Using Syndemics Theory to Examine HIV Sexual Risk Among Latinx Men Who Have Sex with Men in Philadelphia, PA: Findings from the National HIV Behavioral Surveillance.

Autor:	Martinez O; Temple University., Brady KA; Philadelphia Department of Public Health., Levine E; Temple University., Page KR; Johns Hopkins University., Zea MC; George Washington University., Yamanis TJ; American University., Grieb S; Johns Hopkins University., Shinefeld J; Philadelphia Department of Public Health., Ortiz K; University of New Mexico., Davis WW; Johns Hopkins University., Mattera B; Temple University., Martinez-Donate A; Drexel University., Chavez-Baray S; University of Texas-El Paso., Moya EM; University of Texas-El Paso.
Jazyk:	angličtina
Zdroj:	EHQUIDAD [EHQUIDAD] 2020 Jan-Jun; Vol. 13, pp. 217-236.
DOI:	10.15257/ehquidad.2020.0009
Abstrakt:	Latinx men who have sex with men (MSM) continue to be disproportionately impacted by HIV/AIDS. Identifying the role of multiple syndemic factors associated with sexual risk behaviors is imperative in order to develop effective prevention and treatment strategies. Cross-sectional data for this study were derived from three cycles of the Philadelphia portion of the National HIV Behavioral Surveillance System. This study explored the impact of syndemic factors - heavy drinking, exchange sex, and homophobic discrimination - on sexual HIV risk behaviors, operationalized as number of male partners, and condomless anal intercourse (CAI) with main and casual partners among Latinx MSM ( n =464). Analyses took two forms: a syndemic approach, using the cumulative number of conditions as an independent variable; and a non-syndemic approach, incorporating each condition as a unique factor. In multivariable syndemic analyses, participants with two or more factors reported more male partners and more CAI casual male partners than those with none. In non-syndemic models, homophobic discrimination and exchange sex were significantly positively associated with total number of male partners, while heavy drinking was associated with more casual CAI partners. Quantitative results indicate that syndemic and non-syndemic approaches vary in their relative capacity to account for sexual risk among Latinx MSM. Competing Interests: Conflicts of Interest: All authors declare that they have no conflicts of interest.
Databáze:	MEDLINE
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