TY  - JOUR
PY  - 2018//
TI  - Syndemic indicators predict poor medication adherence and increased healthcare utilization for urban HIV-positive men who have sex with men
JO  - Journal of gay and lesbian mental health
A1  - Pantalone, D.W.
A1  - Valentine, S.E.
A1  - Woodward, E.N.
A1  - O'Cleirigh, C.
SP  - 71
EP  - 87
VL  - 22
IS  - 1
N2  - 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. © 2018 Taylor and Francis Group, LLC. All rights reserved.<p /> <p>Language: en</p>
LA  - en
SN  - 1935-9705
UR  - http://dx.doi.org/10.1080/19359705.2017.1389794
ID  - ref1
ER  -