ArticleAIDS (London, England)2018
Are trajectories of a syndemic index in adolescence linked to HIV vulnerability in emerging and young adulthood?
Article in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Utilizing a Life Course Approach to Examine HIV Risk for Black Adolescent Girls and Young Adult Women in the United States: A Systematic Review of Recent Literature.Ethnicity & disease · 2020Pooled it
- Pilot Study of a Multilevel Mobile Health App for Substance Use, Sexual Risk Behaviors, and Testing for Sexually Transmitted Infections and HIV Among Youth: Randomized Controlled Trial.JMIR mHealth and uHealth · 2020Trial
- Implementation of Trauma-Informed Care into Clinical HIV Prevention and Care Settings: A Decade of Limited Progress.Current HIV/AIDS reports · 2025Review
- Multidimensional profiles of adolescent social-ecological risk and protective factors and young adult sexual behavior.Developmental psychology · 2025Article
- Self-Management Frameworks for Youth Living with Human Immunodeficiency Virus.Pediatric clinics of North America · 2022Review
- Health risk behavior and cultural stress among Venezuelan youth: a person centered approach.Social psychiatry and psychiatric epidemiology · 2021Article
- Family Characteristics in Sex Communication and Social Support: Implications for Emerging Adult Men Who Have Sex with Men's PrEP Engagement.Archives of sexual behavior · 2020Article
- Hegemonic Masculinity during Parent-Child Sex Communication with Sexual Minority Male Adolescents.American journal of sexuality education · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo examine trajectories of adolescent psychosocial risk - drug use, depressive and anxiety symptoms, and violence victimization and observation - and the longitudinal relationship between psychosocial risk trajectories during adolescence and HIV risk behaviors in adulthood.
methodsThe 18-year longitudinal study was conducted from September 1994 through May 2013, in Michigan. Eight hundred and fifty predominantly (80%) African-American adolescents completed demographics and measures of drug use, depressive and anxiety symptoms, violence victimization and observation at Times 1-4, sexual risk behaviors at Times 5 and 6, and social conditions (i.e. family, peer, and community-level factors) between 14.9 and 32.0 years of age.
resultsGrowth mixture modeling revealed two trajectories of psychosocial risk factors which can be characterized as a syndemic index: high-frequency and low-frequency. The high-frequency class was more likely to report HIV risk behaviors, including condomless sex at last sexual intercourse with their primary and secondary partner, sexual intercourse with someone they just met, at least four sexual partners, and licit and illicit drug use prior to sexual intercourse at Time 5 (mean age 23.1). At Time 6 (mean age 32.0), the high-frequency class was more likely to report sexual intercourse with someone they just met and at least four sexual partners, relative to the low-frequency class. In addition, the high-frequency class was linked to peer and family-level indicators of social conditions.
conclusionA syndemic index comprised of co-occurring psychosocial risk factors in adolescence seem to have lasting effects on the vulnerability to engage in HIV risk behaviors in emerging adulthood, some of which extend into young adulthood.
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