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| Format: | Artículo científico |
| Language: | en |
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Asociación Internacional de Ciencias Sociales y Trabajo Social
2020
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| Online Access: | https://www.redalyc.org/articulo.oa?id=672174443009 |
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Table of Contents:
- Using Syndemics Theory to Examine HIV Sexual Risk Among Latinx Men Who Have Sex with Men in Philadelphia, PA: Findings from the National HIV Behavioral Surveillance Omar Martinez Kathleen A. Brady Ethan Levine Kathleen R. Page Maria Cecilia Zea Thespina J. Yamanis Suzanne Grieb Jennifer Shinefeld Kasim Ortiz Wendy W. Davis Brian Mattera Ana Martinez-Donate Silvia Chavez-Baray Eva M. Moya Sociología Hhigh Homophobia Exchange sex Syndemic conditions Gay and bisexual Latinxs Latinx men who have sex with men (MSM) continue to be disproportionately impacted by HIV/AIDS. Identifying the role of multiple syndemic factors associated with sexual risk behaviors is imperative in order to develop effective prevention and treatment strategies. Cross-sectional data for this study were derived from three cycles of the Philadelphia portion of the National HIV Behavioral Surveillance System. This study explored the impact of syndemic factors – heavy drinking, exchange sex, and homophobic discrimination – on sexual HIV risk behaviors, operationalized as number of male partners, and condomless anal intercourse (CAI) with main and casual partners among Latinx MSM (n=464). Analyses took two forms: a syndemic approach, using the cumulative number of conditions as an independent variable; and a non-syndemic approach, incorporating each condition as a unique factor. In multivariable syndemic analyses, participants with two or more factors reported more male partners and more CAI casual male partners than those with none. In non-syndemic models, homophobic discrimination and exchange sex were significantly positively associated with total number of male partners, while heavy drinking was associated with more casual CAI partners. Quantitative results indicate that syndemic and nonsyndemic approaches vary in their relative capacity to account for sexual risk among Latinx MSM. 2020 artículo científico 2386-4915 https://www.redalyc.org/articulo.oa?id=672174443009 en http://www.redalyc.org/revista.oa?id=6721 Ehquidad: La Revista Internacional de Políticas de Bienestar y Trabajo Social application/pdf Asociación Internacional de Ciencias Sociales y Trabajo Social Ehquidad: La Revista Internacional de Políticas de Bienestar y Trabajo Social (España) Num.13