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Epidemiology and infection. pii: S095026881900133X. doi: 10.1017/S095026881900133X

Syndemic effects of HIV risk behaviours: results from the NHANES study.

Smith L¹, Cao C², Zong X³, McDermott DT⁴, Stefanac S⁵, Haider S⁶, Jackson SE⁷, Veronese N⁸, López-Sánchez GF⁹, Koyanagi A¹⁰, Yang L¹¹, Grabovac I¹²

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¹Cambridge Centre for Sport and Exercise Sciences,Anglia Ruskin University,Cambridge,UK.
²Division of Public Health Sciences,Department of Surgery,Washington University School of Medicine,St Louis, MO,USA.
³Division of Public Health Sciences,Department of Surgery,Washington University School of Medicine,St Louis, MO,USA.
⁴Division of Psychology,School of Psychology and Sports Sciences,Anglia Ruskin University,Cambridge,UK.
⁵Institute of Outcomes Research,Center for Medical Statistics,Informatics and Intelligent Systems,Medical University of Vienna,Vienna,Austria.
⁶Department of Social and Preventive Medicine,Center for Public Health,Medical University of Vienna,Vienna,Austria.
⁷Department of Behavioural Science and Health,University College London,London,UK.
⁸National Research Council, Neuroscience Institute,Aging Branch, Padova,Italy.
⁹Faculty of Sport Sciences,University of Murcia,Murcia,Spain.
¹⁰Research and Development Unit,Parc Sanitari Sant Joan de Déu,Fundació Sant Joan de Déu,CIBERSAM,Sant Boi de Llobregat,Barcelona,Spain.
¹¹Department of Epidemiology,Center for Public Health,Medical University of Vienna,Vienna,Austria.
¹²Department of Social and Preventive Medicine,Center for Public Health,Medical University of Vienna,Vienna,Austria.

Abstract

The aim of the present study is to use the syndemic framework to investigate the risk of contracting HIV in the US population. Cross-sectional analyses are from The National Health and Nutrition Examination Survey. We extracted and aggregated data on HIV antibody test, socio-demographic characteristics, alcohol use, drug use, depression, sexual behaviours and sexually transmitted diseases from cycle 2009-2010 to 2015-2016. We carried out weighted regression among young adults (20-39 years) and adults (40-59 years) separately. In total, 5230 men and 5794 women aged 20-59 years were included in the present analyses. In total, 0.8% men and 0.2% women were tested HIV-positive. Each increasing HIV risk behaviour was associated with elevated odds of being tested HIV-positive (1.15, 95% CI 1.15-1.15) among young adults and adults (1.61, 95% CI 1.61-1.61). Multi-faceted, community-based interventions are urgently required to reduce the incidence of HIV in the USA.

KEYWORDS: Adults, HIV, NHANES, risk factors, syndemic theory

Publikations ID: 31364584
Quelle: öffnen

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