What Does A Theory of Syndemic Production Look Like for Black Gay and Bisexual Men?
HIV is an important public health concern among Black gay (BGM) and Black bisexual men (BBM) in the US. BGM and BBM represent approximately 72% of new infections among all Black men and 25% of all new infections in the US, annually. Compared to BGM, BBM experience elevated levels of HIV vulnerability factors, including depression, experiences with trauma, substance use, intimate partner violence (IPV), racism and incarceration. These factors may work independent of one another but often work in a reinforcing manner, referred to as syndemics, which increase HIV risk among BBM. BBM, often omitted from HIV prevention studies, occupy a position of epidemiologic importance given their elevated HIV risk and their potential to bridge infection to female partners. Syndemic theory may be important for predicting HIV risk and incidence in BBM. However, the understanding of syndemics and HIV in this group is limited. We used data from The HIV Prevention Trials Network Brothers Study (HPTN061) to describe the prevalence of syndemics at baseline and identify the factors most likely to co-occur in the population among BBM.
Friday, January 19th, 2018
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