A Syndemic Model of Exchange Sex Among HIV-Positive Men Who Have Sex With Men
Exchange sex is a behavior associated with HIV transmission risk among men who have sex with men (MSM). Few studies have examined exchange sex among HIV-positive MSM. We utilize a syndemic framework to account for co-occurring psychosocial problems that suggest the presence of intertwining epidemics...
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| Veröffentlicht in: | Archives of sexual behavior 2020-08, Vol.49 (6), p.1965-1978 |
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| container_issue | 6 |
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| container_title | Archives of sexual behavior |
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| creator | Walters, Suzan M. Braksmajer, Amy Coston, Bethany Yoon, Irene Grov, Christian Downing, Martin J. Teran, Richard Hirshfield, Sabina |
| description | Exchange sex is a behavior associated with HIV transmission risk among men who have sex with men (MSM). Few studies have examined exchange sex among HIV-positive MSM. We utilize a syndemic framework to account for co-occurring psychosocial problems that suggest the presence of intertwining epidemics (i.e., syndemics), which have not been examined within the context of exchange sex among HIV-positive MSM. In 2015, MSM were recruited via online sexual networking Web site and app advertisements for Sex Positive!
[+]
, a video-based online intervention that aimed to improve health outcomes for men living with HIV. Participants completed surveys every three months for a year. Surveys covered demographics, drug use, exchange sex, intimate partner violence (IPV), and past 2-week depressive symptoms. We conducted three logistic regression models to assess syndemic factors associated with exchange sex in the past 3 months. Of the 722 HIV-positive MSM included in the sample, 59 (8%) reported exchange sex in the past 3 months at 12-month follow-up. HIV-positive MSM who had more syndemic factors had greater odds of exchange sex. Exchange sex was associated with being African-American/Black, age 18–29 years, past and present experiences with IPV, stimulant use, polysubstance use, and depressive symptoms. Exchange sex was associated with multiple psychosocial factors, indicating exchange sex may be part of a syndemic involving substance use, depression, HIV, and IPV. Interventions should address the social and behavioral circumstances that perpetuate environments that can foster multiple negative health outcomes. |
| doi_str_mv | 10.1007/s10508-020-01628-8 |
| format | Article |
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[+]
, a video-based online intervention that aimed to improve health outcomes for men living with HIV. Participants completed surveys every three months for a year. Surveys covered demographics, drug use, exchange sex, intimate partner violence (IPV), and past 2-week depressive symptoms. We conducted three logistic regression models to assess syndemic factors associated with exchange sex in the past 3 months. Of the 722 HIV-positive MSM included in the sample, 59 (8%) reported exchange sex in the past 3 months at 12-month follow-up. HIV-positive MSM who had more syndemic factors had greater odds of exchange sex. Exchange sex was associated with being African-American/Black, age 18–29 years, past and present experiences with IPV, stimulant use, polysubstance use, and depressive symptoms. Exchange sex was associated with multiple psychosocial factors, indicating exchange sex may be part of a syndemic involving substance use, depression, HIV, and IPV. Interventions should address the social and behavioral circumstances that perpetuate environments that can foster multiple negative health outcomes.</description><identifier>ISSN: 0004-0002</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-020-01628-8</identifier><identifier>PMID: 31965453</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Advertising ; African Americans ; Behavioral Science and Psychology ; Domestic violence ; Drug abuse ; Gays & lesbians ; HIV ; HIV Infections - epidemiology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Intimate partner violence ; Male ; Men who have sex with men ; Mens health ; Mental depression ; Original Paper ; Psychology ; Psychosocial factors ; Public Health ; Research Design ; Sexual Behavior ; Sexual Behavior - statistics & numerical data ; Social Sciences ; Substance abuse ; Symptoms ; Syndemic ; Unsafe Sex - statistics & numerical data ; Young Adult</subject><ispartof>Archives of sexual behavior, 2020-08, Vol.49 (6), p.1965-1978</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-946864945e320c6c76c8b4e31c0345ead8bda58cbc43ca059d35da36c3389fcd3</citedby><cites>FETCH-LOGICAL-c474t-946864945e320c6c76c8b4e31c0345ead8bda58cbc43ca059d35da36c3389fcd3</cites><orcidid>0000-0002-2975-2893</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-020-01628-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-020-01628-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31965453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walters, Suzan M.</creatorcontrib><creatorcontrib>Braksmajer, Amy</creatorcontrib><creatorcontrib>Coston, Bethany</creatorcontrib><creatorcontrib>Yoon, Irene</creatorcontrib><creatorcontrib>Grov, Christian</creatorcontrib><creatorcontrib>Downing, Martin J.</creatorcontrib><creatorcontrib>Teran, Richard</creatorcontrib><creatorcontrib>Hirshfield, Sabina</creatorcontrib><title>A Syndemic Model of Exchange Sex Among HIV-Positive Men Who Have Sex With Men</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>Exchange sex is a behavior associated with HIV transmission risk among men who have sex with men (MSM). Few studies have examined exchange sex among HIV-positive MSM. We utilize a syndemic framework to account for co-occurring psychosocial problems that suggest the presence of intertwining epidemics (i.e., syndemics), which have not been examined within the context of exchange sex among HIV-positive MSM. In 2015, MSM were recruited via online sexual networking Web site and app advertisements for Sex Positive!
