Syndemics of depression, alcohol use, and victimisation, and their association with HIV-related sexual risk among men who have sex with men and transgender women in India
Syndemics of depression, alcohol use, and victimisation, and their association with HIV-related sexual risk among men who have sex with men and transgender women in India
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DOI：
10.1080/17441692.2015.1091024
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发表时间：
2017-02-01
影响因子：
3.3
通讯作者：
Samuel, Miriam
中科院分区：
文献类型：
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作者：
Chakrapani, Venkatesan;Newman, Peter A.;Samuel, Miriam
我们研究了印度男男性行为者（MSM）和跨性别者（TG）女性中心理社会健康状况（抑郁、频繁饮酒和酗酒）的存在和共同发生，以及它们与性风险的累积关联。一个调查问卷管理方便的样本600名参与者（男男性接触者=300; TG妇女=300）通过六个非政府组织在四个州招募。男男性行为者中心理社会健康状况的患病率为：无= 31.3%，一个= 43%，两个= 20%，三个=5.7%; TG女性中：无=9%;一个= 35.33%，两个= 38.33%，三个= 17.33%。在双变量和多变量模型中，这些条件与性风险呈正相关，并与性风险呈加性相关，为MSM和TG女性的心理社会健康状况及其对性风险的协同效应提供了证据。除了发病情况的数量，弹性应对和社会支持是MSM和TG妇女的性风险的显着预测因子。印度的艾滋病毒预防干预措施应筛查并解决MSM和TG妇女中同时发生的心理社会健康状况-暴力经历，心理健康问题和酒精使用。
We examined the presence and co-occurrence of psychosocial health conditions (depression, frequent alcohol use, and victimisation) among men who have sex with men (MSM) and transgender (TG) women in India, and their cumulative association with sexual risk. A survey questionnaire was administered among a convenience sample of 600 participants (MSM=300; TG women=300) recruited through six non-governmental organisations in four states. Prevalences of the number of psychosocial health conditions among MSM were: none=31.3%, one=43%, two=20%, and three=5.7%; and among TG women: none=9%; one=35.33%, two=38.33%, and three=17.33%. In bivariate and multivariate models, these conditions were positively and additively related to sexual risk, providing evidence for a syndemic of psychosocial health conditions among MSM and TG women and their synergistic effect on sexual risk. In addition to the number of syndemic conditions, resilient coping and social support were significant predictors of sexual risk among MSM and TG women, respectively. HIV preventive interventions in India should screen for and address co-occurring psychosocial health conditions - experiences of violence, mental health issues, and alcohol use - among MSM and TG women.