Prospective Effects of a Syndemic on HIV and STI Incidence and Risk Behaviors in a Cohort of Young Men Who Have Sex with Men

Mustanski, Brian; Phillips, Gregory; Ryan, Daniel T.; Swann, Gregory; Kuhns, Lisa M.; Garofalo, Robert

doi:10.1007/s10461-016-1607-3

Cited by 49 publications

(37 citation statements)

References 80 publications

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“…Structural inequalities that disproportionately impact sexual minority populations, including poverty, homelessness, and inadequate employment, have also been found to be directly linked to sexual risk behavior ( Forsyth & Valdiserri, 2015 ; Mena, Crosby, & Geter, 2016 ; Nelson et al, 2016 ; Whittle et al, 2015 ). The syndemic impact of structural inequality, marginalization, and violence experienced by MSM has been identified as a potential cause for the continued high risk for HIV acquisition among MSM, particularly young and racial/ethnic minority MSM ( Mustanski et al, 2017 ; Wilson et al, 2014 ). The findings from the present study suggest that MSM may have concerns beyond HIV prevention that may be associated with HIV risk and also may prevent seeking out HIV prevention services.…”

Section: Discussionmentioning

confidence: 99%

HIV Prioritization and Risk Perception Among an Online Sample of Men Who Have Sex With Men in the United States

et al. 2018

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Men who have sex with men (MSM) may prioritize interpersonal and structural factors, such as LGBTQ-related inequalities, housing instability, financial insecurity, and relationship seeking, over HIV prevention. The aim of this study was to assess how MSM prioritize HIV relative to other factors and the association between HIV prioritization, HIV testing and sexual risk behavior, and perceived risk. Data were collected from a national online survey of MSM in the United States assessing HIV knowledge and prioritization. Participants ranked HIV prevention relative to LGBTQ-related concerns and life issues (e.g., housing, job, relationship). Adjusted regression models were conducted to assess the association of HIV prioritization with HIV testing and condomless anal sex (CAS) and to evaluate associations between perceived risk and HIV risk behavior. Among 516 participants, HIV prevention was ranked significantly higher among MSM reporting recent CAS (p = .04) and HIV testing within the past (p = .02); HIV prevention was prioritized higher relative to life issues among MSM reporting last HIV test more than 1 year ago (p = .02). Perceived HIV risk was significantly associated with higher HIV prioritization relative to LGBTQ concerns (p = .001) and life issues (p = .001). Higher HIV perceived risk was associated with lower odds of any CAS (p < .001) and higher odds of having an HIV test in the past year (p < .001). In this online study, HIV prioritization was identified as differentially associated with HIV testing, sexual risk behavior, and perceived HIV risk. HIV prevention programs should integrate strategies to address social and structural inequalities based on priority needs of MSM.

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Section: Discussionmentioning

confidence: 99%

HIV Prioritization and Risk Perception Among an Online Sample of Men Who Have Sex With Men in the United States

et al. 2018

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“…First, Crew 450 was a longitudinal study designed to analyze the prevalence, course, and predictors of a syndemic of psychosocial health issues linked to HIV among YMSM (N=450) 5,42 . Participants were aged 16-20 at baseline and were recruited via targeted in-person outreach, geosocial network applications, and peer-incentivized snowball sampling.…”

Section: Methodsmentioning

confidence: 99%

Effects of Parental Monitoring and Knowledge on Substance Use and HIV Risk Behaviors Among Young Men Who have Sex with Men: Results from Three Studies

et al. 2017

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Young men who have sex with men (YMSM) are disproportionately impacted by HIV/AIDS and have elevated rates of substance use. Parenting practices, such as knowledge of child whereabouts and monitoring of behavioral rules, protect against these outcomes among heterosexual youth. This article examined the relationship between these parenting practices and substance use and HIV risk behaviors among YMSM. Data are reported from three similar studies of YMSM: ChiGuys (ages 14-18), Crew 450 (ages 16-22), and RADAR (ages 16-29). The ChiGuys and RADAR studies report cross-sectional analyses, whereas Crew 450 reports latent growth curve analyses. In ChiGuys and Crew 450, participants reported significantly higher scores for parental knowledge of general activities than parental knowledge of gay-specific activities. Parental knowledge of general activities was significantly associated with less binge drinking in both samples and with condomless sex in the ChiGuys sample. Parental monitoring was significantly associated with less marijuana use and condomless sex in younger RADAR participants (16-18 years) and with less drug use in older participants (>18 years). Findings support the need for further research on the influences of parents on YMSM health risk behaviors and the value of exploring family- and parent-interventions to address YMSM health.

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“…Participants were recruited using various methodologies. A subset of participants from two existing longitudinal cohort studies, Project Q2 (Mustanski et al, 2016) and Crew 450 (Mustanski et al, 2017) who were first recruited in 2007 and 2010 respectively, were eligible for enrollment. In 2015, a third cohort was recruited using similar approaches to the prior studies.…”

Section: 0 Methodsmentioning

confidence: 99%

Prevalence and correlates of smoking and e-cigarette use among young men who have sex with men and transgender women

Gerend

Newcomb

Mustanski

2017

Drug and Alcohol Dependence

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Background Although the prevalence of cigarette smoking in the United States has decreased, rates remain elevated among sexual and gender minorities (SGMs). This study examined rates and correlates of tobacco use among young men who have sex with men (YMSM) and transgender women. Methods Participants (N=771) were drawn from the baseline assessment of an ongoing longitudinal cohort study of racially diverse MSM aged 16–29 years. Data collection took place in 2015–2016. Socio-demographic and SGM-specific (e.g., gender identity, sexual identity, physical attraction) correlates of cigarette smoking and electronic cigarette (e-cigarette) use were identified using logistic regression. Results Twenty-one percent were current cigarette smokers. Nearly 40% ever tried an e-cigarette, but regular e-cigarette use was low (3.8%). Smokers were more likely to be older (vs. aged 16–18), less educated, homeless, bisexual or identify as some other sexual minority (vs. gay), attracted to males and females equally or more attracted to females than males (vs. males only), and HIV-positive. E-cigarette users were more likely to be transgender women (vs. cisgender men), White (vs. Black), more educated, and mostly attracted to females. Conclusions Findings highlight important risk factors for tobacco use among SGM youth. Correlates of smoking mirrored findings observed in the general population, but also included factors specific to SGM youth (e.g., sexual orientation, HIV status, homelessness). Although some variables (gender identity, attraction) demonstrated similar relationships with smoking and e-cigarette use, others (race/ethnicity, education) demonstrated opposite patterns. Findings underscore the urgent need for tobacco prevention and cessation interventions for SGM youth.

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Prospective Effects of a Syndemic on HIV and STI Incidence and Risk Behaviors in a Cohort of Young Men Who Have Sex with Men

Cited by 49 publications

References 80 publications

HIV Prioritization and Risk Perception Among an Online Sample of Men Who Have Sex With Men in the United States

HIV Prioritization and Risk Perception Among an Online Sample of Men Who Have Sex With Men in the United States

Effects of Parental Monitoring and Knowledge on Substance Use and HIV Risk Behaviors Among Young Men Who have Sex with Men: Results from Three Studies

Prevalence and correlates of smoking and e-cigarette use among young men who have sex with men and transgender women

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