Adversity and syndemic production among men participating in the multicenter AIDS cohort study: a life-course approach.
Am J Public Health
; 103(1): 79-85, 2013 Jan.
Article
en En
| MEDLINE
| ID: mdl-23153154
ABSTRACT
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 (χ(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.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infecciones por VIH
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Homosexualidad Masculina
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Víctimas de Crimen
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Homofobia
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Acontecimientos que Cambian la Vida
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
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Observational_studies
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Prognostic_studies
/
Qualitative_research
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Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Public Health
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos