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Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV.

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Title: Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV.
Authors: W. Batchelder, Abigail (AUTHOR), Lounsbury, David W. (AUTHOR), Palma, Anton (AUTHOR), Carrico, Adam (AUTHOR), Pachankis, John (AUTHOR), Schoenbaum, Ellie (AUTHOR), Gonzalez, Jeffrey S. (AUTHOR)
Source: AIDS Care. Oct2016, Vol. 28 Issue 10, p1316-1320. 5p. 3 Charts.
Subjects: HIV infections & psychology, HIV infection risk factors, Chi-squared test, Child abuse, Confidence intervals, Mental depression, HIV-positive persons, Poisson distribution, Probability theory, Questionnaires, Regression analysis, Research funding, Risk-taking behavior, Human sexuality, Statistics, Substance abuse, Violence, Women's health, Data analysis, Data analysis software, Descriptive statistics, Odds ratio
Geographic Terms: United States
Abstract: Women in the US continue to be affected by HIV through heterosexual contact. Sexual risk behaviors among women have been associated with a syndemic, or a mutually reinforcing set of conditions, including childhood sexual abuse (CSA), depression, substance use, violence, and financial hardship. Baseline data from a cohort of women with and at-risk for HIV (N = 620; 52% HIV+) were analyzed with Poisson regression to assess evidence for additive, independent and interactive effects among syndemic conditions in relation to reported sexual risk behaviors (e.g., unprotected and transactional sex) over the past 6 months, controlling for age and HIV status. The number of syndemic conditions was incrementally associated with more types of sexual risk behaviors. For example, women with all five syndemic conditions reported 72% more types of risk behaviors over 6 months, as compared to women without any syndemic conditions. Compared to women with no syndemic conditions, women with three syndemic conditions reported 34% more and women with one syndemic condition reported 13% more types of risk behaviors. Endorsing substance use in the past 6 months, reporting CSA, and experiencing violence as an adult were independently associated with 49%, 12%, and 8% more types of risk behaviors, respectively compared to women without these conditions. Endorsing both substance use and violence was associated with 27% more types of risk behaviors. These associations were not moderated by HIV status. Understanding specific relationships and interactions are needed to more effectively prioritize limited resources in addressing the psychosocial syndemic associated with sexual risk behavior among women with and at-risk for HIV. Our results identify interrelated psychosocial factors that could be targeted by intervention studies aiming to reduce high-risk sex in this population. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV.
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  Data: <searchLink fieldCode="AR" term="%22W%2E+Batchelder%2C+Abigail%22">W. Batchelder, Abigail</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lounsbury%2C+David+W%2E%22">Lounsbury, David W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Palma%2C+Anton%22">Palma, Anton</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carrico%2C+Adam%22">Carrico, Adam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pachankis%2C+John%22">Pachankis, John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schoenbaum%2C+Ellie%22">Schoenbaum, Ellie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gonzalez%2C+Jeffrey+S%2E%22">Gonzalez, Jeffrey S.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2016, Vol. 28 Issue 10, p1316-1320. 5p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infections+%26+psychology%22">HIV infections & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infection+risk+factors%22">HIV infection risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Child+abuse%22">Child abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Violence%22">Violence</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Data: Women in the US continue to be affected by HIV through heterosexual contact. Sexual risk behaviors among women have been associated with a syndemic, or a mutually reinforcing set of conditions, including childhood sexual abuse (CSA), depression, substance use, violence, and financial hardship. Baseline data from a cohort of women with and at-risk for HIV (N = 620; 52% HIV+) were analyzed with Poisson regression to assess evidence for additive, independent and interactive effects among syndemic conditions in relation to reported sexual risk behaviors (e.g., unprotected and transactional sex) over the past 6 months, controlling for age and HIV status. The number of syndemic conditions was incrementally associated with more types of sexual risk behaviors. For example, women with all five syndemic conditions reported 72% more types of risk behaviors over 6 months, as compared to women without any syndemic conditions. Compared to women with no syndemic conditions, women with three syndemic conditions reported 34% more and women with one syndemic condition reported 13% more types of risk behaviors. Endorsing substance use in the past 6 months, reporting CSA, and experiencing violence as an adult were independently associated with 49%, 12%, and 8% more types of risk behaviors, respectively compared to women without these conditions. Endorsing both substance use and violence was associated with 27% more types of risk behaviors. These associations were not moderated by HIV status. Understanding specific relationships and interactions are needed to more effectively prioritize limited resources in addressing the psychosocial syndemic associated with sexual risk behavior among women with and at-risk for HIV. Our results identify interrelated psychosocial factors that could be targeted by intervention studies aiming to reduce high-risk sex in this population. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2016.1173637
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      – Code: eng
        Text: English
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        StartPage: 1316
    Subjects:
      – SubjectFull: HIV infections & psychology
        Type: general
      – SubjectFull: HIV infection risk factors
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Child abuse
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Mental depression
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      – SubjectFull: HIV-positive persons
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      – SubjectFull: Poisson distribution
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      – SubjectFull: Probability theory
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      – SubjectFull: Questionnaires
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      – SubjectFull: Risk-taking behavior
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      – SubjectFull: Human sexuality
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      – SubjectFull: Substance abuse
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      – SubjectFull: Violence
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      – SubjectFull: Women's health
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