Volta

Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV

Unknown authors · 2016
hash_id: f3cb6fd8bd0bd29115086b6b8c86860f6411b324606f27bbc2c57fbe6bb20766 · DOI: 10.1080/09540121.2016.1173637

Women in the US continue to be affected by HIV through heterosexual contact. Sexual risk behaviors among women have been associated with a syndemic, or a mutually reinforcing set of conditions, including childhood sexual abuse (CSA), depression, substance use, violence, and financial hardship. Baseline data from a cohort of women with and at-risk for HIV (N = 620; 52% HIV+) were analyzed with Poisson regression to assess evidence for additive, independent and interactive effects among syndemic conditions in relation to reported sexual risk behaviors (e.g., unprotected and transactional sex) over the past 6 months, controlling for age and HIV status. The number of syndemic conditions was incrementally associated with more types of sexual risk behaviors. For example, women with all …

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Structural Violence and Racial Disparity in HIV Transmission secondary