Syndemics and the PrEP Cascade: Results from a Sample of Young Latino Men Who Have Sex with Men
Young Latino men who have sex with men (MSM) are a highly vulnerable population for HIV infection. Pre-exposure prophylaxis (PrEP) is a novel biomedical HIV prevention tool that may aid in reducing the disparity in HIV incidence among Latino MSM. However, PrEP use is disproportionally low among Lati...
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| Veröffentlicht in: | Archives of sexual behavior 2020-01, Vol.49 (1), p.125-135 |
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| creator | Blashill, Aaron J. Brady, John P. Rooney, Benjamin M. Rodriguez-Diaz, Carlos E. Horvath, Keith J. Blumenthal, Jill Morris, Sheldon Moore, David J. Safren, Steven A. |
| description | Young Latino men who have sex with men (MSM) are a highly vulnerable population for HIV infection. Pre-exposure prophylaxis (PrEP) is a novel biomedical HIV prevention tool that may aid in reducing the disparity in HIV incidence among Latino MSM. However, PrEP use is disproportionally low among Latino MSM and, therefore, identifying barriers along the PrEP continuum of care (the “PrEP cascade”) would provide insight into how to best deploy PrEP interventions. Syndemics theory is a prominent framework employed in HIV prevention; however, to date, no known studies have applied this theory to PrEP. Thus, the aim of the current study was to explore the association between syndemics and the PrEP cascade, including the degree to which psychosocial and structural syndemic constructs are related to the PrEP cascade. Participants were 151 young Latino MSM (
M
age = 24 years; SD = 3) residing in San Diego, California, who completed a battery of online self-report measures. Results indicated high levels of syndemic indicators and varying levels of engagement across the PrEP cascade. As syndemic indicators increased, the odds of engagement across the PrEP cascade were significantly lowered. Psychosocial and structural syndemic factors accounted for unique variance in the PrEP cascade. Results highlight the need for combination interventions that address both psychosocial and structural barriers to PrEP use and persistence among young Latino MSM. |
| doi_str_mv | 10.1007/s10508-019-01470-7 |
| format | Article |
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M
age = 24 years; SD = 3) residing in San Diego, California, who completed a battery of online self-report measures. Results indicated high levels of syndemic indicators and varying levels of engagement across the PrEP cascade. As syndemic indicators increased, the odds of engagement across the PrEP cascade were significantly lowered. Psychosocial and structural syndemic factors accounted for unique variance in the PrEP cascade. Results highlight the need for combination interventions that address both psychosocial and structural barriers to PrEP use and persistence among young Latino MSM.</description><identifier>ISSN: 0004-0002</identifier><identifier>ISSN: 1573-2800</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-019-01470-7</identifier><identifier>PMID: 31591666</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Behavioral Science and Psychology ; Disease prevention ; Drug therapy ; Gays & lesbians ; Health behavior ; Hispanic or Latino ; Hispanic people ; HIV ; HIV Infections - prevention & control ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Incidence ; Male ; Mens health ; Patient compliance ; Pre-Exposure Prophylaxis - methods ; Psychology ; Public Health ; Sexual Behavior ; Social Sciences ; Special Section: Social and Behavioral Science with Gay and Bisexual Men in the Era of Biomedical Prevention ; Surveys and Questionnaires ; Syndemic ; Young Adult ; Young adults</subject><ispartof>Archives of sexual behavior, 2020-01, Vol.49 (1), p.125-135</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Archives of Sexual Behavior is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2225e9e8715496d414e44c95e36edc01510baecd24731c4939e27482c3a928ae3</citedby><cites>FETCH-LOGICAL-c474t-2225e9e8715496d414e44c95e36edc01510baecd24731c4939e27482c3a928ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-019-01470-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-019-01470-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31591666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blashill, Aaron J.