[+]
, a video-based online intervention that aimed to improve health outcomes for men living with HIV. Participants completed surveys every three months for a year. Surveys covered demographics, drug use, exchange sex, intimate partner violence (IPV), and past 2-week depressive symptoms. We conducted three logistic regression models to assess syndemic factors associated with exchange sex in the past 3 months. Of the 722 HIV-positive MSM included in the sample, 59 (8%) reported exchange sex in the past 3 months at 12-month follow-up. HIV-positive MSM who had more syndemic factors had greater odds of exchange sex. Exchange sex was associated with being African-American/Black, age 18–29 years, past and present experiences with IPV, stimulant use, polysubstance use, and depressive symptoms. Exchange sex was associated with multiple psychosocial factors, indicating exchange sex may be part of a syndemic involving substance use, depression, HIV, and IPV. Interventions should address the social and behavioral circumstances that perpetuate environments that can foster multiple negative health outcomes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Advertising</subject><subject>African Americans</subject><subject>Behavioral Science and Psychology</subject><subject>Domestic violence</subject><subject>Drug abuse</subject><subject>Gays & lesbians</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intimate partner violence</subject><subject>Male</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Mental depression</subject><subject>Original Paper</subject><subject>Psychology</subject><subject>Psychosocial factors</subject><subject>Public Health</subject><subject>Research Design</subject><subject>Sexual Behavior</subject><subject>Sexual Behavior - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of sexual behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walters, Suzan M.</au><au>Braksmajer, Amy</au><au>Coston, Bethany</au><au>Yoon, Irene</au><au>Grov, Christian</au><au>Downing, Martin J.</au><au>Teran, Richard</au><au>Hirshfield, Sabina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Syndemic Model of Exchange Sex Among HIV-Positive Men Who Have Sex With Men</atitle><jtitle>Archives of sexual behavior</jtitle><stitle>Arch Sex Behav</stitle><addtitle>Arch Sex Behav</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>49</volume><issue>6</issue><spage>1965</spage><epage>1978</epage><pages>1965-1978</pages><issn>0004-0002</issn><eissn>1573-2800</eissn><abstract>Exchange sex is a behavior associated with HIV transmission risk among men who have sex with men (MSM). Few studies have examined exchange sex among HIV-positive MSM. We utilize a syndemic framework to account for co-occurring psychosocial problems that suggest the presence of intertwining epidemics (i.e., syndemics), which have not been examined within the context of exchange sex among HIV-positive MSM. In 2015, MSM were recruited via online sexual networking Web site and app advertisements for Sex Positive!
[+]
, a video-based online intervention that aimed to improve health outcomes for men living with HIV. Participants completed surveys every three months for a year. Surveys covered demographics, drug use, exchange sex, intimate partner violence (IPV), and past 2-week depressive symptoms. We conducted three logistic regression models to assess syndemic factors associated with exchange sex in the past 3 months. Of the 722 HIV-positive MSM included in the sample, 59 (8%) reported exchange sex in the past 3 months at 12-month follow-up. HIV-positive MSM who had more syndemic factors had greater odds of exchange sex. Exchange sex was associated with being African-American/Black, age 18–29 years, past and present experiences with IPV, stimulant use, polysubstance use, and depressive symptoms. Exchange sex was associated with multiple psychosocial factors, indicating exchange sex may be part of a syndemic involving substance use, depression, HIV, and IPV. Interventions should address the social and behavioral circumstances that perpetuate environments that can foster multiple negative health outcomes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31965453</pmid><doi>10.1007/s10508-020-01628-8</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-2975-2893</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Advertising African Americans Behavioral Science and Psychology Domestic violence Drug abuse Gays & lesbians HIV HIV Infections - epidemiology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Intimate partner violence Male Men who have sex with men Mens health Mental depression Original Paper Psychology Psychosocial factors Public Health Research Design Sexual Behavior Sexual Behavior - statistics & numerical data Social Sciences Substance abuse Symptoms Syndemic Unsafe Sex - statistics & numerical data Young Adult |
| title | A Syndemic Model of Exchange Sex Among HIV-Positive Men Who Have Sex With Men |
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