ArticleAIDS and behavior2013
Measurement model exploring a syndemic in emerging adult gay and bisexual men.
Article in AIDS and behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.
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Who cites it
92 citing papers in PubMed, 1 synthesis or guideline pooled it, 140 citations in OpenAlex.
- Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept.Social science & medicine (1982) · 2015Pooled it
- Stimulant Use, HIV, and Plasma Metabolites Among Men.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025Article
- Inequitable access to PrEP among gay, bisexual, and other men who have sex with men in Canada: A network analysis of social indicators.SSM - population health · 2025Article
- The American Transformative HIV Study: Protocol for a US National Cohort of Sexual and Gender Minority Individuals With HIV.JMIR public health and surveillance · 2025Article
- Mapping a psychosocial syndemic among methamphetamine-using sexual minority men living with HIV.Drug and alcohol review · 2024Article
- Advancing Adolescent and Young Adult HIV Prevention and Care and Treatment Through Use of Multi-level Theories and Frameworks: A Scoping Review and Adapted HIV Ecological Framework.AIDS and behavior · 2024Article
- Examining the secondary impacts of the COVID-19 pandemic on syndemic production and PrEP use among gay, bisexual and other men who have sex with men (GBM) in Vancouver, Canada.BMC public health · 2023Article
- "The Fight is Two Times as Hard": A Qualitative Examination of a Violence Syndemic Among Young Black Sexual Minority Men.Journal of interpersonal violence · 2023Article
- Trajectories of Emerging Adults' Binge Drinking and Depressive Symptoms and Associations With Sexual Violence Victimization: Examining Differences by Sexual and Gender Minority Status.Journal of interpersonal violence · 2023Article
- Structural racism and homophobia evaluated through social media sentiment combined with activity spaces and associations with mental health among young sexual minority men.Social science & medicine (1982) · 2023Article
- Psychological and Emotional Impact of COVID-19 Pandemic on People Living with Chronic Disease: HIV and Cancer.AIDS and behavior · 2022Article
- Post-Exposure Prophylaxis and Methamphetamine Use among Young Sexual Minority Men: The P18 Cohort Study.International journal of environmental research and public health · 2022Article
- Do psychosocial factors mediate sexual minorities' risky sexual behaviour? A twin study.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
- Prevalence and Correlates of Sexual Violence Experienced by Young Adult Black Men Who Have Sex with Men.Archives of sexual behavior · 2021Article
- Syndemic Profiles and Sexual Minority Men's HIV-Risk Behavior: A Latent Class Analysis.Archives of sexual behavior · 2021Article
- Assessing Perceptions of Broad Consent Concerning Biological Specimen Collection in a Cohort of Young Sexual Minority Men.Archives of sexual behavior · 2021Article
- Correlates of PrEP Uptake Among Young Sexual Minority Men and Transgender Women in New York City: The Need to Reframe "Risk" Messaging and Normalize Preventative Health.AIDS and behavior · 2021Article
- Understanding Patterns of Healthy Aging Among Men Who Have Sex With Men: Protocol for an Observational Cohort Study.JMIR research protocols · 2021Article
- Event-level patterns of methamphetamine and poly-drug use among millennial sexual minority men: The P18 Cohort Study.Addictive behaviors · 2021Article
- Evidence for the Confluence of Cigarette Smoking, Other Substance Use, and Psychosocial and Mental Health in a Sample of Urban Sexual Minority Young Adults: The P18 Cohort Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Article
32 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
The current study was designed to develop a better understanding of the nature of the relationships between mental health burden, drug use, and unprotected sexual behavior within a sample of emerging adult gay and bisexual men, ages 18-19 (N = 598) and to test a theory of syndemics using structural equation modeling. Participants were actively recruited from community-based settings and the Internet for participation in a seven-wave cohort study. Data for participant characteristics and mental health were collected via computer-assisted survey, while drug use and unprotected sex behaviors for the month prior to assessment were collected via a calendar-based technique. Using the baseline data, we developed and tested structural equation models for mental health burden, drug use, and unprotected sex and also tested a second-order model for a single syndemic. First-order measurement models for each of the three epidemics were successfully identified using observed data. Tests of a second-order model seeking to explain the three epidemics as a single syndemic fit poorly. However, a second-order construct comprised of mental health burden and drug use fit the data well and was highly associated with the first-order construct of unprotected sex. The findings advance a theory of syndemics and suggest that in order to be maximally effective both HIV prevention and HIV care must be delivered holistically such that sexual risk behaviors are addressed in relation to, and in sync with, the drug use and mental health of the individual.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.