A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM: The P18 Cohort Study

Perry N. Halkitis, Farzana Kapadia, Kristen L. Bub, Staci Barton, Alvaro D. Moreira, Christopher B. Stults

Research output: Contribution to journalArticle

Abstract

The persistence of disparities in STI/HIV risk among a new generation of emerging adult gay, bisexual, and other men who have sex with men (YMSM) warrant holistic frameworks and new methodologies for investigating the behaviors related to STI/HIV in this group. In order to better understand the continued existence of these disparities in STI/HIV risk among YMSM, the present study evaluated the presence and persistence of syndemic conditions among YMSM by examining the co-occurrence of alcohol and drug use, unprotected sexual behavior, and mental health burden over time. Four waves of data, collected over the first 18 months of a 7 wave, 36-month prospective cohort study of YMSM (n = 600) were used to examine the extent to which measurement models of drug use, unprotected sexual behavior, and mental health burden remained consistent across time using latent class modeling. Health challenges persisted across time as these YMSM emerged into young adulthood and the measurement models for the latent constructs of drug use and unprotected sexual behavior were essentially consistent across time whereas models for mental health burden varied over time. In addition to confirming the the robustness of our measurement models which capture a more holistic understandings of the health conditions of drug use, unprotected sex, and mental health burden, these findings underscore the ongoing health challenges YMSM face as they mature into young adulthood. These ongoing health challenges, which have been understood as forming a syndemic, persist over time, and add further evidence to support ongoing and vigilant comprehensive health programming for sexual minority men that move beyond a sole focus on HIV.

Original languageEnglish (US)
Pages (from-to)970-980
Number of pages11
JournalAIDS and Behavior
Volume19
Issue number6
DOIs
StatePublished - Jun 22 2015

Fingerprint

Cohort Studies
Mental Health
Sexually Transmitted Diseases
HIV
Sexual Behavior
Reproductive Health
Health
Pharmaceutical Preparations
Holistic Health
Unsafe Sex
Sexual Minorities
Alcohols
Prospective Studies

Keywords

  • Emerging adulthood
  • Gay and bisexual men
  • HIV
  • Prospective cohort study
  • Structural equation modeling
  • Syndemic

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM : The P18 Cohort Study. / Halkitis, Perry N.; Kapadia, Farzana; Bub, Kristen L.; Barton, Staci; Moreira, Alvaro D.; Stults, Christopher B.

In: AIDS and Behavior, Vol. 19, No. 6, 22.06.2015, p. 970-980.

Research output: Contribution to journalArticle

Halkitis, Perry N. ; Kapadia, Farzana ; Bub, Kristen L. ; Barton, Staci ; Moreira, Alvaro D. ; Stults, Christopher B. / A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM : The P18 Cohort Study. In: AIDS and Behavior. 2015 ; Vol. 19, No. 6. pp. 970-980.
@article{f3a56260cc3c4522b24a7c2094323d84,
title = "A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM: The P18 Cohort Study",
abstract = "The persistence of disparities in STI/HIV risk among a new generation of emerging adult gay, bisexual, and other men who have sex with men (YMSM) warrant holistic frameworks and new methodologies for investigating the behaviors related to STI/HIV in this group. In order to better understand the continued existence of these disparities in STI/HIV risk among YMSM, the present study evaluated the presence and persistence of syndemic conditions among YMSM by examining the co-occurrence of alcohol and drug use, unprotected sexual behavior, and mental health burden over time. Four waves of data, collected over the first 18 months of a 7 wave, 36-month prospective cohort study of YMSM (n = 600) were used to examine the extent to which measurement models of drug use, unprotected sexual behavior, and mental health burden remained consistent across time using latent class modeling. Health challenges persisted across time as these YMSM emerged into young adulthood and the measurement models for the latent constructs of drug use and unprotected sexual behavior were essentially consistent across time whereas models for mental health burden varied over time. In addition to confirming the the robustness of our measurement models which capture a more holistic understandings of the health conditions of drug use, unprotected sex, and mental health burden, these findings underscore the ongoing health challenges YMSM face as they mature into young adulthood. These ongoing health challenges, which have been understood as forming a syndemic, persist over time, and add further evidence to support ongoing and vigilant comprehensive health programming for sexual minority men that move beyond a sole focus on HIV.",
keywords = "Emerging adulthood, Gay and bisexual men, HIV, Prospective cohort study, Structural equation modeling, Syndemic",
author = "Halkitis, {Perry N.} and Farzana Kapadia and Bub, {Kristen L.} and Staci Barton and Moreira, {Alvaro D.} and Stults, {Christopher B.}",
year = "2015",
month = "6",
day = "22",
doi = "10.1007/s10461-014-0892-y",
language = "English (US)",
volume = "19",
pages = "970--980",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "6",

