| Adversity and syndemic production among men participating in the multicenter AIDS cohort study: a life-course approach. | |
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MedLine Citation:
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PMID: 23153154 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Amy L Herrick; Sin How Lim; Michael W Plankey; Joan S Chmiel; Thomas E Guadamuz; Thomas T Guadamuz; Uyen Kao; Steven Shoptaw; Adam Carrico; David Ostrow; Ron Stall |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural Date: 2012-11-15 |
Journal Detail:
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Title: American journal of public health Volume: 103 ISSN: 1541-0048 ISO Abbreviation: Am J Public Health Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2012-12-10 Completed Date: 2013-02-21 Revised Date: 2013-05-14 |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: United States |
Other Details:
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Languages: eng Pagination: 79-85 Citation Subset: AIM; IM |
Affiliation:
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Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15260, USA. alh75@pitt.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cohort Studies Crime Victims* HIV Infections / psychology* Health Surveys Homophobia* Homosexuality, Male / psychology* Humans Life Change Events* Male Masculinity Middle Aged Personal Satisfaction Sexual Behavior Social Class Stress, Psychological Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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K01 MH085567/MH/NIMH NIH HHS; R01 DA022936/DA/NIDA NIH HHS; R01 DA022936/DA/NIDA NIH HHS; U01 AI035039/AI/NIAID NIH HHS; U01 AI035041/AI/NIAID NIH HHS |
| Comments/Corrections | |
Erratum In:
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Am J Public Health. 2013 Feb;103(2):e7 Note: Guadamuz, Thomas T [corrected to Guadamuz, Thomas E] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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