Muñoz-Laboy Miguel, Martinez Omar, Levine Ethan C, Mattera Brian T, Isabel Fernandez M
School of Social Work, College of Public Health, Temple University, Ritter Annex, 505, Philadelphia, PA, 19122, USA.
Behavioral Health Promotion Program, Nova Southeastern University, Fort Lauderdale, FL, USA.
J Immigr Minor Health. 2018 Apr;20(2):497-501. doi: 10.1007/s10903-017-0568-6.
Syndemics research has made great contributions to understanding sexual risk among Latino men who have sex with men. However, such work often combines data for behaviorally bisexual men with data for men with exclusively same-sex partners. Using cross-sectional data from 148 behaviorally bisexual Latino men, this study explored the impact of syndemic factors-polydrug use, childhood sexual abuse, and depression-on sexual risk behaviors and STI incidence. Approximately one-third of participants reported polydrug use, 22% reported childhood sexual abuse, and 26% screened for clinically significant depressive symptoms. An increase in syndemic factors was associated with increased odds of lifetime STI incidence and condomless receptive anal intercourse with men; however, the model did not predict condomless insertive anal intercourse with men or condomless vaginal intercourse. More efforts are needed to explore the varying mechanisms, including but not restricted to the combined impact of syndemic conditions, that influence sexual risk in this population.
综合征研究为理解与男性发生性行为的拉丁裔男性的性风险做出了巨大贡献。然而，此类研究往往将行为双性恋男性的数据与仅拥有同性伴侣的男性的数据合并在一起。本研究利用来自148名行为双性恋拉丁裔男性的横断面数据，探讨了综合征因素——多药滥用、童年期性虐待和抑郁——对性风险行为和性传播感染发病率的影响。约三分之一的参与者报告有多药滥用情况，22%报告有童年期性虐待经历，26%筛查出有临床显著的抑郁症状。综合征因素的增加与终身性传播感染发病率以及与男性无保护的被动肛交几率增加相关；然而，该模型无法预测与男性无保护的主动肛交或无保护的阴道性交情况。需要做出更多努力来探索影响该人群性风险的不同机制，包括但不限于综合征状况的综合影响。
