Pantalone David W, Valentine Sarah E, Woodward Eva N, O'Cleirigh Conall
University of Massachusetts Boston, Department of Psychology, Boston, Massachusetts.
Fenway Health, The Fenway Institute, Boston, Massachusetts.
J Gay Lesbian Ment Health. 2018;22(1):71-87. doi: 10.1080/19359705.2017.1389794. Epub 2017 Nov 28.
Research on men who have sex with men (MSM) has uncovered psychosocial factors (syndemic indicators) that are associated additively with poor health. To test these relations in a sample of HIV-positive MSM, we enrolled 166 patients from two HIV clinics. We investigated relations between syndemic indicators and outcomes including medication nonadherence, condomless anal sex (CAS), and healthcare utilization. A large proportion of participants reported each syndemic indicator: polysubstance use 43%, suicide attempt 28%, childhood sexual abuse 39%, partner abuse 64%. Analyses confirmed an additive effect, whereby endorsing 1+ indicator was associated with increased odds of medication nonadherence and medical hospitalization.
对男男性行为者（MSM）的研究发现了一些心理社会因素（综合征指标），这些因素与健康状况不佳呈累加关联。为了在HIV阳性男男性行为者样本中检验这些关系，我们从两家HIV诊所招募了166名患者。我们调查了综合征指标与包括药物治疗不依从、无保护肛交（CAS）和医疗保健利用等结果之间的关系。很大一部分参与者报告了每项综合征指标：多种物质使用占43%，自杀未遂占28%，童年期性虐待占39%，伴侣虐待占64%。分析证实了累加效应，即认可1项及以上指标与药物治疗不依从和住院治疗几率增加有关。
