Association between a syndemic of psychosocial problems and unprotected anal intercourse among men who have sex with men in Shanghai, China

Wang, Ying; Wang, Zezhou; Jia, Mengmeng; Liang, Ajuan; Dong, Yuan; Sun, Zhe; Gan, Feng; Wang, Yichen; Cai, Yong; Zhang, Zhiruo

doi:10.1186/s12879-016-2132-8

Cited by 27 publications

(27 citation statements)

References 45 publications

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“…The CES-D scale [23] is usually used as a screening tool in clinical practice and has high sensitivity, which may have led to the higher depression prevalence found in our study. In studies carried in Shanghai and west China, 52.1% and 50.8% had depression symptoms [2,24], which is higher than the results in our study; despite adopting the same depression scale, these discrepancies might be due to differences in culture and HIV infection status.…”

Section: Discussioncontrasting

confidence: 92%

The Prevalence of Depression Associated with the Infection Status and Sexual Behaviors among Men Who Have Sex with Men in Shenzhen, China: A Cross-Sectional Study

Sun

Fang

et al. 2019

IJERPH

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Objective: To study the prevalence of depression and related factors among men who have sex with men (MSM) in Shenzhen China. Methods: Using a cross-sectional design, convenient sampling was applied to recruit participants at the AIDS(Acquired Immune Deficiency Syndrome)voluntary counseling and testing (VCT) clinic and gay clubs in 2015, thereby collecting data on sociodemographics, serological information, sexual behaviotablers, and depression. Descriptive analyses were conducted to determine the distribution of the measured variables. A chi-square test was applied to test the association between different levels of factors and depression status, alongside a binary logistic regression for multivariate analysis of depression. Results: A total of 334 MSM completed the survey. Their mean age was 29.88 ± 7.56, and 35.6% had at least college education; 44.9% considered themselves to be homosexual, and 43.4% considered themselves bisexual. The median score of depression was 12, with 116 people (34.7%) depressed. A total of 267 took the serological test. Of these 267, 60 (22.5%) were reported HIV(Human Immunodeficiency Virus) positive, 33 (12.4%) were syphilis positive, and none were hepatitis C positive. The multiple logistic regression analysis showed that a lack of awareness of AIDS knowledge (OR(Odds Ratio): 2.636, 95% CI(confidence interval): 1.384–5.020), peer education (OR: 1.752, 95% CI: 1.055–2.190), and lack of heterosexuality (OR: 1.805, 95% CI: 1.080–3.018) increased the odds of depression. Conclusion: Raising awareness of AIDS and strengthening peer education can improve depression among men who have sex with men.

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Section: Discussioncontrasting

confidence: 92%

The Prevalence of Depression Associated with the Infection Status and Sexual Behaviors among Men Who Have Sex with Men in Shenzhen, China: A Cross-Sectional Study

Sun

Fang

et al. 2019

IJERPH

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“…Respondents that identified as MSM and had an income above 10,000 Nepalese rupees had a lower likelihood of using a condom in the last sexual encounter compared to respondents that earned less. Studies have shown both low and high income to be associated with more unprotected sex and the underlying reason behind the observed association is not clear [32][33][34]. Controlling for the other covariates in the model, being forced by family to marry a female was associated with lack of condom use during the last sexual encounter among MSM.…”

Section: Individual and Socio-structural Factors Associated With Sexumentioning

confidence: 86%

Prevalence of HIV, syphilis, and assessment of the social and structural determinants of sexual risk behaviour and health service utilisation among MSM and transgender women in Terai highway districts of Nepal: findings based on an integrated biological and behavioural surveillance survey using respondent driven sampling

et al. 2020

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Background: Men who have sex with men (MSM) and transgender people are disproportionately affected by HIV and sexually transmitted infections. MSM and transgender people in Nepal experience considerable discrimination and marginalisation, they are subject to abuse from legal authorities and suffer from mental health issues. These social and structural factors can lead to increased sexual risk behaviour, barriers to accessing health care and result in adverse health outcomes. This study aims to assess the prevalence of HIV and syphilis, and how individual and socio-structural factors influence sexual risk behaviour and health care service uptake, among MSM and transgender women in the Terai highway districts of Nepal. Methods: A cross-sectional survey was conducted in June 2016 in eight Terai highway districts of Nepal, recruiting 340 MSM and transgender women through respondent driven sampling. The primary outcome variables were HIV and syphilis prevalence. The secondary outcome variables were sexual risk behaviour and health care service uptake. Logistic regression models were used to assess the individual and socio-structural determinants of sexual risk behaviour and health care service uptake.

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“…Since Singer et al (7), first described the syndemic theory, a growing number of studies have utilized this framework to understand HIV sexual risks in diverse populations in North America (39–42), Asia (43) and now emerging in sub-Saharan Africa (9,44). Here we extend the syndemic framework to young men residing in an informal township setting in Cape Town, South Africa.…”

Section: Discussionmentioning

confidence: 99%

Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

et al. 2018

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Young men in South Africa experience several adverse socio-structural and psychosocial factors that may contribute HIV risk behaviors. This study applied a syndemic framework to explore whether these syndemic factors are interconnected and work in synergy to increase HIV risk behaviors. Five syndemic factors were assessed including: binge drinking, polydrug use, depressive symptoms, violence and food insecurity on two HIV risk behaviors: multiple sex partners and transactional sex. Participants were (N = 1233) young men aged 18-29 years from a township in Cape Town, South Africa. Bivariate logistic regression analysis demonstrated that many of the syndemic factors were related to one another. Pairwise interactions (on an additive scale) among the syndemic factors revealed significant positive interactions between binge drinking and violence on greater odds of reporting multiple sex partners (aOR = 5.10, 95% CI 3.10, 8.29; p = < .001) compared to reporting neither factor. Also, food insecurity and violence (aOR = 2.89, 95% CI 1.63, 5.11; p = < .001) as well as food insecurity and polydrug use (aOR = 2.73, 95% CI 1.54, 4.84; p = < .001) were significantly associated with greater odds of transactional sex compared to reporting neither factor. Our findings highlight a synergistic relationship between some adverse socio-structural and psychosocial factors on HIV risk behaviors. HIV prevention programs that address multiple syndemic factors simultaneously may achieve greater impact on HIV risk reduction.

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Association between a syndemic of psychosocial problems and unprotected anal intercourse among men who have sex with men in Shanghai, China

Cited by 27 publications

References 45 publications

The Prevalence of Depression Associated with the Infection Status and Sexual Behaviors among Men Who Have Sex with Men in Shenzhen, China: A Cross-Sectional Study

The Prevalence of Depression Associated with the Infection Status and Sexual Behaviors among Men Who Have Sex with Men in Shenzhen, China: A Cross-Sectional Study

Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

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