}

TY - JOUR

T1 - A Longitudinal Investigation of Syndemic Conditions Among Young Gay, Bisexual, and Other MSM

T2 - The P18 Cohort Study

AU - Halkitis, Perry N.

AU - Kapadia, Farzana

AU - Bub, Kristen L.

AU - Barton, Staci

AU - Moreira, Alvaro D.

AU - Stults, Christopher B.

PY - 2015/6/22

Y1 - 2015/6/22

N2 - The persistence of disparities in STI/HIV risk among a new generation of emerging adult gay, bisexual, and other men who have sex with men (YMSM) warrant holistic frameworks and new methodologies for investigating the behaviors related to STI/HIV in this group. In order to better understand the continued existence of these disparities in STI/HIV risk among YMSM, the present study evaluated the presence and persistence of syndemic conditions among YMSM by examining the co-occurrence of alcohol and drug use, unprotected sexual behavior, and mental health burden over time. Four waves of data, collected over the first 18 months of a 7 wave, 36-month prospective cohort study of YMSM (n = 600) were used to examine the extent to which measurement models of drug use, unprotected sexual behavior, and mental health burden remained consistent across time using latent class modeling. Health challenges persisted across time as these YMSM emerged into young adulthood and the measurement models for the latent constructs of drug use and unprotected sexual behavior were essentially consistent across time whereas models for mental health burden varied over time. In addition to confirming the the robustness of our measurement models which capture a more holistic understandings of the health conditions of drug use, unprotected sex, and mental health burden, these findings underscore the ongoing health challenges YMSM face as they mature into young adulthood. These ongoing health challenges, which have been understood as forming a syndemic, persist over time, and add further evidence to support ongoing and vigilant comprehensive health programming for sexual minority men that move beyond a sole focus on HIV.

AB - The persistence of disparities in STI/HIV risk among a new generation of emerging adult gay, bisexual, and other men who have sex with men (YMSM) warrant holistic frameworks and new methodologies for investigating the behaviors related to STI/HIV in this group. In order to better understand the continued existence of these disparities in STI/HIV risk among YMSM, the present study evaluated the presence and persistence of syndemic conditions among YMSM by examining the co-occurrence of alcohol and drug use, unprotected sexual behavior, and mental health burden over time. Four waves of data, collected over the first 18 months of a 7 wave, 36-month prospective cohort study of YMSM (n = 600) were used to examine the extent to which measurement models of drug use, unprotected sexual behavior, and mental health burden remained consistent across time using latent class modeling. Health challenges persisted across time as these YMSM emerged into young adulthood and the measurement models for the latent constructs of drug use and unprotected sexual behavior were essentially consistent across time whereas models for mental health burden varied over time. In addition to confirming the the robustness of our measurement models which capture a more holistic understandings of the health conditions of drug use, unprotected sex, and mental health burden, these findings underscore the ongoing health challenges YMSM face as they mature into young adulthood. These ongoing health challenges, which have been understood as forming a syndemic, persist over time, and add further evidence to support ongoing and vigilant comprehensive health programming for sexual minority men that move beyond a sole focus on HIV.

KW - Emerging adulthood

KW - Gay and bisexual men

KW - HIV

KW - Prospective cohort study

KW - Structural equation modeling

KW - Syndemic

UR - http://www.scopus.com/inward/record.url?scp=84935001788&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84935001788&partnerID=8YFLogxK

U2 - 10.1007/s10461-014-0892-y

DO - 10.1007/s10461-014-0892-y

M3 - Article

VL - 19

SP - 970

EP - 980

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 6

ER -