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Characterizing syndemic HIV risk profiles and mHealth intervention acceptability among patients in the emergency department.

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Title: Characterizing syndemic HIV risk profiles and mHealth intervention acceptability among patients in the emergency department.
Authors: Glynn, Tiffany R., Khanna, Simran S., Hasdianda, Mohammad Adrian, O'Cleirigh, Conall, Chai, Peter R.
Source: Psychology, Health & Medicine. Jan2025, Vol. 30 Issue 1, p30-46. 17p.
Subjects: HIV infection risk factors, HIV prevention, Health services accessibility, Risk assessment, Cross-sectional method, Substance abuse, Syndemics, Risk-taking behavior, Research funding, Patients, Hospital emergency services, Descriptive statistics, Emergency medical services, Unsafe sex, Telemedicine, Statistics, Sociodemographic factors
Abstract: Syndemic theory proposes that co-occurring, mutually reinforcing psychosocial challenges (mental health, substance use, minority stress [discrimination/stigma], abuse, unmet basic needs) drive HIV risk behavior and create barriers to care for marginalized populations. It is thus necessary to address this holistic, complex picture in HIV prevention. Emergency department (ED) visits are a prime opportunity to engage key risk groups, given their low engagement in regular clinic-based care and high utilization of drop-in care via EDs. Yet, EDs are overburdened and under-resourced; mHealth may be a vehicle for intervention delivery in this context. This study aimed to 1) characterize demographics, syndemic profiles, and HIV risk behavior among ED patients and 2) assess the acceptability of addressing syndemic issues, particularly via an mHealth approach, in the ED. A sample of N = 198 ED patients with an indication of HIV risk completed a cross-sectional psychosocial assessment. Descriptive statistics and bivariate correlations between syndemic issues were examined. Patients presenting to the ED reported marginalized identities and complex syndemic profiles including mental health issues (77%), at risk substance use (30%), childhood abuse (35%), adult abuse (31%), minority stress (63%), and unmet basic needs (37%). Over half the sample reported at least three syndemic issues (54%). All syndemic issues were significantly correlated with each other, supporting a synergistic nature. The sample reported indicators of HIV risk including lack of PrEP awareness (33%)/uptake (94%), condomless sex (37%), and not testing for HIV (41%). Majority reported syndemic profiles have never been addressed in the ED (71%), think it would be helpful (88%), and willing to utilize mHealth during an ED visit (76%). The current study provides information to guide next steps for ED-based point-of-care HIV prevention, and more broadly, working towards equitable HIV prevention services reaching those missed by existing interventions. [ABSTRACT FROM AUTHOR]
Copyright of Psychology, Health & Medicine 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.)
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  Data: Characterizing syndemic HIV risk profiles and mHealth intervention acceptability among patients in the emergency department.
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  Data: <searchLink fieldCode="AR" term="%22Glynn%2C+Tiffany+R%2E%22">Glynn, Tiffany R.</searchLink><br /><searchLink fieldCode="AR" term="%22Khanna%2C+Simran+S%2E%22">Khanna, Simran S.</searchLink><br /><searchLink fieldCode="AR" term="%22Hasdianda%2C+Mohammad+Adrian%22">Hasdianda, Mohammad Adrian</searchLink><br /><searchLink fieldCode="AR" term="%22O'Cleirigh%2C+Conall%22">O'Cleirigh, Conall</searchLink><br /><searchLink fieldCode="AR" term="%22Chai%2C+Peter+R%2E%22">Chai, Peter R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology%2C+Health+%26+Medicine%22">Psychology, Health & Medicine</searchLink>. Jan2025, Vol. 30 Issue 1, p30-46. 17p.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infection+risk+factors%22">HIV infection risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Syndemics%22">Syndemics</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink><br /><searchLink fieldCode="DE" term="%22Unsafe+sex%22">Unsafe sex</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Syndemic theory proposes that co-occurring, mutually reinforcing psychosocial challenges (mental health, substance use, minority stress [discrimination/stigma], abuse, unmet basic needs) drive HIV risk behavior and create barriers to care for marginalized populations. It is thus necessary to address this holistic, complex picture in HIV prevention. Emergency department (ED) visits are a prime opportunity to engage key risk groups, given their low engagement in regular clinic-based care and high utilization of drop-in care via EDs. Yet, EDs are overburdened and under-resourced; mHealth may be a vehicle for intervention delivery in this context. This study aimed to 1) characterize demographics, syndemic profiles, and HIV risk behavior among ED patients and 2) assess the acceptability of addressing syndemic issues, particularly via an mHealth approach, in the ED. A sample of N = 198 ED patients with an indication of HIV risk completed a cross-sectional psychosocial assessment. Descriptive statistics and bivariate correlations between syndemic issues were examined. Patients presenting to the ED reported marginalized identities and complex syndemic profiles including mental health issues (77%), at risk substance use (30%), childhood abuse (35%), adult abuse (31%), minority stress (63%), and unmet basic needs (37%). Over half the sample reported at least three syndemic issues (54%). All syndemic issues were significantly correlated with each other, supporting a synergistic nature. The sample reported indicators of HIV risk including lack of PrEP awareness (33%)/uptake (94%), condomless sex (37%), and not testing for HIV (41%). Majority reported syndemic profiles have never been addressed in the ED (71%), think it would be helpful (88%), and willing to utilize mHealth during an ED visit (76%). The current study provides information to guide next steps for ED-based point-of-care HIV prevention, and more broadly, working towards equitable HIV prevention services reaching those missed by existing interventions. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psychology, Health & Medicine 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:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13548506.2024.2407450
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 17
        StartPage: 30
    Subjects:
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Syndemics
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Emergency medical services
        Type: general
      – SubjectFull: Unsafe sex
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
    Titles:
      – TitleFull: Characterizing syndemic HIV risk profiles and mHealth intervention acceptability among patients in the emergency department.
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            NameFull: Khanna, Simran S.
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            NameFull: Hasdianda, Mohammad Adrian
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              Text: Jan2025
              Type: published
              Y: 2025
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