Adversity and Syndemic Production Among Men Participating in the Multicenter Aids Cohort Study

A Life-Course Approach

Datos Bibliográficos

ID11021623
AutoresAmy L Herrick (Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Amy Herrick (Northwestern University), Sin How Lim (0000-0002-8727-4826, Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Michael W Plankey (Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Michael Plankey (0000-0003-4554-7483, Northwestern University), Joan S Chmiel (0000-0002-0759-9875, Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Thomas E Guadamuz (0000-0001-6803-1127, Northwestern University), Thomas T Guadamuz (Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Uyen Kao (0000-0002-7463-9953, Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Steven Shoptaw (0000-0002-3583-0026, Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Adam Carrico (0000-0002-1767-0567, Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Adam W Carrico (0000-0002-8146-5701, Northwestern University), David G Ostrow (Northwestern University), David Ostrow (Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...), Ron Stall (0000-0002-4741-4396, Amy L. Herrick, Sin How Lim, Thomas T. Guadamuz, and Ron Stall are with the Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Michael W. Plankey is with the Department of Medicine, Georgetown University Medical Center, Washington, DC. Joan S. Chmiel is with the Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Uyen Kao and Steven Shoptaw are with the Department of Family...)
Año2013
Volumen103
Número1
Páginas79-85
Fecha de publicación2013-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300810
PMID23153154
PMCIDPMC3518355
OpenAlexW2146795731
IdiomaEN
Citas recibidas62
Referencias citadas26

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 (χ 2 = 247.94; P 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

Cohort · Cohort study · Developmental psychology · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Life course approach · Multicenter AIDS Cohort Study · Sida · Sociology · Syndemic · Viral disease · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Psychology · Gerontology