</creatorcontrib><creatorcontrib>Brady, John P.</creatorcontrib><creatorcontrib>Rooney, Benjamin M.</creatorcontrib><creatorcontrib>Rodriguez-Diaz, Carlos E.</creatorcontrib><creatorcontrib>Horvath, Keith J.</creatorcontrib><creatorcontrib>Blumenthal, Jill</creatorcontrib><creatorcontrib>Morris, Sheldon</creatorcontrib><creatorcontrib>Moore, David J.</creatorcontrib><creatorcontrib>Safren, Steven A.</creatorcontrib><title>Syndemics and the PrEP Cascade: Results from a Sample of Young Latino Men Who Have Sex with Men</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>Young Latino men who have sex with men (MSM) are a highly vulnerable population for HIV infection. Pre-exposure prophylaxis (PrEP) is a novel biomedical HIV prevention tool that may aid in reducing the disparity in HIV incidence among Latino MSM. However, PrEP use is disproportionally low among Latino MSM and, therefore, identifying barriers along the PrEP continuum of care (the “PrEP cascade”) would provide insight into how to best deploy PrEP interventions. Syndemics theory is a prominent framework employed in HIV prevention; however, to date, no known studies have applied this theory to PrEP. Thus, the aim of the current study was to explore the association between syndemics and the PrEP cascade, including the degree to which psychosocial and structural syndemic constructs are related to the PrEP cascade. Participants were 151 young Latino MSM (
M
age = 24 years; SD = 3) residing in San Diego, California, who completed a battery of online self-report measures. Results indicated high levels of syndemic indicators and varying levels of engagement across the PrEP cascade. As syndemic indicators increased, the odds of engagement across the PrEP cascade were significantly lowered. Psychosocial and structural syndemic factors accounted for unique variance in the PrEP cascade. Results highlight the need for combination interventions that address both psychosocial and structural barriers to PrEP use and persistence among young Latino MSM.</description><subject>Adult</subject><subject>Behavioral Science and Psychology</subject><subject>Disease prevention</subject><subject>Drug therapy</subject><subject>Gays & lesbians</subject><subject>Health behavior</subject><subject>Hispanic or Latino</subject><subject>Hispanic people</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Mens health</subject><subject>Patient compliance</subject><subject>Pre-Exposure Prophylaxis - methods</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Sexual Behavior</subject><subject>Social Sciences</subject><subject>Special Section: Social and Behavioral Science with Gay and Bisexual Men in the Era of Biomedical Prevention</subject><subject>Surveys and Questionnaires</subject><subject>Syndemic</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0004-0002</issn><issn>1573-2800</issn><issn>1573-2800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9kd9PFDEQxxuikRP9B3wwTXzhZaW_u-WBhFxQSM5APIjxqSndubslu-3R7qL89_Y8BPTBh-lMOp_5tpMvQu8o-UgJ0QeZEknqilBTQmhS6R00oVLzitWEvEATQoioysF20eucb0qllZCv0C6n0lCl1ATZ-X1ooG99xi40eFgBvkgnF3jqsncNHOKvkMduyHiRYo8dnrt-3QGOC_w9jmGJZ25oQ8RfIOBvq4hP3R3gOfzEP9phtbl9g14uXJfh7UPeQ1efTi6np9Xs_PPZ9HhWeaHFUDHGJBioNZXCqEZQAUJ4I4EraDyhkpJrB75hQnPqheEGmBY189wZVjvge-hoq7ser_syAmFIrrPr1PYu3dvoWvt3J7Qru4x3VjPFtDZFYP9BIMXbEfJg-zZ76DoXII7ZMk6YqAlXuqAf_kFv4phCWa9QkhdEaVkotqV8ijknWDx-hhK78c9u_bPFP_vbP7uRfv98jceRP4YVgG-BXFphCenp7f_I_gJJdaPO</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Blashill, Aaron J.</creator><creator>Brady, John P.</creator><creator>Rooney, Benjamin M.</creator><creator>Rodriguez-Diaz, Carlos E.</creator><creator>Horvath, Keith J.</creator><creator>Blumenthal, Jill</creator><creator>Morris, Sheldon</creator><creator>Moore, David J.