Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India.

ABSTRACT: Syndemic theory describes the clustering and synergistic interaction of disease driven by contextual and social factors, which worsen health outcomes for a population, and has been applied to men who have sex with men (MSM) and their risk for HIV and other sexually transmitted infections. Recent reviews, however, have critiqued prevailing approaches in syndemic studies that assess only additive associations without evaluation of synergy. Following these suggestions, we compared the traditional additive approach with a test for synergistic association of 5 syndemic conditions (alcohol dependence, illicit drug use, depression, intimate partner violence (IPV), and childhood sexual abuse (CSA)) with unprotected anal intercourse (UAI) and active syphilis infection among 11,771 MSM recruited thr

SUBMITTER: Tomori C 

PROVIDER: S-EPMC5955386 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature