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AIDS and Behavior
Published in: AIDS and Behavior 2/2020

01-02-2020 | Affective Disorder | Original Paper

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

Authors: Cristian J. Chandler, Leigh A. Bukowski, Derrick D. Matthews, Mary E. Hawk, Nina Markovic, James E. Egan, Ronald D. Stall

Published in: AIDS and Behavior | Issue 2/2020

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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.
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Metadata
Title
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
Authors
Cristian J. Chandler
Leigh A. Bukowski
Derrick D. Matthews
Mary E. Hawk
Nina Markovic
James E. Egan
Ronald D. Stall
Publication date
01-02-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02458-z

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