The Syndemic Condition of Psychosocial Problems and HIV Risk Among Male Sex Workers in Ho Chi Minh City, Vietnam
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In Vietnam, the co-occurrence (i.e., "syndemic") of psychosocial factors (e.g., depression and substance use) may disproportionately burden male sex workers and increase their HIV risk. A comprehensive survey was conducted among 300 male sex workers in Ho Chi Minh City, Vietnam in 2010. We performed logistic regression to examine the association between the syndemic variable-a count score of the number of five psychosocial conditions endorsed-and unprotected anal sex (UAS) in the past. One-third of participants reported any UAS, and 42 % reported ≥2 psychosocial health problems. In multivariable models, experiencing ≥4 psychosocial health problems was significantly associated with UAS. Every unit increase in number of psychosocial health problems was associated with a 25-30 % increase in odds of UAS. Understanding the syndemic condition and its association with HIV risk among male sex workers in Vietnam may lead to the development of more effective, comprehensive interventions.
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When b8 is positive and statistically significant in Eq. (4), the data are interpreted in the literature as demonstrating "interplay" between the psychosocial and structural problems.
“When b8 is positive and statistically significant, the data are interpreted as demonstrating “interplay” (p.1269) between the psychosocial and structural problems [28].”
From Syndemics and Health Disparities: A Methodological Note (2016) · cites this paper as [28]
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12 - SYNDEMIC FACTORS ASSOCIATED WITH DEPRESSION AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN BRAZIL
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Self-citation
- Authors
- Biello, K. B., Colby, D., Closson, E., & Mimiaga, M. J.
- Affiliations
- Harvard University (US)
- Fenway Health (US)
- Corresponding author
- Biello, Katie B.
- Venue
- AIDS and Behavior
- Published
- 2013-10-01
- Volume
- 18
- Issue
- 7
- Pages
- 1264-1271
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC4363106
- OpenAlex
- W2069839126
- Cited by
- 81
- References
- 26
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 8 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 12 · 2015: 14 · 2014: 6 · 2012: 1
- FWCI
- 33.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Research Resources (UL1RR025758)
- Topics
- Social Sciences › Sociology and Political Science › Sex work and related issues
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- syndemic, psychosocial problems, HIV risk, male sex workers, unprotected anal intercourse, depression, substance use, Ho Chi Minh City
- MeSH terms
- Adolescent, Adult, Data Collection, Depression, Educational Status, Humans, Health Knowledge, Attitudes, Practice, Male, Risk Factors, Vietnam, HIV Infections, Prevalence, Logistic Models, Homosexuality, Male, Substance-Related Disorders, Sex Workers
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