Psychosocial Syndemic Classes and Longitudinal Transition Patterns Among Sexual Minority men Living with or Without HIV in the Multicenter AIDS Cohort Study (MACS).
Mental health and substance use epidemics interact to create psychosocial syndemics, accelerating poor health outcomes. Using latent class and latent transition analyses, we identified psychosocial syndemic phenotypes and their longitudinal transition pathways among sexual minority men (SMM) in the...
| Publicado en: | AIDS & Behavior Vol. 27; no. 12; pp. 4094 - 4106 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2023
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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=ccm&AN=173150989&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173150989 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Dec2023 vid: 27 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 173150989 173150989 173150989 10.1007/s10461-023-04123-y 173150989 ppf: 4094 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Psychosocial Syndemic Classes and Longitudinal Transition Patterns Among Sexual Minority men Living with or Without HIV in the Multicenter AIDS Cohort Study (MACS). aug: au: Liu, Yiyang Ramos, Stephen D Hanna, David B Jones, Deborah L Lazar, Jason M Kizer, Jorge R Cohen, Mardge H Haberlen, Sabina A Adimora, Adaora A Lahiri, Cecile D Wise, Jenni M Friedman, Mackey R Plankey, Michael Chichetto, Natalie E affil: https://ror.org/02y3ad647 University of Florida, Gainesville, FL, USA sug: subj: Sexual and Gender Minorities Human Immunodeficiency Virus Syndemic Psychosocial Factors Men Human Multicenter Studies Prospective Studies Acquired Immunodeficiency Syndrome Mental Disorders Substance Use Disorders Structural Equation Modeling Phenotype Descriptive Statistics Male Adult Self Report Depression Health Services Accessibility Adult: 19-44 years Male ab: Mental health and substance use epidemics interact to create psychosocial syndemics, accelerating poor health outcomes. Using latent class and latent transition analyses, we identified psychosocial syndemic phenotypes and their longitudinal transition pathways among sexual minority men (SMM) in the Multicenter AIDS Cohort Study (MACS, n = 3,384, mean age 44, 29% non-Hispanic Black, 51% with HIV). Self-reported depressive symptoms and substance use indices (i.e., smoking, hazardous drinking, marijuana, stimulant, and popper use) at the index visit, 3-year and 6-year follow-up were used to model psychosocial syndemics. Four latent classes were identified: "poly-behavioral" (19.4%), "smoking and depression" (21.7%), "illicit drug use" (13.8%), and "no conditions" (45.1%). Across all classes, over 80% of SMM remained in that same class over the follow-ups. SMM who experienced certain psychosocial clusters (e.g., illicit drug use) were less likely to transition to a less complex class. These people could benefit from targeted public health intervention and greater access to treatment resources. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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