@article{959b16ab528e48c6906b2887f86920b5,
title = "Syndemic Conditions, Sexual Risk Behavior, and HIV Infection Among Men Who Have Sex with Men in Taiwan",
abstract = "Men who have sex with men (MSM) continue to constitute the majority of HIV incidence in Taiwan. This study examined the associations between five co-occurring psychosocial health conditions (PHCs)–childhood physical abuse (CPA), childhood sexual abuse (CSA), intimate partner violence (IPV), internalized homophobia (IH), and methamphetamine use (MU), and two outcomes (HIV infection and condomless anal sex) among a community sample of 1,000 Taiwanese MSM (mean age 28.5 years). Compared to MSM who had never experienced any PHC, MSM with one or more PHCs had greater than twofold higher odds of being HIV-positive, and those with three or more PHCs had twofold higher odds of having condomless anal sex. Interactive effects on HIV infection were identified from CPA + CSA + MU and CPA + IPV + MU. An interactive effect on condomless anal sex was detected between IH and MU. In order to control the escalating HIV epidemic among MSM in Taiwan, interventions are needed to address syndemic psychosocial health conditions.",
keywords = "Condomless anal sex, HIV infection, Men who have sex with men, Psychosocial health conditions, Syndemic",
author = "Chuang, {Deng Min} and Newman, {Peter A.} and Lin Fang and Lai, {Meng Chuan}",
note = "Funding Information: We gratefully acknowledge the participation of the staff and volunteers at the five study sites, namely Taiwan Tongzhi Hotline Association, Taiwan Lourdes Association, Taiwan GDi Association, Sunshine Queer Centre, and GisneyLand. This study was supported in part by Research Travel Grant from the University of Toronto. The funding organization had no role in any of the following: the design and conduct of the study, collection, management, analysis and interpretation of the data, or preparation, review or approval of the manuscript. A special thank you to Tomas Andersson from the Institute of Environmental Medicine at the Karolinska Institutet, Sweden, for statistical analysis consultation. Funding Information: We gratefully acknowledge the participation of the staff and volunteers at the five study sites, namely Taiwan Tongzhi Hotline Association, Taiwan Lourdes Association, Taiwan GDi Association, Sunshine Queer Centre, and GisneyLand. This study was supported in part by Research Travel Grant from the University of Toronto. The funding organization had no role in any of the following: the design and conduct of the study, collection, management, analysis and interpretation of the data, or preparation, review or approval of the manuscript. A special thank you to Tomas Andersson from the Institute of Environmental Medicine at the Karolinska Institutet, Sweden, for statistical analysis consultation. Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2021",
month = nov,
doi = "10.1007/s10461-021-03269-x",
language = "English",
volume = "25",
pages = "3503--3518",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "11",
}
