Syndemic indicators predict poor medication adherence and increased healthcare utilization for urban HIV-positive men who have sex with men

被引：20

作者：

Pantalone, David W. ^{[1
,2
]}

Valentine, Sarah E. ^{[3
]}

Woodward, Eva N. ^{[4
,5
]}

O'Cleirigh, Conall ^{[2
,6
]}

机构：

[1] Univ Massachusetts, Dept Psychol, 100 Morrissey Blvd, Boston, MA 02125 USA

[2] Fenway Hlth, Fenway Inst, Boston, MA USA

[3] Boston Univ, Sch Med, Boston Med Ctr, Dept Psychiat, Boston, MA 02118 USA

[4] South Cent VA Mental Illness Res & Educ Ctr MIREC, Cent Arkansas Vet Healthcare Syst, Little Rock, AR USA

[5] Univ Arkansas Med Sci, Dept Psychiat, Little Rock, AR 72205 USA

[6] Harvard Med Sch, Massachusetts Gen Hosp, Dept Psychiat, Boston, MA USA

来源：

JOURNAL OF GAY & LESBIAN MENTAL HEALTH | 2018年 / 22卷 / 01期

关键词：

Healthcare utilization; HIV; medication adherence; MSM; syndemics;

D O I：

10.1080/19359705.2017.1389794

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

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.

引用

页码：71 / 87

页数：17

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