</creator><creator>Safren, Steven A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7R6</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200101</creationdate><title>Syndemics and the PrEP Cascade: Results from a Sample of Young Latino Men Who Have Sex with Men</title><author>Blashill, Aaron J. ; Brady, John P. ; Rooney, Benjamin M. ; Rodriguez-Diaz, Carlos E. ; Horvath, Keith J. ; Blumenthal, Jill ; Morris, Sheldon ; Moore, David J. ; Safren, Steven A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-2225e9e8715496d414e44c95e36edc01510baecd24731c4939e27482c3a928ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Behavioral Science and Psychology</topic><topic>Disease prevention</topic><topic>Drug therapy</topic><topic>Gays & lesbians</topic><topic>Health behavior</topic><topic>Hispanic or Latino</topic><topic>Hispanic people</topic><topic>HIV</topic><topic>HIV Infections - 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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>Blashill, Aaron J.</au><au>Brady, John P.</au><au>Rooney, Benjamin M.</au><au>Rodriguez-Diaz, Carlos E.</au><au>Horvath, Keith J.</au><au>Blumenthal, Jill</au><au>Morris, Sheldon</au><au>Moore, David J.</au><au>Safren, Steven A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Syndemics and the PrEP Cascade: Results from a Sample of Young Latino Men Who Have Sex with Men</atitle><jtitle>Archives of sexual behavior</jtitle><stitle>Arch Sex Behav</stitle><addtitle>Arch Sex Behav</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>49</volume><issue>1</issue><spage>125</spage><epage>135</epage><pages>125-135</pages><issn>0004-0002</issn><issn>1573-2800</issn><eissn>1573-2800</eissn><abstract>Young Latino men who have sex with men (MSM) are a highly vulnerable population for HIV infection. Pre-exposure prophylaxis (PrEP) is a novel biomedical HIV prevention tool that may aid in reducing the disparity in HIV incidence among Latino MSM. However, PrEP use is disproportionally low among Latino MSM and, therefore, identifying barriers along the PrEP continuum of care (the “PrEP cascade”) would provide insight into how to best deploy PrEP interventions. Syndemics theory is a prominent framework employed in HIV prevention; however, to date, no known studies have applied this theory to PrEP. Thus, the aim of the current study was to explore the association between syndemics and the PrEP cascade, including the degree to which psychosocial and structural syndemic constructs are related to the PrEP cascade. Participants were 151 young Latino MSM (
M
age = 24 years; SD = 3) residing in San Diego, California, who completed a battery of online self-report measures. Results indicated high levels of syndemic indicators and varying levels of engagement across the PrEP cascade. As syndemic indicators increased, the odds of engagement across the PrEP cascade were significantly lowered. Psychosocial and structural syndemic factors accounted for unique variance in the PrEP cascade. Results highlight the need for combination interventions that address both psychosocial and structural barriers to PrEP use and persistence among young Latino MSM.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31591666</pmid><doi>10.1007/s10508-019-01470-7</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of sexual behavior, 2020-01, Vol.49 (1), p.125-135 |
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| subjects | Adult Behavioral Science and Psychology Disease prevention Drug therapy Gays & lesbians Health behavior Hispanic or Latino Hispanic people HIV HIV Infections - prevention & control Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Incidence Male Mens health Patient compliance Pre-Exposure Prophylaxis - methods Psychology Public Health Sexual Behavior Social Sciences Special Section: Social and Behavioral Science with Gay and Bisexual Men in the Era of Biomedical Prevention Surveys and Questionnaires Syndemic Young Adult Young adults |
| title | Syndemics and the PrEP Cascade: Results from a Sample of Young Latino Men Who Have Sex with Men |
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