@article{ref1,
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",
journal="AIDS and behavior",
year="2019",
author="Chandler, Cristian J. and Bukowski, Leigh A. and Matthews, Derrick D. and Hawk, Mary E. and Markovic, Nina and Egan, James E. and Stall, Ronald D.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
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.<p /> <p>Language: en</p>",
language="en",
issn="1090-7165",
doi="10.1007/s10461-019-02458-z",
url="http://dx.doi.org/10.1007/s10461-019-02458-z"
}