Examining the Impact of a Psychosocial Syndemic on Past Six-Month HIV Screening Behavior of Black Men Who Have Sex with Men in the United States: Results from the POWER Study

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2019 Mar 20

PMID 30887191

Citations 13

Authors

Cristian J Chandler

Leigh A Bukowski

Derrick D Matthews

Mary E Hawk

Nina Markovic

James E Egan

Ronald D Stall

Affiliations

Soon will be listed here.

Abstract

Syndemic production theory has been used to explore HIV transmission risk or infections but has not been used to investigate prevention behavior, or with large samples of non-Whites. This analysis is the first to explore the impact of syndemic factors on previous six-month HIV screening behavior among US Black MSM. Data from Promoting Our Worth, Equality and Resilience (POWER) were analyzed from 3294 participants using syndemic variable counts and measures of interaction/synergy. Syndemic variables included: past three-month poly-drug use, depression, last year intimate partner violence, HIV risk and problematic binge drinking. BMSM reporting two syndemic factors were more likely to report screening (AOR = 1.37, 95% CI 1.04-1.80; p = 0.028) with no significant associations for three or more conditions. Measures of joint effect revealed that there were synergies among depression, problematic binge drinking and poly-drug use but these psychosocial factors cannot entirely explain testing patterns and excess disease burden among BMSM.

Citing Articles

Intersecting Epidemics: Examining the Impact of Internalized Homophobia and Depression Symptoms on HIV Testing Through a Suicide Syndemic Among Young Black Men Who Have Sex with Men.

Boyd D, Martinez O, Mammadli T, Shamrock O, Abu-Baare G, Dyer T J Racial Ethn Health Disparities. 2024; .

PMID: 39476098 DOI: 10.1007/s40615-024-02225-4.

Association Between Age of Anal Sex Debut and Adult Health Behaviors Among Sexual Minoritized Men Living with HIV.

Diaz J, Preciado E, Chiasson M, Hirshfield S Arch Sex Behav. 2023; 52(8):3565-3575.

PMID: 37378702 PMC: 11034742. DOI: 10.1007/s10508-023-02642-2.

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis.

Nouri E, Moradi Y, Moradi G Ann Gen Psychiatry. 2022; 21(1):38.

PMID: 36096814 PMC: 9465955. DOI: 10.1186/s12991-022-00414-1.

Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073.

Ramos S, Beauchamp G, Wheeler D, Wilton L, Whitfield D, Boyd D Int J Environ Res Public Health. 2022; 19(8).

PMID: 35457367 PMC: 9026517. DOI: 10.3390/ijerph19084489.

Context, COVID-19 and comorbidities: exploring emergent directions in syndemics and HIV research.

Logie C, Coelho M, Kohrt B, Tsai A, Mendenhall E Curr Opin HIV AIDS. 2022; 17(2):46-54.

PMID: 35081555 PMC: 11045292. DOI: 10.1097/COH.0000000000000722.

References

Stall R, Mills T, Williamson J, Hart T, Greenwood G, Paul J . Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003; 93(6):939-42. PMC: 1447874. DOI: 10.2105/ajph.93.6.939. View

Jones J, Hoenigl M, Siegler A, Sullivan P, Little S, Rosenberg E . Assessing the Performance of 3 Human Immunodeficiency Virus Incidence Risk Scores in a Cohort of Black and White Men Who Have Sex With Men in the South. Sex Transm Dis. 2017; 44(5):297-302. PMC: 5407317. DOI: 10.1097/OLQ.0000000000000596. View

Wong C, Kipke M, Weiss G . Risk factors for alcohol use, frequent use, and binge drinking among young men who have sex with men. Addict Behav. 2008; 33(8):1012-20. PMC: 2483958. DOI: 10.1016/j.addbeh.2008.03.008. View

Maulsby C, Millett G, Lindsey K, Kelley R, Johnson K, Montoya D . HIV among Black men who have sex with men (MSM) in the United States: a review of the literature. AIDS Behav. 2013; 18(1):10-25. DOI: 10.1007/s10461-013-0476-2. View

Mustanski B, Garofalo R, Herrick A, Donenberg G . Psychosocial health problems increase risk for HIV among urban young men who have sex with men: preliminary evidence of a syndemic in need of attention. Ann Behav Med. 2007; 34(1):37-45. PMC: 2219199. DOI: 10.1007/BF02879919. View

