What constitutes a syndemic? Methods, contexts, and framing from 2019.

Journal: Current opinion in HIV and AIDS

Volume: 15

Issue: 4

Year of Publication: 2021

Affiliated Institutions:  Edmund A. Walsh School of Foreign Service, Georgetown University, Washington DC. Department of Anthropology, University of Connecticut, Storres, CT, USA.

Abstract summary 

The purpose of this review is to describe what methods were used for 60 articles on HIV syndemics in 2019, where they took place, what syndemic clusters emerged, and why this matters.Most articles published in 2019 used regression analyses, and fewer used higher level modeling techniques, frequencies and descriptive, longitudinal cohort study, and social network analysis. Some employed ethnography, qualitative interviews, or were simply reviews. Most syndemic co-factors were substance abuse, risky sexual behavior, depression, intimate partner violence, stigma, sexually transmitted infections, and trauma and non-communicable diseases. Half of the studies were conducted in the United States and mostly in urban areas. Other contexts were Canada, Kenya, Uganda, Liberia, Nigeria, South Africa, and Botswana, Jamaica, Dominican Republic, India, Indonesia, China, Peru, and Romania.Most recommendations suggested that people living with HIV need interventions that address other factors situated within their life, such as their mental health, social stigma, experiences of trauma and intimate partner violence, and social stigma and sexual risk taking. Many took an intersectoral approach and emphasized the need to consider the various factors that shape experiences with HIV, from sex, sexuality, class, race and ethnicity, and past trauma.

Authors & Co-authors:  Mendenhall Singer

Study Outcome 

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Statistics
Citations :  Rhodes T, Singer M, Bourgois P, et al. The social structural production of HIV risk among injecting drug users. Soc Sci Med 2005; 61:1026–1044.
Authors :  2
Identifiers
Doi : 10.1097/COH.0000000000000628
SSN : 1746-6318
Study Population
Male,Female
Mesh Terms
HIV Infections
Other Terms
Study Design
Cohort Study
Study Approach
Qualitative
Country of Study
Uganda
Publication Country
United States