Document Detail


Adversity and syndemic production among men participating in the multicenter AIDS cohort study: a life-course approach.
MedLine Citation:
PMID:  23153154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural     Date:  2012-11-15
Journal Detail:
Title:  American journal of public health     Volume:  103     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-10     Completed Date:  2013-02-21     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  79-85     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
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:
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:
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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