Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City.
Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City.
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纽约市男男性行为拉丁裔男性样本中与成人艾滋病毒性行为危险行为相关的综合症因素。
DOI：
10.1016/j.drugalcdep.2016.06.033
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发表时间：
2016-09-01
影响因子：
4.2
通讯作者：
Sandfort T
中科院分区：
文献类型：
--
作者：
Martinez O;Arreola S;Wu E;Muñoz-Laboy M;Levine EC;Rutledge SE;Hausmann-Stabile C;Icard L;Rhodes SD;Carballo-Diéguez A;Rodríguez-Díaz CE;Fernandez MI;Sandfort T
流行病理论已被提出作为理解多种危险因素在性少数和性别少数个体中推动艾滋病毒流行的作用的框架。迄今为止，该框架在拉丁裔/黑人研究中相对缺乏。我们以纽约市 176 名男男性行为者 (MSM) 为样本，使用逻辑回归来评估累积性流行病状况（包括临床显着抑郁症、高风险饮酒、歧视和儿童性虐待）与多伴侣交往和无套肛交 (CAI) 之间的关系。在双变量分析中，经历的综合症因素数量的增加与报告多个伴侣和 CAI 的可能性增加相关。在多变量分析中，具有 2、3 和 4 个因素的参与者比具有 0 个因素的参与者更有可能报告多个伴侣（aOR=4.66，95% CI [1.29，16.85）； aOR=7.28, 95% CI [1.94, 27.28] 和 aOR=8.25, 95% CI [1.74, 39.24]； p<.05)。关于 CAI，只有具有 3 和 4 个因素的参与者与具有 0 因素的参与者不同（分别为 aOR=7.35，95% CI [1.64, 32.83] 和 OR=8.06，95% CI [1.39, 46.73]。需要采取解决综合症因素并利用弹性的综合方法来解决拉丁裔 MSM 的性健康需求。
Syndemic theory has been proposed as a framework for understanding the role of multiple risk factors driving the HIV epidemic among sexual and gender minority individuals. As yet, the framework has been relatively absent in research on Latinos/as. We used logistic regression to assess relationships among cumulative syndemic conditions – including clinically significant depression, high-risk alcohol consumption, discrimination, and childhood sexual abuse – engagement with multiple partners and condomless anal intercourse (CAI) in a sample of 176 Latino men who have sex with men (MSM) in New York City. In bivariate analyses, an increase in the number of syndemic factors experienced was associated with an increased likelihood of reporting multiple partners and CAI. In multivariable analyses, participants with 2, 3, and 4 factors were significantly more likely to report multiple partners than those with 0 (aOR=4.66, 95% CI [1.29, 16.85); aOR=7.28, 95% CI [1.94, 27.28] and aOR=8.25, 95% CI [1.74, 39.24] respectively; p<.05). Regarding CAI, only participants with 3 and 4 factors differed from those with 0 (aOR=7.35, 95% CI [1.64, 32.83] and OR=8.06, 95% CI [1.39, 46.73] respectively. Comprehensive approaches that address syndemic factors, and capitalize on resiliency, are needed to address the sexual health needs of Latino MSM.