Applying resilience theory models to contextualize economic-dependent partnerships as a risk factor for HIV among young men who have sex with men

Bibliographic Data

ID19441976
AuthorsSteven Meanley (0000-0002-6098-9733, Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA, corresponding author), Ryan C Tingler (0000-0002-4601-7401, University of Pennsylvania), Ryan Tingler (Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA), Deepti Chittamuru (0000-0003-2411-9658, Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA), Jose A Bauermeister, Jose Bauermeister (0000-0002-9276-2306, Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA)
Year2018
Volume30
Issuesup4
Pages42-50
Publication date2018-07-25
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2018.1493185
PMID30626200
OpenAlexW2910438863
LanguageEN
Citations received4
References cited61

Economic-dependent partnerships (EDP) are an understudied HIV risk correlate among young men who have sex with men (YMSM) in the U.S. We explored whether YMSM's psychological resilience buffered against the effect of socioeconomic disadvantage on EDPs, after accounting for other psychosocial risks. Data come from an observational study assessing YMSM's HIV vulnerabilities. We developed indices for socioeconomic disadvantage, psychosocial profiles, and cumulative promotive factors. Multivariable logistic regressions tested the main associations of these indices on EDPs. Protective models tested whether psychosocial profiles exacerbated and cumulative promotive factors buffered the effects of socioeconomic disadvantage on EDPs. 31% and 23% of YMSM reported EDPs with main and casual partners, respectively. For both outcomes, we found support for adjusted compensatory models. Socioeconomic disadvantage was associated with increased odds of EDPs with main (AOR = 1.45, p < .001) and casual (AOR = 1.47, p < .001) partners. Psychosocial profiles were also associated with increased odds of EDPs with main (AOR = 1.53, p = .001) and casual (AOR = 1.67, p < .001) partners. Cumulative promotive factors was associated with decreased odds of EDPs with main (AOR = 0.66, p = .003) and casual (AOR = 0.72, p = .035) partners. Our findings elucidate the need for multilevel interventions that provide opportunities for socioeconomic advancement and improve psychosocial/psychological functioning for at-risk YMSM

Casual · Disadvantage · Environmental health · Logistic regression · Odds · Odds ratio · Political science · Population · Psychiatry · Psychological intervention · Psychological resilience · Psychosocial · Socioeconomic status · Sociology · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Resilience and Mental Health · Social Psychology · Gerontology · Internal Medicine

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