ArticleAIDS and behavior2017
Prospective Effects of a Syndemic on HIV and STI Incidence and Risk Behaviors in a Cohort of Young Men Who Have Sex with Men.
Article in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed.
- Strengthening resilience to reduce HIV risk in Indian MSM: a multicity, randomised, clinical efficacy trial.The Lancet. Global health · 2021Trial
- Enhancing help-seeking behaviour among men who have sex with men at risk for sexually transmitted infections: the syn.bas.in randomised controlled trial.Sexually transmitted infections · 2021Trial
- Childhood sexual abuse among Black men who have sex with men: A cornerstone of a syndemic?PloS one · 2018Trial
- Life-steps for PrEP nurse-delivered adherence intervention: Protocol for a multisite randomized clinical trial.Contemporary clinical trials · 2026Article
- The Relationships Between Internalized Stigma, Depression, andHealth-Related Quality of Life in Individuals Living with HIV.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2026Article
- Understanding the Relationship Between Alcohol Consumption and HIV Risk Behaviors in U.S. Adolescents: A Systematic Review of Youth Risk Behavior Survey Findings (2005-2021).Healthcare (Basel, Switzerland) · 2025Review
- Impact of syndemic heavy drinking, smoking, and depression on mortality among MSM with and without HIV: A longitudinal study.Drug and alcohol dependence · 2025Article
- The Syndemic of HIVHIV specialist · 2025Article
- Psychosocial Syndemic Burden, Sexual Behaviors, and Engagement in HIV Prevention Care Among Sexual and Gender Minority Youths: United States, 2022.American journal of public health · 2024Article
- Factors associated with antiretroviral treatment adherence among people living with HIV in Guangdong Province, China: a cross sectional analysis.BMC public health · 2024Article
- Observational
- Findings From the Step Up, Test Up Study of an Electronic Screening and Brief Intervention for Alcohol Misuse in Adolescents and Young Adults Presenting for HIV Testing: Randomized Controlled Efficacy Trial.JMIR mental health · 2023Article
- Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico.Infectious disease reports · 2022Article
- Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Criminal Legal Involvement.International journal of environmental research and public health · 2022Article
- Pride-based violence, intoxicated sex and poly-drug use: a vocational school-based study of heterosexual and LGBT students in Bangkok.BMC psychiatry · 2022Article
- The Syndemic Factors of Violence Exposure, Substance Use, and Mental Health Problems: Relationships to Sexual Risk Behaviors in HIV-Negative Young Men Who Have Sex With Men.Journal of the Society for Social Work and Research · 2022Article
- The Impact of Closeness to Non-Parental Adults in Social Networks on Substance Use among Young Men Who Have Sex with Men.Journal of homosexuality · 2021Article
- Syndemic Health Disparities and Sexually Transmitted Infection Burden Among Black Men Who Have Sex with Men Engaged in Sex Work in the U.S.Archives of sexual behavior · 2021Article
- Victimization, Substance Use, Depression, and Sexual Risk in Adolescent Males Who Have Sex with Males: A Syndemic Latent Profile Analysis.Archives of sexual behavior · 2021Article
- Staying or moving: Results of a latent transition analysis examining intra-individual stability of recreational substance use among MSM in the Multicenter AIDS Cohort Study from 2004 to 2016.Drug and alcohol dependence · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Young men who have sex with men continue to be highly affected by HIV. To improve understanding of the role that multiple co-occurring health issues (i.e., syndemics) play in HIV acquisition, sophisticated modeling methods are needed. The purpose of this study was to use structural equation modeling to understand the structure of the syndemic and to test its longitudinal association with condomless anal sex. Data are from a longitudinal study of 450 YMSM. A primary syndemic component comprised of substance use, violence, and internalizing mental health factors significantly predicted the number of condomless anal sex partners in the full sample. Analyses exploring associations by race/ethnicity found a significant association among White YMSM, but not among Black or Latino YMSM. Higher-order factor modeling suggests these psychosocial factors form a syndemic in all racial/ethnic groups, but the syndemic, as conceptualized here, may be less relevant to racial/ethnic minority YMSM.
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