دورية أكاديمية
Longitudinal Analysis of Overlapping Psychosocial Factors Predicting Incident Hospitalization Among Mixed HIV Serostatus Men who have Sex with Men in the Multicenter AIDS Cohort Study.
| العنوان: | Longitudinal Analysis of Overlapping Psychosocial Factors Predicting Incident Hospitalization Among Mixed HIV Serostatus Men who have Sex with Men in the Multicenter AIDS Cohort Study. |
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| المؤلفون: | Qian, Yuhang, Detels, Roger, Comulada, Warren Scott, Hidalgo, Marco A, Lee, Sung-Jae, Biello, Katie B, Yonko, Elizabeth A, Friedman, M Reuel, Palella, Frank J, Plankey, Michael W, Mimiaga, Matthew J |
| المصدر: | AIDS Behav ; ISSN:1573-3254 |
| بيانات النشر: | Springer |
| سنة النشر: | 2024 |
| المجموعة: | PubMed Central (PMC) |
| مصطلحات موضوعية: | HIV, Hospitalization, Men who have sex with men, Psychosocial factors |
| الوصف: | Men who have sex with men (MSM) are at increased risk for certain types of chronic diseases and mental health problems. Despite having extended survival in the highly active antiretroviral therapy (HAART) era, MSM living with HIV contend with aging-related diseases and complications with treatment. Consequent hospitalizations incur high costs, fear, low quality of life, and frailty. Unlike heterosexual men, MSM experience more structural violence and "syndemics" of psychosocial factors that not only accelerate HIV acquisition and transmission risk but also may increase morbidity, leading to greater rates of hospitalization. We aim to examine the impact of "syndemic" psychosocial factors on the incidence of hospitalization among geographically diverse MSM in the US. Participants were 1760 MSM from the Multicenter AIDS Cohort Study (MACS) between 2004 and 2019. We examined the relationship between six psychosocial factors (depression, stimulant use, smoking, heroin use, childhood sexual abuse, and intimate partner violence) and incident hospitalization (admission to a hospital for treatment). We found a positive dose-response relationship between the number of syndemic factors and hospitalization. MSM reporting five or more syndemic factors had over twice the risk of hospitalization compared to MSM without syndemic factors [aRR = 2.14 (95% CI = 1.56, 2.94)]. Psychosocial factors synergistically increased hospitalizations over time. The positive dose-response relationship between the number of syndemic factors and hospitalization and the synergistic effects of these factors underscore the need for interventions that disentangle the syndemics to reduce hospitalization and related costs and improve the quality of life among MSM. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://doi.org/10.1007/s10461-024-04356-5Test; https://pubmed.ncbi.nlm.nih.gov/38703339Test |
| DOI: | 10.1007/s10461-024-04356-5 |
| الإتاحة: | https://doi.org/10.1007/s10461-024-04356-5Test https://pubmed.ncbi.nlm.nih.gov/38703339Test |
| حقوق: | © 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. |
| رقم الانضمام: | edsbas.A376EEE8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s10461-024-04356-5 |
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