A Syndemic of Psychosocial Problems Places the MSM (Men Who Have Sex with Men) Population at Greater Risk of HIV Infection 英文参考文献.docVIP
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A Syndemic of Psychosocial Problems Places the MSM (Men Who Have Sex with Men) Population at Greater Risk of HIV Infection 英文参考文献
ASyndemicofPsychosocialProblemsPlacestheMSM
(MenWhoHaveSexwithMen)PopulationatGreater
RiskofHIVInfection
WuJie,LuCiyong*,DengXueqing,WangHui,HongLingyao
DepartmentofMedicalStatisticsandEpidemiology,SchoolofPublicHealth,SunYat-senUniversity,Guangzhou,China
Abstract
Background:TheMSM(Menwhohavesexwithmen)populationsuffersfromveryhighratesofconcurrentpsychosocial
problems.Together,theseproblemscompriseasyndemicthatincreasestheriskofHIVinfectionforthiscommunity.The
precisemechanismsthroughwhichthissyndemiccanraisethelikelihoodofHIVinfectionwarrantfurtherexploration.
Methodology/PrincipalFindings:Atotalof522MSMwereenrolledviaamultiframesamplingapproachandwereaskedto
report psychosocial problems, risky sexual behaviors and HIV test results. A count of psychosocial health problems was
calculatedtotesttheadditiverelationshipofthesefactorsonHIVrisk.Adjustinganalysisandrestrictionanalysiswereused
to determinea proposedintermediate pathway. Psychosocial health problems arehighly concurrent and intercorrelated
amongurbanMSM.GreaternumbersofhealthproblemsaresignificantlyandpositivelyassociatedwithHIVinfection,which
ismediated,atleastpartially,byriskysexualbehaviors.
Conclusions/Significance: MSMexperience concurrent psychosocial health problems that correlate with HIV infectionin
thiscommunity.Werecommendthedevelopmentofcopingstrategiesforthispopulationtodealwiththesepsychosocial
problems,bothinpreventionresearchandhealthpolicy.
Citation:JieW,CiyongL,XueqingD,HuiW,LingyaoH(2012)ASyndemicofPsychosocialProblemsPlacestheMSM(MenWhoHaveSexwithMen)Populationat
GreaterRiskofHIVInfection.PLoSONE7(3):e32312.doi:10.1371/journal.pone.0032312
Editor:VittoriaColizza,INSERMUniversitePierreetMarieCurie,France
ReceivedJuly4,2011;AcceptedJanuary26,2012;PublishedMarch30,2012
Copyright:?2012Jieetal.Thisisanopen-accessarticledistributedunderthetermsoftheCreativeCommonsAttributionLicense,whichpermitsunrestricted
use,distribution,andreproductioninanymedium,providedtheoriginalauthorandsourcearecredi
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