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A Syndemic Model of Exchange Sex Among HIV-Positive Men Who Have Sex With Men.
- Source :
-
Archives of sexual behavior [Arch Sex Behav] 2020 Aug; Vol. 49 (6), pp. 1965-1978. Date of Electronic Publication: 2020 Jan 21. - Publication Year :
- 2020
-
Abstract
- Exchange sex is a behavior associated with HIV transmission risk among men who have sex with men (MSM). Few studies have examined exchange sex among HIV-positive MSM. We utilize a syndemic framework to account for co-occurring psychosocial problems that suggest the presence of intertwining epidemics (i.e., syndemics), which have not been examined within the context of exchange sex among HIV-positive MSM. In 2015, MSM were recruited via online sexual networking Web site and app advertisements for Sex Positive! <superscript>[+]</superscript> , a video-based online intervention that aimed to improve health outcomes for men living with HIV. Participants completed surveys every three months for a year. Surveys covered demographics, drug use, exchange sex, intimate partner violence (IPV), and past 2-week depressive symptoms. We conducted three logistic regression models to assess syndemic factors associated with exchange sex in the past 3 months. Of the 722 HIV-positive MSM included in the sample, 59 (8%) reported exchange sex in the past 3 months at 12-month follow-up. HIV-positive MSM who had more syndemic factors had greater odds of exchange sex. Exchange sex was associated with being African-American/Black, age 18-29 years, past and present experiences with IPV, stimulant use, polysubstance use, and depressive symptoms. Exchange sex was associated with multiple psychosocial factors, indicating exchange sex may be part of a syndemic involving substance use, depression, HIV, and IPV. Interventions should address the social and behavioral circumstances that perpetuate environments that can foster multiple negative health outcomes.
Details
- Language :
- English
- ISSN :
- 1573-2800
- Volume :
- 49
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Archives of sexual behavior
- Publication Type :
- Academic Journal
- Accession number :
- 31965453
- Full Text :
- https://doi.org/10.1007/s10508-020-01628-8