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Cited by 50HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHomelessness and Social Issues

A social ecological model of syndemic risk affecting women with and at-risk for HIV in impoverished urban communities

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Batchelder, A. W., Gonzalez, J. S., Palma, A., Schoenbaum, E., Lounsbury, D. W.·2015·American Journal of Community Psychology
DOI 10.1007/s10464-015-9750-yPMC PMC8344336
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Abstract

Syndemic risk is an ecological construct, defined by co‐occurring interdependent socio‐environmental, interpersonal and intrapersonal determinants. We posited syndemic risk to be a function of violence, substance use, perceived financial hardship, emotional distress and self‐worth among women with and at‐risk for HIV in an impoverished urban community. In order to better understand these interrelationships, we developed and validated a system dynamics (SD) model based upon peer‐reviewed literature; secondary data analyses of a cohort dataset including women living with and at‐risk of HIV in Bronx, NY (N = 620); and input from a Bronx‐based community advisory board. Simulated model output revealed divergent levels and patterns of syndemic risk over time across different sample profiles. Outputs generated new insights about how to effectively explore multicomponent multi‐level programs in order to strategically develop more effective services for this population. Specifically, the model indicated that effective multi‐level interventions might bolster women’s resilience by increasing self‐worth, which may result in decreased perceived financial hardship and risk of violence. Overall, our stakeholder‐informed model depicts how self‐worth may be a major driver of vulnerability and a meaningful addition to syndemic theory affecting this population.

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  • Applications of other complex systems methods, such as system dynamics models, to syndemics are scarce.

    “Applications of other complex systems methods, such as system dynamics models, are similarly scarce (Batchelder et al., 2015).”

    From Syndemics: a theory in search of data or data in search of a theory? (2018) · cites this paper as Batchelder et al., 2015

    The Introduction says the authors were unaware of another system dynamics modeling project used to display syndemic risk as they defined it, supporting scarcity for that specific application. It does not establish that applications of other complex systems methods to syndemics are scarce more generally. (LLM, conf=0.83)

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3 of the 89 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Batchelder AW & Lounsbury D (in press). Simulating syndemic risk: Using system dynamics modeling to understand psychosocial challenges facing women living with and at-risk for HIV. In Neal Zachary P. (Eds.), Handbook of applied systems science. New York: Routledge.
  2. Kellogg Foundation. (2005). Racial and ethnic health disparities: Schools of public health respond as engaged institutions. 75th Anniversary Workshop. Cambridge, MA: Abt Associates.

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Authors
Batchelder, A. W., Gonzalez, J. S., Palma, A., Schoenbaum, E., & Lounsbury, D. W.
Affiliations
  • University of California, San Francisco (US)
  • Albert Einstein College of Medicine (US)
Corresponding author
Batchelder, A. W.
ORCID
Venue
American Journal of Community Psychology
Publisher
Wiley
Published
2015-09-14
Volume
56
Issue
3-4
Pages
229-240
ISSN
  • 0091-0562 (ISSN-L)
  • 1573-2770
DOI
10.1007/s10464-015-9750-y
PMC
PMC8344336
OpenAlex
W1938105993
Cited by
50
References
89
Citations by year
2026: 1 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 4 · 2020: 9 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 6
FWCI
3.90
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Community Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • NIH (R01DA13564, T32AT003997)
  • The Tauber Family Foundation
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
women living with HIV, socio-ecological model, system dynamics modeling, violence, substance use, emotional distress, self-worth, women's resilience, urban poverty, Bronx, multilevel interventions, community advisory board
MeSH terms
Adult, Aged, Community-Institutional Relations, Female, Humans, Middle Aged, Models, Psychological, New York City, Poverty, Risk Factors, Risk-Taking, Self Concept, Sexual Behavior, Social Environment, Stress, Psychological, Urban Population, Violence, Cohort Studies, HIV Infections, Substance Abuse, Intravenous

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