Examining a Syndemics Network Among Young Latino Men Who Have Sex with Men.

Background: Although studies consistently find that syndemic indicators are additively associated with increased HIV/STI risk behavior (e.g., condomless anal sex; CAS) among men who have sex with men (MSM), information is lacking about how syndemic indicators are associated with each other. Young La...

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Publicado en:International Journal of Behavioral Medicine Vol. 27; no. 1; pp. 39 - 52
Autores principales: Lee, Jasper S., Safren, Steven A., Bainter, Sierra A., Rodríguez-Díaz, Carlos E., Horvath, Keith J., Blashill, Aaron J.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2020
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s12529-019-09831-1
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        atl: Examining a Syndemics Network Among Young Latino Men Who Have Sex with Men.
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          Lee, Jasper S.
          Safren, Steven A.
          Bainter, Sierra A.
          Rodríguez-Díaz, Carlos E.
          Horvath, Keith J.
          Blashill, Aaron J.
        affil: Department of Psychology, University of Miami, Coral Gables, FL, USA
      sug:
        subj:
          Syndemic United States
          Hispanic Americans United States
          Men Who Have Sex With Men United States
          Condoms United States
          HIV Infections Risk Factors
          Sexually Transmitted Diseases Risk Factors
          HIV Infections Epidemiology
          Sexually Transmitted Diseases Epidemiology
          Sexual Health United States
          Human
          Algorithms
          Self Report
          Sexual Abuse
          Alcohol Abuse
          Housing
          Substance Abuse
          Intimate Partner Violence
          United States
      ab: Background: Although studies consistently find that syndemic indicators are additively associated with increased HIV/STI risk behavior (e.g., condomless anal sex; CAS) among men who have sex with men (MSM), information is lacking about how syndemic indicators are associated with each other. Young Latino MSM are one of the most at-risk groups for acquiring HIV in the U.S. Understanding the associations of syndemic indicators with each other and with CAS may improve understanding of how to enhance sexual and behavioral health in this population. Method: Network analysis using the graphical LASSO (glasso) algorithm was employed to explore associations between CAS and syndemic indicators among 139 young Latino MSM. Structural and psychosocial syndemic indicators were assessed via self-report. CAS was defined as the number of partners in the past 3 months with whom one engaged in CAS. Results: Results of the network analysis suggested the variables with the highest centrality were unstable housing, prison history, childhood sexual abuse, and CAS. Specific significant associations included links between CAS and alcohol use (b = 0.40), childhood sexual abuse and unstable housing (b = − 0.75), alcohol use and childhood sexual abuse (b = 0.40), and substance use and intimate partner violence (b = 0.43). Conclusion: This pattern of interconnectedness demonstrates the potential for network analysis to examine nuanced interrelationships of syndemic indicators. The specific associations in this sample raise the question whether a primary focus of interventions should address the more central syndemic indicators for this population, such as alcohol use and unstable housing, and whether this would, via downstream effects, affect other aspects of behavioral health in this population.
      pubtype: Academic Journal
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        research
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        Journal Article
      ougenre: Article
    language: English
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