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- Title
Syndemic Experiences, Protective Factors, and HIV Vulnerabilities Among Lesbian, Gay, Bisexual and Transgender Persons in Jamaica.
- Authors
Logie, Carmen H.; Wang, Ying; Marcus, Natania; Levermore, Kandasi; Jones, Nicolette; Ellis, Tyrone; Bryan, Nicolette
- Abstract
Syndemics approaches explore the convergence of psychosocial factors that elevate HIV vulnerabilities. Less research has explored syndemics among lesbian, gay, bisexual and transgender (LGBT) persons in contexts where criminalization has downstream impacts on LGBT discrimination, such as Jamaica. We implemented a cross-sectional survey with LGBT persons (n = 911) in Jamaica. We conducted structural equation modeling to examine direct and indirect effects of a latent syndemics construct (binge drinking, depressive symptoms, childhood/adult abuse) on HIV vulnerabilities (lifetime sex partners, perceived HIV risk, condom self-efficacy) and the mediating role of protective factors (social support, resilient coping). Direct paths from syndemics to lifetime sex partners, perceived HIV risk, and condom self-efficacy were significant. Resilient coping and social support partially mediated the association between syndemics and condom use self-efficacy. Resilient coping partially mediated the relationship between syndemics and lifetime sex partners. Interventions can target syndemic issues to reduce HIV vulnerabilities among Jamaican LGBT persons.
- Subjects
JAMAICA; PSYCHOLOGICAL adaptation; CONDOMS; HIV infections; PSYCHOLOGICAL resilience; SELF-efficacy; SEXISM; SURVEYS; SOCIAL support; STRUCTURAL equation modeling; CROSS-sectional method; PSYCHOLOGY of LGBTQ+ people; SEXUAL partners; PSYCHOLOGICAL vulnerability; SYNDEMICS
- Publication
AIDS & Behavior, 2019, Vol 23, Issue 6, p1530
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-018-2377-x