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Adversity and syndemic production among men participating in the multicenter AIDS cohort study: A life-course approach

Herrick, AL and Lim, SH and Plankey, MW and Chmiel, JS and Guadamuz, TT and Kao, U and Shoptaw, S and Carrico, A and Ostrow, D and Stall, R (2013) Adversity and syndemic production among men participating in the multicenter AIDS cohort study: A life-course approach. American Journal of Public Health, 103 (1). 79 - 85. ISSN 0090-0036

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Abstract

Objectives. We tested a theory of syndemic production among men who have sex with men (MSM) using data from a large cohort study. Methods. Participants were 1551 men from the Multicenter AIDS Cohort Study enrolled at 4 study sites: Baltimore, Maryland-Washington, DC; Chicago, Illinois; Los Angeles, California; and Pittsburgh, Pennsylvania. Participants who attended semiannual visits from April 1, 2008, to March 31, 2009, completed an additional survey that captured data about events throughout their life course thought to be related to syndemic production. Results. Using multivariate analysis, we found that the majority of life-course predictor variables (e.g., victimization, internalized homophobia) were significantly associated with both the syndemic condition and the component psychosocial health outcomes (depressive symptoms, stress, stimulant use, sexual compulsivity, intimate partner violence). A nested negative binomial analysis showed that the overall life course significantly explained variability in the syndemic outcomes (χ2 = 247.94; P < .001; df = 22). Conclusions. We identified life-course events and conditions related to syndemic production that may help to inform innovative interventions that will effectively disentangle interconnecting health problems and promote health among MSM. Copyright © 2012 by the American Public Health Association®.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Herrick, ALalh75@pitt.eduALH75
Lim, SH
Plankey, MW
Chmiel, JS
Guadamuz, TT
Kao, U
Shoptaw, S
Carrico, A
Ostrow, D
Stall, Rrstall@pitt.eduRSTALL
Centers: Other Centers, Institutes, or Units > Center for LGBT Health Research
Date: 1 January 2013
Date Type: Publication
Journal or Publication Title: American Journal of Public Health
Volume: 103
Number: 1
Page Range: 79 - 85
DOI or Unique Handle: 10.2105/ajph.2012.300810
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0090-0036
Date Deposited: 12 Jun 2013 20:50
Last Modified: 05 Feb 2019 07:55
URI: http://d-scholarship.pitt.edu/id/eprint/18859

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