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.
Keyphrases
- men who have sex with men
- hiv positive
- healthcare
- hiv testing
- end stage renal disease
- mental health
- newly diagnosed
- ejection fraction
- primary care
- public health
- crispr cas
- peritoneal dialysis
- health information
- prognostic factors
- high grade
- type diabetes
- adipose tissue
- childhood cancer
- south africa
- metabolic syndrome
- antiretroviral therapy
- skeletal muscle
- mass spectrometry
- patient reported
- atomic force microscopy
- young adults
- hiv infected