behavior Survey Data, 2005-2013 [J].
Sharma, Akshay ;
Wang, Li Yan ;
Dunville, Richard ;
Valencia, Rachel K. ;
Rosenberg, Eli S. ;
Sullivan, Patrick S. .
LGBT HEALTH, 2017, 4 (02) :130-140
[25]   The Inventory of Anal Sex Knowledge (iASK): A New Measure of Sexual Health Knowledge Among Adolescent Sexual Minority Males [J].
Kutner, Bryan A. ;
Perry, Nicholas S. ;
Stout, Claire ;
Pala, Andrea Norcini ;
Paredes, Christian D. ;
Nelson, Kimberly M. .
JOURNAL OF SEXUAL MEDICINE, 2022, 19 (03) :521-528
[26]   Connecting the dots: a comparison of network analysis and exploratory factor analysis to examine psychosocial syndemic indicators among HIV-negative sexual minority men [J].
J. S. Lee ;
S. A. Bainter ;
A. W. Carrico ;
T. R. Glynn ;
B. G. Rogers ;
C. Albright ;
C. O’Cleirigh ;
K. H. Mayer ;
S. A. Safren .
Journal of Behavioral Medicine, 2020, 43 :1026-1040
[27]   Patterns of Online and Offline Partnering, Partnership Characteristics, and Condomless Sex Among Adolescent Sexual Minority Males in the USA [J].
Macapagal, Kathryn ;
Moran, Kevin ;
Newcomb, Michael E. ;
Moskowitz, David A. ;
Owens, Christopher ;
Mustanski, Brian .
AIDS AND BEHAVIOR, 2021, 25 (07) :2033-2045
[28]   Homonegative Victimization and Perceived Stress among Adolescent Sexual Minority Males: The Attenuating Role of Peer and Family Support [J].
Gordian-Arroyo, Alvin ;
Schnall, Rebecca ;
Garofalo, Robert ;
Kuhns, Lisa M. ;
Pearson, Cynthia ;
Bruce, Josh ;
Batey, D. Scott ;
Radix, Asa ;
Belkind, Uri ;
Hirshfield, Sabina ;
Hidalgo, Marco A. .
INTERNATIONAL JOURNAL OF SEXUAL HEALTH, 2022, 34 (04) :691-701
[29]   Perspectives on Cigarette Use, Vaping, and Antitobacco Campaigns Among Adolescent Sexual Minority Males and Gender Diverse Youth [J].
Ma, Junye ;
Kraus, Ashley J. ;
Owens, Christopher ;
Moskowitz, David A. ;
Birnholtz, Jeremy ;
Macapagal, Kathryn .
LGBT HEALTH, 2022, 9 (07) :479-488
[30]   Mental health, social support, and HIV-related sexual risk behaviors among HIV-negative adolescent sexual minority males: three US cities, 2015 [J].
Agnew-Brune, Christine B. ;
Balaji, Alexandra B. ;
Mustanski, Brian ;
Newcomb, Michael E. ;
Prachand, Nik ;
Braunstein, Sarah L. ;
Brady, Kathleen A. ;
Hoots, Brooke E. ;
Smith, Justin S. ;
Paz-Bailey, Gabriela ;
Broz, Dita .
AIDS AND BEHAVIOR, 2019, 23 (12) :3419-3426