Wilton J, Mishra S, Tan D . Considerations for Using the HIRI-MSM Screening Tool to Identify MSM Who Would Benefit Most From PrEP. J Acquir Immune Defic Syndr. 2017; 76(2):e58-e61. DOI: 10.1097/QAI.0000000000001472. View

Prejean J, Song R, Hernandez A, Ziebell R, Green T, Walker F . Estimated HIV incidence in the United States, 2006-2009. PLoS One. 2011; 6(8):e17502. PMC: 3149556. DOI: 10.1371/journal.pone.0017502. View

Knol M, VanderWeele T, Groenwold R, Klungel O, Rovers M, Grobbee D . Estimating measures of interaction on an additive scale for preventive exposures. Eur J Epidemiol. 2011; 26(6):433-8. PMC: 3115067. DOI: 10.1007/s10654-011-9554-9. View

Zanoni B, Mayer K . The adolescent and young adult HIV cascade of care in the United States: exaggerated health disparities. AIDS Patient Care STDS. 2014; 28(3):128-35. PMC: 3948479. DOI: 10.1089/apc.2013.0345. View

10.

Parsons J, Millar B, Moody R, Starks T, Rendina H, Grov C . Syndemic conditions and HIV transmission risk behavior among HIV-negative gay and bisexual men in a U.S. national sample. Health Psychol. 2017; 36(7):695-703. PMC: 5532533. DOI: 10.1037/hea0000509. View

11.

Branson B, Handsfield H, Lampe M, Janssen R, Taylor A, Lyss S . Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep. 2006; 55(RR-14):1-17. View

12.

Illangasekare S, Burke J, McDonnell K, Gielen A . The impact of intimate partner violence, substance use, and HIV on depressive symptoms among abused low-income urban women. J Interpers Violence. 2013; 28(14):2831-48. DOI: 10.1177/0886260513488682. View

13.

Parsons J, Grov C, Golub S . Sexual compulsivity, co-occurring psychosocial health problems, and HIV risk among gay and bisexual men: further evidence of a syndemic. Am J Public Health. 2011; 102(1):156-62. PMC: 3490563. DOI: 10.2105/AJPH.2011.300284. View

14.

Mimiaga M, OCleirigh C, Biello K, Robertson A, Safren S, Coates T . The effect of psychosocial syndemic production on 4-year HIV incidence and risk behavior in a large cohort of sexually active men who have sex with men. J Acquir Immune Defic Syndr. 2014; 68(3):329-36. PMC: 4415161. DOI: 10.1097/QAI.0000000000000475. View

15.

Tomori C, McFall A, Solomon S, Srikrishnan A, Anand S, Balakrishnan P . Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India. Soc Sci Med. 2018; 206:110-116. PMC: 5955386. DOI: 10.1016/j.socscimed.2018.03.032. View

16.

Card K, Lachowsky N, Armstrong H, Cui Z, Wang L, Sereda P . The additive effects of depressive symptoms and polysubstance use on HIV risk among gay, bisexual, and other men who have sex with men. Addict Behav. 2018; 82:158-165. PMC: 5894339. DOI: 10.1016/j.addbeh.2018.03.005. View

17.

Friedman M, Stall R, Silvestre A, Wei C, Shoptaw S, Herrick A . Effects of syndemics on HIV viral load and medication adherence in the multicentre AIDS cohort study. AIDS. 2015; 29(9):1087-96. PMC: 4739626. DOI: 10.1097/QAD.0000000000000657. View

18.

Millett G, Crowley J, Koh H, Valdiserri R, Frieden T, Dieffenbach C . A way forward: the National HIV/AIDS Strategy and reducing HIV incidence in the United States. J Acquir Immune Defic Syndr. 2011; 55 Suppl 2:S144-7. DOI: 10.1097/QAI.0b013e3181fbcb04. View

19.

Scott H, Pollack L, Rebchook G, Huebner D, Peterson J, Kegeles S . Peer social support is associated with recent HIV testing among young black men who have sex with men. AIDS Behav. 2013; 18(5):913-20. PMC: 3965658. DOI: 10.1007/s10461-013-0608-8. View

20.

Christopoulos K, Das M, Colfax G . Linkage and retention in HIV care among men who have sex with men in the United States. Clin Infect Dis. 2011; 52 Suppl 2:S214-22. PMC: 3106256. DOI: 10.1093/cid/ciq045. View