Syndemic Profiles and Sexual Minority Men's HIV-Risk Behavior: A Latent Class Analysis.
Syndemic theory posits that "syndemic conditions" (e.g., alcohol misuse, polydrug use, suicidality) co-occur among sexual minority men and influence HIV-risk behavior, namely HIV acquisition and transmission risk. To examine how four syndemic conditions cluster among sexual minority men and contribu...
| Publicado en: | Archives of Sexual Behavior Vol. 50; no. 7; pp. 2825 - 2842 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=153368955&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 153368955 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: Oct2021 vid: 50 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 153368955 10.1007/s10508-020-01850-4 ppf: 2825 ppct: 17 formats: fmt: @attributes: type: P size: 698KB tig: atl: Syndemic Profiles and Sexual Minority Men's HIV-Risk Behavior: A Latent Class Analysis. aug: au: Scheer, Jillian R. Clark, Kirsty A. Maiolatesi, Anthony J. Pachankis, John E. affil: Department of Psychology, Syracuse University, 414 Huntington Hall, 13244, Syracuse, NY, USA Department of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, CT, USA su: Sexual minority men Risk-taking behavior Syndemics HIV Latent class analysis (Statistics) sug: subj: Sexual minority men Risk-taking behavior Syndemics HIV Latent class analysis (Statistics) keyword: HIV-risk behavior Latent class analysis Syndemic HIV-risk behavior Latent class analysis Syndemic ab: Syndemic theory posits that "syndemic conditions" (e.g., alcohol misuse, polydrug use, suicidality) co-occur among sexual minority men and influence HIV-risk behavior, namely HIV acquisition and transmission risk. To examine how four syndemic conditions cluster among sexual minority men and contribute to HIV-risk behavior, we conducted latent class analysis (LCA) to: (1) classify sexual minority men (n = 937) into subgroups based on their probability of experiencing each syndemic condition; (2) examine the demographic (e.g., race/ethnicity) and social status (e.g., level of socioeconomic distress) characteristics of the most optimally fitting four syndemic classes; (3) examine between-group differences in HIV-risk behavior across classes; and (4) use syndemic class membership to predict HIV-risk behavior with sexual minority men reporting no syndemic conditions as the reference group. The four classes were: (1) no syndemic, (2) alcohol misuse and polydrug use syndemic, (3) polydrug use and HIV syndemic, and (4) alcohol misuse. HIV-risk behavior differed across these latent classes. Demographic and social status characteristics predicted class membership, suggesting that syndemic conditions disproportionately co-occur in vulnerable subpopulations of sexual minority men, such as those experiencing high socioeconomic distress. When predicting HIV-risk behavior, men in the polydrug use and HIV syndemic class were more likely (Adjusted Risk Ratio [ARR] = 2.93, 95% CI: 1.05, 8.21) and men in the alcohol misuse class were less likely (ARR = 0.17, 95% CI: 0.07, 0.44) to report HIV-risk behavior than were men in the no syndemic class. LCA represents a promising methodology to inform the development and delivery of tailored interventions targeting distinct combinations of syndemic conditions to reduce sexual minority men's HIV-risk behavior. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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