Social Networks Moderate the Syndemic Effect of Psychosocial and Structural Factors on HIV Risk Among Young Black Transgender Women and Men who have Sex with Men

The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syn...

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Bibliographic Details
Published in:AIDS and behavior Vol. 24; no. 1; pp. 192 - 205
Main Authors: Teixeira da Silva, Daniel, Bouris, Alida, Voisin, Dexter, Hotton, Anna, Brewer, Russell, Schneider, John
Format: Journal Article
Language:English
Published: New York Springer US 01.01.2020
Springer Nature B.V
Subjects:
Adolescent
Adult
African Continental Ancestry Group - psychology
Aggression
Anal intercourse
Anal sex
Child & adolescent mental health
Cohort Studies
Female
Gays & lesbians
Health Psychology
Health risks
HIV
HIV Infections - ethnology
HIV Infections - prevention & control
HIV Infections - psychology
Homosexuality, Male - psychology
Homosexuality, Male - statistics & numerical data
Human immunodeficiency virus
Humans
Incidence
Infections
Infectious Diseases
LGBTQ people
Male
Medicine
Medicine & Public Health
Men
Men who have sex with men
Mens health
Mental depression
Original Paper
Population Surveillance
Poverty
Psychological Theory
Psychosocial factors
Public Health
Risk factors
Sex
Sexual Behavior - ethnology
Sexual Behavior - statistics & numerical data
Sexually transmitted diseases
Social factors
Social interactions
Social justice
Social Networking
Social networks
Social organization
STD
Stress, Psychological
Substance abuse
Substance use
Syndemic
Transgender persons
Transgender Persons - psychology
Unsafe Sex
Violence
Women
Womens health
Young Adult
Transgender women
Black
HIV
MSM
Syndemic
ISSN:1090-7165, 1573-3254, 1573-3254
Online Access:Get full text
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Summary:The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syndemic factors [i.e. substance use; community violence; depression; poverty; justice system involvement (JSI)], social network characteristics, condomless anal sex (CAS), group sex (GS), and HIV-infection. The syndemic index significantly increased the odds of CAS, GS, and HIV-infection, and these effects were moderated by network characteristics. Network JSI buffered the effect on CAS, romantic network members buffered the effect on GS, and network age and proportion of family network members buffered the effect on HIV-infection. The proportion of friend network members augmented the effect on GS and HIV-infection. Future research to prevent HIV among YBTM should consider social network approaches that target both structural and psychosocial syndemic factors.
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ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-019-02575-9