期刊
ANNALS OF BEHAVIORAL MEDICINE
卷 34, 期 1, 页码 37-45出版社
OXFORD UNIV PRESS INC
DOI: 10.1007/BF02879919
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资金
- NATIONAL CENTER FOR RESEARCH RESOURCES [P41RR001777] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF MENTAL HEALTH [R03MH070812] Funding Source: NIH RePORTER
- NCRR NIH HHS [K12RR01777, P41 RR001777] Funding Source: Medline
- NIMH NIH HHS [R03 MH070812-02, R03MH070812, R03 MH070812-01A1, R03 MH070812] Funding Source: Medline
Background. Young men who have sex with men (YMSM) experience disparities in HIV rates and potentially in mental health, substance abuse, and exposure to violence. Purpose: We assessed the extent to which these psychosocial health problems had an additive effect on increasing HIV risk among YMSM. Methods: An urban sample of 310 ethnically diverse YMSM reported on psychosocial health problems, sexual risk behaviors, and HIV status. A count of psychosocial health problems was calculated to test the additive relationship to HIV risk. Results: The prevalence of psychosocial health problems varied from 23% for regular binge drinking to 34% for experiencing partner violence. Rates of sexual risk behaviors were high and 14% of YMSM reported receiving a HIV+ test result. Psychosocial health problems cooccurred, as evidenced by significant bivariate odds ratios (ORs) between 12 of the 15 associations tested. Number of psychosocial health problems significantly increased the odds of having multiple anal sex partners (OR = 1.24), unprotected anal sex (OR = 1.42), and an HIV-positive status (OR 1.42), after controlling for demographic factors. Conclusions: These data suggest the existence of cooccurring epidemics, or syndemic, of health problems among YMSM. Disparities exist not only in the prevalence of HIV among YMSM but also in research to combat the epidemic within this vulnerable population. Future research is needed to identify risk and resiliency factors across the range of health disparities and develop interventions that address this syndemic.
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