Evidence map›Paper›PMID 30868437›Full record

ArticleArchives of sexual behavior2019

Longitudinal Effects of Syndemics on HIV-Positive Sexual Minority Men's Sexual Health Behaviors.

Audrey Harkness, Sierra A Bainter, Conall O'Cleirigh, Christopher Albright, Kenneth H Mayer, Steven A Safren

Abstract read
In one paragraph

Article in Archives of sexual behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Audrey HarknessDepartment of Psychology, University of Miami, Coral Gables, FL, 33146-2510, USA. aharkness@miami.edu.ORCID 0000-0003-2290-9904
Sierra A BainterDepartment of Psychology, University of Miami, Coral Gables, FL, 33146-2510, USA.
Conall O'CleirighThe Fenway Institute, Fenway Community Health, Boston, MA, USA.
Christopher AlbrightDepartment of Psychology, University of Miami, Coral Gables, FL, 33146-2510, USA.
Kenneth H MayerThe Fenway Institute, Fenway Community Health, Boston, MA, USA.
Steven A SafrenDepartment of Psychology, University of Miami, Coral Gables, FL, 33146-2510, USA.

Funding

Enhancing HIV Prevention Among High-Risk HIV+ MenR01MH068746 · NIMH · FENWAY COMMUNITY HEALTH CENTER · PI MAYER, KENNETH H · 2003 to 2007
$2.8M
Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
HRSA HHS H97HA01293NIDA NIH HHS 9K24DA040489NIDA NIH HHS K24 DA040489NIMH NIH HHS 5R01MH068746NIMH NIH HHS R01 MH068746
6 · The paper itself

Abstract

This study examined the longitudinal effects of co-occurring psychosocial concerns, or syndemics, on HIV-positive sexual minority men's likelihood of engaging in serodiscordant condomless anal sex (CAS), a health behavior with implications for personal and public health. Participants included 390 HIV-positive sexual minority men from two prior secondary prevention trials. Over the course of the 1-year data collection period (up to 5 observations per participant), participants completed self-report measures of CAS, as well as six syndemic factors: post-traumatic stress disorder, childhood sexual abuse, depression, anxiety, alcohol abuse, and polysubstance/stimulant use. We employed multilevel modeling to examine the longitudinal additive effect of syndemics on serodiscordant CAS (binary) over the 1-year period. The number of syndemic conditions was a significant predictor of CAS, with each additional syndemic associated with 1.41 greater odds of CAS (p = .0004; 95% CI [1.16, 1.70]). Both the between-person (p = .0121, 95% CI [1.07, 1.69]) and within-person (p = .01, 95% CI [1.11, 2.10]) effects of syndemics were significant predictors, showing that an increase in the number of syndemic conditions across person and time both increased odds of CAS. Interventions addressing HIV-positive sexual minority men's sexual health behaviors should address the potential impact of co-occurring psychosocial concerns that affect these behaviors. This will benefit this population's personal sexual health and reduce transmission of HIV and STIs among sexual minority men.

Indexed as

SyndemicAdultAgedHIV InfectionsHomosexuality, MaleHumansLongitudinal StudiesMaleMiddle AgedMinority GroupsSexual and Gender MinoritiesYoung AdultHIV/AIDSMen who have sex with men/MSMSecondary HIV preventionSexual behaviorSexual orientationSyndemic

Identifiers

PMID30868437
PMCPMC6586562

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.