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Association of Co-Occurring Psychosocial Health Problems and Increased Vulnerability to HIV/AIDS among Urban Men Who Have Sex with Men

Author

Listed:
  • Stall, R.
  • Mills, T.C.
  • Williamson, J.
  • Hart, T.
  • Greenwood, G.
  • Paul, J.
  • Pollack, L.
  • Binson, D.
  • Osmond, D.
  • Catania, J.A.

Abstract

Objectives. We measured the extent to which a set of psychosocial health problems have an additive effect on increasing HIV risk among men who have sex with men (MSM). Methods. We conducted a cross-sectional household probability telephone sample of MSM in Chicago, Los Angeles, New York, and San Francisco. Results. Psychosocial health problems are highly intercorrelated among urban MSM. Greater numbers of health problems are significantly and positively associated with high-risk sexual behavior and HIV infection. Conclusions. AIDS prevention among MSM has overwhelmingly focused on sexual risk alone. Other health problems among MSM not only are important in their own right, but also may interact to increase HIV risk. HIV prevention might become more effective by addressing the broader health concerns of MSM while also focusing on sexual risks.

Suggested Citation

  • Stall, R. & Mills, T.C. & Williamson, J. & Hart, T. & Greenwood, G. & Paul, J. & Pollack, L. & Binson, D. & Osmond, D. & Catania, J.A., 2003. "Association of Co-Occurring Psychosocial Health Problems and Increased Vulnerability to HIV/AIDS among Urban Men Who Have Sex with Men," American Journal of Public Health, American Public Health Association, vol. 93(6), pages 939-942.
    • Handle: RePEc:aph:ajpbhl:2003:93:6:939-942_8
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    Cited by:

    1. Littleton, Judith & Park, Julie, 2009. "Tuberculosis and syndemics: Implications for Pacific health in New Zealand," Social Science & Medicine, Elsevier, vol. 69(11), pages 1674-1680, December.
    2. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    3. Thomas S. Dee, 2008. "Forsaking all others? The effects of same‐sex partnership laws on risky sex," Economic Journal, Royal Economic Society, vol. 118(530), pages 1055-1078, July.
    4. Chakrapani, Venkatesan & Kaur, Manmeet & Tsai, Alexander C. & Newman, Peter A. & Kumar, Rajesh, 2022. "The impact of a syndemic theory-based intervention on HIV transmission risk behaviour among men who have sex with men in India: Pretest-posttest non-equivalent comparison group trial," Social Science & Medicine, Elsevier, vol. 295(C).
    5. Frye, Victoria & Egan, James E. & Tieu, Hong Van & Cerdá, Magdalena & Ompad, Danielle & Koblin, Beryl A., 2014. "“I didn't think I could get out of the fucking park.” Gay men's retrospective accounts of neighborhood space, emerging sexuality and migrations," Social Science & Medicine, Elsevier, vol. 104(C), pages 6-14.
    6. Shirley J Semple & Eileen V Pitpitan & David Goodman-Meza & Steffanie A Strathdee & Claudia V Chavarin & Gudelia Rangel & Karla Torres & Thomas L Patterson, 2017. "Correlates of condomless anal sex among men who have sex with men (MSM) in Tijuana, Mexico: The role of public sex venues," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-16, October.
    7. Singer, Merrill C. & Erickson, Pamela I. & Badiane, Louise & Diaz, Rosemary & Ortiz, Dugeidy & Abraham, Traci & Nicolaysen, Anna Marie, 2006. "Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context," Social Science & Medicine, Elsevier, vol. 63(8), pages 2010-2021, October.
    8. Dian-Jeng Li & Shiou-Lan Chen & Yu-Ping Chang & Cheng-Fang Yen, 2020. "Factors Affecting Painkillers, Sedatives/Hypnotics, Nicotine, and Unhealthy Alcohol Use Among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    9. Shrestha, Shikhar & Bauer, Cici X.C. & Hendricks, Brian & Stopka, Thomas J., 2022. "Spatial epidemiology: An empirical framework for syndemics research," Social Science & Medicine, Elsevier, vol. 295(C).
    10. Kline, Nolan, 2022. "Syndemic statuses: Intersectionality and mobilizing for LGBTQ+ Latinx health equity after the Pulse shooting," Social Science & Medicine, Elsevier, vol. 295(C).
    11. Danni Xia & Yingjie Chen & Ruijie Chang & Chen Xu & Xiaoyue Yu & Yujie Liu & Hui Chen & Rongxi Wang & Shangbin Liu & Xin Ge & Yuxuan Wang & Ajuan Liang & Fan Hu & Yong Cai & Ying Wang, 2022. "Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework," IJERPH, MDPI, vol. 19(23), pages 1-14, December.
    12. Dian-Jeng Li & Shiou-Lan Chen & Cheng-Fang Yen, 2019. "Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 16(22), pages 1-13, November.
    13. Fasula, Amy M. & Gray, Simone C. & Vereen, Rhyan N. & Carry, Monique & Sales, Jessica M. & Abad, Neetu & Brown, Jennifer L. & Swartzendruber, Andrea & Gelaude, Deborah J., 2018. "Multiple psychosocial health problems and sexual risk among African American females in juvenile detention: A cross-sectional study," Children and Youth Services Review, Elsevier, vol. 88(C), pages 74-80.
    14. Shannon S. Gray & Kayla Marie Sizemore & H. Jonathon Rendina, 2023. "Coping Strategies as a Moderator for the Association between Intimate Partner Violence and Depression and Anxiety Symptoms among Transgender Women," IJERPH, MDPI, vol. 20(11), pages 1-15, May.
    15. Thomas S. Dee, 2005. "Forsaking All Others? The Effects of "Gay Marriage" on Risky Sex," NBER Working Papers 11327, National Bureau of Economic Research, Inc.
    16. King, Brian & Winchester, Margaret S., 2018. "HIV as social and ecological experience," Social Science & Medicine, Elsevier, vol. 208(C), pages 64-71.
    17. Quinn, Katherine G., 2022. "Applying an intersectional framework to understand syndemic conditions among young Black gay, bisexual, and other men who have sex with men," Social Science & Medicine, Elsevier, vol. 295(C).
    18. Ouafik, Maxence R. & Buret, Laetitia & Scholtes, Beatrice, 2022. "Mapping the current knowledge in syndemic research applied to men who have sex with men: A scoping review," Social Science & Medicine, Elsevier, vol. 306(C).
    19. Tomori, Cecilia & McFall, Allison M. & Solomon, Sunil S. & Srikrishnan, Aylur K. & Anand, Santhanam & Balakrishnan, P. & Mehta, Shruti H. & Celentano, David D., 2018. "Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India," Social Science & Medicine, Elsevier, vol. 206(C), pages 110-116.

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