The intersection of violence, substance use, depression, and STDs: testing of a syndemic pattern among patients attending an urban STD clinic.
The intersection of violence, substance use, depression, and STDs: testing of a syndemic pattern among patients attending an urban STD clinic.
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DOI：
10.1016/s0027-9684(15)30639-8
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发表时间：
2010-07
影响因子：
3.3
通讯作者：
Vanable, Peter A.
中科院分区：
文献类型：
--
作者：
Senn, Theresa E.;Carey, Michael P.;Vanable, Peter A.
High rates of psychosocial and health problems have been identified among patients attending sexually transmitted disease (STD) clinics, who are disproportionately urban, low-income, and racial/ethnic minorities. This study sought to determine whether these problems co-occurred, and whether they indicated the presence of a syndemic. Patients (N = 1557, 46% female, 64% African American) attending an urban STD clinic completed a computerized survey assessing childhood sexual abuse (CSA), depressive symptoms, binge drinking, marijuana use, intimate partner violence (IPV), and sexual risk behavior. Medical records were reviewed to determine incident STD diagnosis. The psychosocial and health problems were interrelated. Endorsing more psychosocial problems was associated with a greater likelihood of having multiple sexual partners and STD diagnosis. Interactions between CSA and marijuana use, and between CSA and IPV, predicted STD diagnosis. Numerous psychosocial and health problems co-occur among urban STD clinic patients. There was some evidence of a syngergistic relationship (i.e., a syndemic) between these conditions, resulting in worsened sexual health outcomes. Health care needs to be multidisciplinary to address the multiple psychosocial and health problems faced by STD clinic patients. Research needs to identify factors that may underlie these comorbid conditions.
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影响因子：
17.7
作者：
Hutton, HE;Lyketsos, CG;Erbelding, EJ
通讯作者：
Erbelding, EJ
DOI：
10.1111/j.1530-0277.2008.00788.x
发表时间：
2008-11-01
影响因子：
3.2
作者：
Hutton, Heidi E.;McCaul, Mary E.;Erbelding, Emily J.
通讯作者：
Erbelding, Emily J.
影响因子：
3.4
作者：
Borsari, B;Neal, DJ;Carey, KB
通讯作者：
Carey, KB
影响因子：
3.1
作者：
Erbelding, EJ;Hummel, B;Zenilman, J
通讯作者：
Zenilman, J
影响因子：
120.7
作者：
Feldhaus, KM;KoziolMcLain, J;Abott, JT
通讯作者：
Abott, JT