Co-occurring psychosocial problems predict HIV status and increased health care costs and utilization among sexual minority men.
Co-occurring psychosocial problems predict HIV status and increased health care costs and utilization among sexual minority men.
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DOI：
10.1007/s10865-018-9913-z
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发表时间：
2018-08
影响因子：
3.1
通讯作者：
Mayer KH
中科院分区：
文献类型：
--
作者：
O'Cleirigh C;Pantalone DW;Batchelder AW;Hatzenbuehler ML;Marquez SM;Grasso C;Safren SA;Mayer KH
与性取向相关的健康差异有据可查。性少数男性似乎面临心理健康问题的风险，因为他们在建立和维持少数性别认同时承受压力。这些心理健康问题可能会协同作用，并导致社会医疗费用更高。我们研究了性少数特定流行病指标是否与较高的医疗保健费用、医疗保健利用率或感染艾滋病毒的风险相关。社区卫生中心的医疗保健消费者 (N = 1211) 完成了 12 个月内收集的简短筛查问卷。自我报告的数据与参与者的临床账单记录相关联。调整后的逻辑回归模型发现，四种流行病指标（自杀、药物滥用、儿童性虐待和亲密伴侣暴力）彼此显着相关。多种并发流行病显着预测更高的医疗保健利用率和费用，并且与 HIV 感染风险增加 2.5 倍相关（OR 2.49，95% CI 1.45-4.25）。流行病指标并不能显着预测每位患者的心理健康就诊次数或费用。这些结果通过将流行病与性少数男性的卫生服务使用和费用联系起来，证实并扩展了早期的发现。
Sexual orientation related health disparities are well documented. Sexual minority men appear to be at risk for mental health problems due to the stress they experience in establishing and maintaining a minority sexual identity. These mental health issues may combine synergistically and lead to higher medical costs to society. We examine whether sexual minority specific syndemic indicators were associated with higher health care costs, health care utilization, or the risk of being HIV-infected. Health care consumers at a community health center (N = 1211) completed a brief screening questionnaire collected over 12 months. Self-reported data were linked with participants’ clinical billing records. Adjusted logistic regression models identified that four syndemic indicators (suicidality, substance use, childhood sexual abuse, and intimate partner violence) were each significantly related to each other. Multiple syndemics significantly predicted higher medical care utilization and cost, and were associated with 2.5 times the risk of being HIV-infected (OR 2.49, 95% CI 1.45–4.25). Syndemic indicators did not significantly predict the number of mental health visits or costs per patient. These results confirm and extend earlier findings by relating syndemics to health services use and costs for sexual minority men.
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影响因子：
3.8
作者：
Pachankis JE;Hatzenbuehler ML;Mirandola M;Weatherburn P;Berg RC;Marcus U;Schmidt AJ
通讯作者：
Schmidt AJ
在合并的心理健康问题的背景下促进MSM的性健康。
影响因子：
4.4
作者：
Safren, Steven A.;Blashill, Aaron J.;O'Cleirigh, Conall M.
通讯作者：
O'Cleirigh, Conall M.
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。
影响因子：
4.2
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
通讯作者：
Sandfort T
DOI：
10.1056/nejmoa1600693
发表时间：
2016-09-01
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cohen MS;Chen YQ;McCauley M;Gamble T;Hosseinipour MC;Kumarasamy N;Hakim JG;Kumwenda J;Grinsztejn B;Pilotto JH;Godbole SV;Chariyalertsak S;Santos BR;Mayer KH;Hoffman IF;Eshleman SH;Piwowar-Manning E;Cottle L;Zhang XC;Makhema J;Mills LA;Panchia R;Faesen S;Eron J;Gallant J;Havlir D;Swindells S;Elharrar V;Burns D;Taha TE;Nielsen-Saines K;Celentano DD;Essex M;Hudelson SE;Redd AD;Fleming TR;HPTN 052 Study Team
通讯作者：
HPTN 052 Study Team
影响因子：
3.8
作者：
Parsons JT;Rendina HJ;Moody RL;Ventuneac A;Grov C
通讯作者：
Grov C