The effect of psychosocial syndemic production on 4-year HIV incidence and risk behavior in a large cohort of sexually active men who have sex with men.

Publication Type:

Journal Article


Journal of acquired immune deficiency syndromes (1999), Volume 68, Issue 3, p.329-36 (2015)


Adolescent, Adult, Cohort Studies, HIV Infections, Homosexuality, Male, Humans, Incidence, Male, Middle Aged, Prospective Studies, Psychophysiologic Disorders, Risk-Taking, Sexual Behavior, United States, Young Adult


Cross-sectional studies have suggested that co-occurring epidemics or "syndemics" of psychosocial health problems may accelerate HIV transmission among men who have sex with men (MSM) in the United States. We aimed to assess how 5 syndemic conditions (depressive symptoms, heavy alcohol use, stimulant use, polydrug use, and childhood sexual abuse) affected HIV incidence and sexual risk behavior over time.