ArticleAmerican journal of community psychology2015
A Social Ecological Model of Syndemic Risk affecting Women with and At-Risk for HIV in Impoverished Urban Communities.
Article in American journal of community psychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Complexity of Adherence Challenges: Understanding Syndemic Factors Affecting HIV Treatment Adherence During Treatment Initiation in Cape Town, South Africa.AIDS and behavior · 2026Article
- Multiple Discrimination, Substance-Related Coping, and Depression Among Sexual Minority Men with HIV.Journal of homosexuality · 2026Article
- Firearm-related violence in the Caribbean is a complex systemic issue: how do we move towards a solution?Lancet regional health. Americas · 2025Review
- A Multipronged, Community-Partnered Intervention (The TALK) to Improve Parent-Adolescent Communication About Sexual Health and Racial Discrimination Among Black Male Adolescents and Young Adults and Their Caregivers: Protocol for a Feasibility and Acceptability Study.JMIR research protocols · 2025Article
- A Systematic Review of Systems Science Approaches to Understand and Address Domestic and Gender-Based Violence.Journal of family violence · 2023Article
- The Application of Systems Thinking to the Prevention and Control of Sexually Transmissible Infections among Adolescents and Adults: A Scoping Review.International journal of environmental research and public health · 2023Article
- Sexual health promotion for sexual and gender minorities in primary care: a scoping review protocol.BMJ open · 2023Article
- Emerging from the global syndemic crucible: Finding belonging in a post corona future.Futures · 2022Article
- Tools for Supporting the MCH Workforce in Addressing Complex Challenges: A Scoping Review of System Dynamics Modeling in Maternal and Child Health.Maternal and child health journal · 2022Article
- Global research on syndemics: a meta-knowledge analysis (2001-2020).F1000Research · 2022Article
- Exploring Perceived Barriers and Facilitators of PrEP Uptake among Young People in Uganda, Zimbabwe, and South Africa.Archives of sexual behavior · 2021Article
- Improving Clinical Research to Inform Advocacy Initiatives with Underserved Individuals.The Behavior therapist · 2020Article
- Effectiveness of Social Measures against COVID-19 Outbreaks in Selected Japanese Regions Analyzed by System Dynamic Modeling.International journal of environmental research and public health · 2020Article
- What determines employment quality among people living with HIV: An empirical study in China.PloS one · 2020Article
- Syndemics: A theory in search of data or data in search of a theory?Social science & medicine (1982) · 2018Article
- Are trajectories of a syndemic index in adolescence linked to HIV vulnerability in emerging and young adulthood?AIDS (London, England) · 2018Article
- Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load.American journal of community psychology · 2017Article
- Prevalence, type, and correlates of trauma exposure among adolescent men and women in Soweto, South Africa: implications for HIV prevention.BMC public health · 2016Article
- The Potential of Pre-Exposure Prophylaxis for Women in Violent Relationships.AIDS patient care and STDs · 2016Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
Syndemic risk is an ecological construct, defined by co-occurring interdependent socio-environmental, interpersonal and intrapersonal determinants. We posited syndemic risk to be a function of violence, substance use, perceived financial hardship, emotional distress and self-worth among women with and at-risk for HIV in an impoverished urban community. In order to better understand these interrelationships, we developed and validated a system dynamics (SD) model based upon peer-reviewed literature; secondary data analyses of a cohort dataset including women living with and at-risk of HIV in Bronx, NY (N = 620); and input from a Bronx-based community advisory board. Simulated model output revealed divergent levels and patterns of syndemic risk over time across different sample profiles. Outputs generated new insights about how to effectively explore multicomponent multi-level programs in order to strategically develop more effective services for this population. Specifically, the model indicated that effective multi-level interventions might bolster women's resilience by increasing self-worth, which may result in decreased perceived financial hardship and risk of violence. Overall, our stakeholder-informed model depicts how self-worth may be a major driver of vulnerability and a meaningful addition to syndemic theory affecting this population.
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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.