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A Syndemic of Psychosocial Health Disparities and Associations With Rifor Attempting Suicide Among Young Sexual Minority Men

Author

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  • Mustanski, B.
  • Andrews, R.
  • Herrick, A.
  • Stall, R.
  • Schnarrs, P.W.

Abstract

Objectives. We examined a syndemic of psychosocial health issues among young men who have sex with men (MSM), with men and women (MSMW), and with women (MSW). We examined hypothesized drivers of syndemic production and effects on suicide attempts. Methods. Using a pooled data set of 2005 and 2007 Youth Risk Behavior Surveys from 11 jurisdictions, we used structural equation modeling to model a latent syndemic factor of depression symptoms, substance use, risky sex, and intimate partner violence. Multigroup models examined relations between victimization and bullying experiences, syndemic health issues, and serious suicide attempts. Results. We found experiences of victimization to increase syndemic burden among all male youths, especially MSMW and MSM compared with MSW (variance explained = 44%, 38%, and 10%, respectively). The syndemic factor was shown to increase the odds of reporting a serious suicide attempt, particularly for MSM (odds ratio [OR] = 5.75; 95% confidence interval [CI] = 1.36, 24.39; P > .001) and MSMW (OR = 5.08; 95% CI = 2.14, 12.28; P > .001) compared with MSW (OR = 3.47; 95% CI = 2.50, 4.83; P > .001). Conclusions. Interventions addressing multiple psychosocial health outcomes should be developed and tested to better meet the needs of young MSM and MSMW.

Suggested Citation

  • Mustanski, B. & Andrews, R. & Herrick, A. & Stall, R. & Schnarrs, P.W., 2014. "A Syndemic of Psychosocial Health Disparities and Associations With Rifor Attempting Suicide Among Young Sexual Minority Men," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 287-294.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301744_9
    DOI: 10.2105/AJPH.2013.301744
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    Cited by:

    1. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    2. Shauna Stahlman & Ashley Grosso & Sosthenes Ketende & Vincent Pitche & Seni Kouanda & Nuha Ceesay & Henri G Ouedraogo & Odette Ky-Zerbo & Marcel Lougue & Daouda Diouf & Simplice Anato & Jules Tchalla , 2016. "Suicidal ideation among MSM in three West African countries: Associations with stigma and social capital," International Journal of Social Psychiatry, , vol. 62(6), pages 522-531, September.
    3. Craig, Shelley L. & Austin, Ashley, 2016. "The AFFIRM open pilot feasibility study: A brief affirmative cognitive behavioral coping skills group intervention for sexual and gender minority youth," Children and Youth Services Review, Elsevier, vol. 64(C), pages 136-144.
    4. Harvey, Tyler D. & Keene, Danya E. & Pachankis, John E., 2021. "Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration," Social Science & Medicine, Elsevier, vol. 272(C).
    5. Randolph C. H. Chan & Don Operario & Winnie W. S. Mak, 2020. "Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    6. Lutfi, Khaleeq & Trepka, Mary Jo & Fennie, Kristopher P. & Ibanez, Gladys & Gladwin, Hugh, 2015. "Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006–2010," Social Science & Medicine, Elsevier, vol. 140(C), pages 95-103.
    7. Sun, Shufang & Budge, Stephanie & Shen, Wenxuan & Xu, Ge & Liu, Muqing & Feng, Siqi, 2020. "Minority stress and health: A grounded theory exploration among men who have sex with men in China and implications for health research and interventions," Social Science & Medicine, Elsevier, vol. 252(C).
    8. Ouafik, Maxence R. & Buret, Laetitia & Scholtes, Beatrice, 2022. "Mapping the current knowledge in syndemic research applied to men who have sex with men: A scoping review," Social Science & Medicine, Elsevier, vol. 306(C).

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