Syndemic Vulnerability, Sexual and Injection Risk Behaviors, and HIV Continuum of Care Outcomes in HIV-Positive Injection Drug Users

Yuko Mizuno, David W. Purcell, Amy R. Knowlton, James D. Wilkinson, Marc N. Gourevitch, Kelly R. Knight

Research output: Contribution to journalArticle

Abstract

Limited investigations have been conducted on syndemics and HIV continuum of care outcomes. Using baseline data from a multi-site, randomized controlled study of HIV-positive injection drug users (n = 1,052), we examined whether psychosocial factors co-occurred, and whether these factors were additively associated with behavioral and HIV continuum of care outcomes. Experiencing one type of psychosocial problem was significantly (p < 0.05) associated with an increased odds of experiencing another type of problem. Persons with 3 or more psychosocial problems were significantly more likely to report sexual and injection risk behaviors and were less likely to be adherent to HIV medications. Persons with 4 or more problems were less likely to be virally suppressed. Reporting any problems was associated with not currently taking HIV medications. Our findings highlight the association of syndemics not only with risk behaviors, but also with outcomes related to the continuum of care for HIV-positive persons.

Original languageEnglish (US)
Pages (from-to)684-693
Number of pages10
JournalAIDS and Behavior
Volume19
Issue number4
DOIs
StatePublished - Apr 10 2015

Keywords

  • HIV continuum of care
  • HIV risk behaviors
  • HIV-positive injection drug users
  • Syndemics

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint Dive into the research topics of 'Syndemic Vulnerability, Sexual and Injection Risk Behaviors, and HIV Continuum of Care Outcomes in HIV-Positive Injection Drug Users'. Together they form a unique fingerprint.

Cite this