ArticleAIDS and behavior2018
Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach.
Article in AIDS and behavior, 2018. 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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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gender-based violence syndemics in global health: A systematic review.Social science & medicine (1982) · 2025Pooled it
- Soccer and Vocational Training are Ineffective Delivery Strategies to Prevent HIV and Substance Abuse by Young, South African Men: A Cluster Randomized Controlled Trial.AIDS and behavior · 2024Trial
- Complexity of Adherence Challenges: Understanding Syndemic Factors Affecting HIV Treatment Adherence During Treatment Initiation in Cape Town, South Africa.AIDS and behavior · 2026Article
- Evaluation of economic strengthening in South Africa and its impact on HIV, sexually transmitted infections, and teenage births: A modelling study.PLoS medicine · 2025Article
- Implementing ecological momentary assessments to measure violence and adolescent HIV transmission risk: Lessons from Johannesburg, South Africa.PLOS digital health · 2024Article
- Syndemic Conditions and Their Association with HIV/STI Sexual Risk Behaviors Among Transgender Women and Cisgender Men Sex Workers in Catalonia: The SexCohort Project.International journal of behavioral medicine · 2023Article
- Depression, Alcohol Use, and Sexual Behaviors by HIV Infection Stage and Diagnosis Timing Among STI Clinic Patients in Lilongwe, Malawi.AIDS and behavior · 2023Article
- An agent-based model of binge drinking, inequitable gender norms and their contribution to HIV transmission, with application to South Africa.BMC infectious diseases · 2023Article
- HIV Related Behaviors Among Male Partners of Adolescent Girls and Young Women in Rural South Africa.AIDS and behavior · 2023Article
- Spatial Analysis of the Alcohol, Intimate Partner Violence, and HIV Syndemic Among Women in South Africa.AIDS and behavior · 2023Article
- Young migrant men managing risk and seeking protection in a small town in Southern Uganda.Journal of migration and health · 2023Article
- Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework.International journal of environmental research and public health · 2022Article
- Examining the substance use, violence, and HIV and AIDS (SAVA) syndemic among urban refugee youth in Kampala, Uganda: cross-sectional survey findings.BMJ global health · 2022Article
- Examining Mediators of the Relationship Between Community Mobilization and HIV Incidence Among Young South African Women Participating in the HPTN 068 Study Cohort.AIDS and behavior · 2022Article
- Unique and Shared Correlates of Sexual Violence Perpetration and Sexual Risk Behavior Among South African Adolescent Boys.AIDS education and prevention : official publication of the International Society for AIDS Education · 2021Article
- Longitudinal analysis of alcohol use and intimate partner violence perpetration among men with HIV in northern Vietnam.Drug and alcohol dependence · 2020Article
- Article
- High Levels of Syndemics and Their Association with Adherence, Viral Non-suppression, and Biobehavioral Transmission Risk in Miami, a U.S. City with an HIV/AIDS Epidemic.AIDS and behavior · 2019Article
- A syndemic of psychosocial and mental health problems in Liberia: Examining the link to transactional sex among young pregnant women.Global public health · 2019Article
- Effects of syndemic psychiatric diagnoses on health indicators in men who have sex with men.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Article
Corrections and comments
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Authors and funding
8 authors.
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Abstract
Young men in South Africa experience several adverse socio-structural and psychosocial factors that may contribute HIV risk behaviors. This study applied a syndemic framework to explore whether these syndemic factors are interconnected and work in synergy to increase HIV risk behaviors. Five syndemic factors were assessed including: binge drinking, polydrug use, depressive symptoms, violence and food insecurity on two HIV risk behaviors: multiple sex partners and transactional sex. Participants were (N = 1233) young men aged 18-29 years from a township in Cape Town, South Africa. Bivariate logistic regression analysis demonstrated that many of the syndemic factors were related to one another. Pairwise interactions (on an additive scale) among the syndemic factors revealed significant positive interactions between binge drinking and violence on greater odds of reporting multiple sex partners (aOR = 5.10, 95% CI 3.10, 8.29; p = < .001) compared to reporting neither factor. Also, food insecurity and violence (aOR = 2.89, 95% CI 1.63, 5.11; p = < .001) as well as food insecurity and polydrug use (aOR = 2.73, 95% CI 1.54, 4.84; p = < .001) were significantly associated with greater odds of transactional sex compared to reporting neither factor. Our findings highlight a synergistic relationship between some adverse socio-structural and psychosocial factors on HIV risk behaviors. HIV prevention programs that address multiple syndemic factors simultaneously may achieve greater impact on HIV risk reduction.
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