Social Networks Moderate the Syndemic Effect of Psychosocial and Structural Factors on HIV Risk Among Young Black Transgender Women and Men who have Sex with Men.

The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syn...

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Publicado en:AIDS & Behavior Vol. 24; no. 1; pp. 192 - 206
Autores principales: Teixeira da Silva, Daniel, Bouris, Alida, Voisin, Dexter, Hotton, Anna, Brewer, Russell, Schneider, John
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-019-02575-9
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        atl: Social Networks Moderate the Syndemic Effect of Psychosocial and Structural Factors on HIV Risk Among Young Black Transgender Women and Men who have Sex with Men.
      aug:
        au:
          Teixeira da Silva, Daniel
          Bouris, Alida
          Voisin, Dexter
          Hotton, Anna
          Brewer, Russell
          Schneider, John
        affil: Department of Internal Medicine, University of Chicago, Chicago, IL, USA
      sug:
        subj:
          HIV Infections Epidemiology
          HIV Infections Transmission
          HIV Infections Risk Factors
          Risk Taking Behavior
          Risk Assessment
          Social Networks
          Black Persons Psychosocial Factors
          Men Who Have Sex With Men Psychosocial Factors
          Transgender Persons Psychosocial Factors
          Syndemic
          Male
          Female
          Human
          Prospective Studies
          Adolescence
          Young Adult
          Adult
          Substance Abuse
          Community Violence
          Depression
          Poverty
          Criminal Justice
          Anal Intercourse
          Unsafe Sex
          Odds Ratio
          Age Factors
          Extended Family
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syndemic factors [i.e. substance use; community violence; depression; poverty; justice system involvement (JSI)], social network characteristics, condomless anal sex (CAS), group sex (GS), and HIV-infection. The syndemic index significantly increased the odds of CAS, GS, and HIV-infection, and these effects were moderated by network characteristics. Network JSI buffered the effect on CAS, romantic network members buffered the effect on GS, and network age and proportion of family network members buffered the effect on HIV-infection. The proportion of friend network members augmented the effect on GS and HIV-infection. Future research to prevent HIV among YBTM should consider social network approaches that target both structural and psychosocial syndemic factors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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