1. Syndemic Vulnerability and Condomless Sex Among Incarcerated Men in Mexico City: A Latent Class Analysis
- Author
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Sergio Bautista-Arredondo, Christine Bourey, and Rob Stephenson
- Subjects
Adult ,Male ,medicine.medical_specialty ,Social Psychology ,Sexual Behavior ,Population ,HIV Infections ,Social issues ,Young Adult ,03 medical and health sciences ,Risk-Taking ,0302 clinical medicine ,Syndemic ,Epidemiology ,medicine ,Humans ,030212 general & internal medicine ,Homosexuality, Male ,education ,Mexico ,Multinomial logistic regression ,Depressive Disorder ,education.field_of_study ,030505 public health ,Unsafe Sex ,Depression ,Prisoners ,Public health ,Public Health, Environmental and Occupational Health ,Latent class model ,Health psychology ,Infectious Diseases ,Prisons ,0305 other medical science ,Psychology ,Demography - Abstract
In order to address common statistical and population-based limitations in epidemiological literature applying syndemic theory, this study uses latent class analysis (LCA) to explore how health and social problems coalesce and shape sexual risk behaviors linked to HIV transmission in three Mexico City prisons. Among the studied male inmates, LCA identified four classes, defined by low syndemic risk (61.4%); marijuana (14.3%); depression, substances, and trauma (19.7%); and depression, substances, and marijuana (4.7%). In multinomial regression models, classes with a greater number of syndemic exposures were associated with increased odds of condomless anal sex during incarceration. In analyses stratified by pre-incarceration sexual risk behaviors, however, high syndemic burden classes were associated with condomless anal sex during incarceration differently. Overall, the study findings suggest that LCA has potential utility for syndemic analyses and highlight the need to attend to health and social adversities when addressing sexual risk behaviors and HIV transmission during incarceration.
- Published
- 2018