A Syndemic Model of Substance Abuse, Intimate Partner Violence, HIV Infection, and Mental Health Among Hispanics
A Syndemic Model of Substance Abuse, Intimate Partner Violence, HIV Infection, and Mental Health Among Hispanics
复制标题
DOI：
10.1111/j.1525-1446.2010.00928.x
复制
发表时间：
2011-07-01
影响因子：
2.1
通讯作者：
Thomas, Tainayah
中科院分区：
文献类型：
--
作者：
Gonzalez-Guarda, Rosa M.;Florom-Smith, Aubrey L.;Thomas, Tainayah
拉美裔人受到药物滥用、艾滋病毒感染、亲密伴侣暴力和精神健康状况的影响不成比例。为了解决西班牙裔和其他弱势群体之间的健康差距，有必要了解聚集在一起的健康状况之间复杂的相互作用（例如，例如，在一个实施例中，药物滥用、亲密伴侣暴力和艾滋病毒）以及这些情况存在的社会生态。一个流行病学的方向，考虑聚集性流行病和共同的个人，关系，文化和社会环境因素连接这些条件，可能有助于开发全面的模型，扩大我们的能力，了解和解决健康差距。本文的目的是介绍西班牙裔美国人的药物滥用、亲密伴侣暴力、艾滋病毒感染和心理健康的综合流行模型，并提供来自研究文献的证据来支持中心关系、风险和保护因素（即，条件之间的潜在联系）。迫切需要制定和评估旨在预防药物滥用、亲密伴侣暴力、艾滋病毒/艾滋病和心理健康问题等影响西班牙裔的流行病的干预措施。公共卫生护士可以在Syndemic模型的指导下开始这一奋进。
Hispanics are disproportionately affected by substance abuse, HIV infection, intimate partner violence, and mental health conditions. To address health disparities among Hispanics and other vulnerable groups, it is necessary to understand the complex interactions between health conditions clustering together (e. g., substance abuse, intimate partner violence, and HIV) and the social ecology in which these conditions exist. A syndemic orientation, a consideration of clustering epidemics and common individual, relationship, cultural, and socioenvironmental factors linking these conditions, may be helpful in developing comprehensive models that expand our ability to understand and address health disparities. The purpose of this paper is to introduce a Syndemic Model of Substance Abuse, Intimate Partner Violence, HIV Infection, and Mental Health among Hispanics, and provide evidence from the research literature to support the central relationships and risk and protective factors (i.e., potential links between conditions) depicted by the model. The development and evaluation of interventions aimed at the prevention of substance abuse, intimate partner violence, HIV/AIDS, and mental health problems as a syndemic affecting Hispanics is urgently needed. Public health nurses can initiate this endeavor with the guidance of a Syndemic Model.