Publication Cover
Global Public Health
An International Journal for Research, Policy and Practice
Volume 12, 2017 - Issue 2
1,437
Views
91
CrossRef citations to date
0
Altmetric
Articles

Syndemics of depression, alcohol use, and victimisation, and their association with HIV-related sexual risk among men who have sex with men and transgender women in India

, , , &
Pages 250-265 | Received 21 Aug 2014, Accepted 30 Mar 2015, Published online: 12 Oct 2015
 

ABSTRACT

We examined the presence and co-occurrence of psychosocial health conditions (depression, frequent alcohol use, and victimisation) among men who have sex with men (MSM) and transgender (TG) women in India, and their cumulative association with sexual risk. A survey questionnaire was administered among a convenience sample of 600 participants (MSM = 300; TG women = 300) recruited through six non-governmental organisations in four states. Prevalences of the number of psychosocial health conditions among MSM were: none = 31.3%, one = 43%, two = 20%, and three = 5.7%; and among TG women: none = 9%; one = 35.33%, two = 38.33%, and three = 17.33%. In bivariate and multivariate models, these conditions were positively and additively related to sexual risk, providing evidence for a syndemic of psychosocial health conditions among MSM and TG women and their synergistic effect on sexual risk. In addition to the number of syndemic conditions, resilient coping and social support were significant predictors of sexual risk among MSM and TG women, respectively. HIV preventive interventions in India should screen for and address co-occurring psychosocial health conditions – experiences of violence, mental health issues, and alcohol use – among MSM and TG women.

Acknowledgements

For successful implementation of this study, we thank our collaborating partners: Social Welfare Association for Men (SWAM), Lotus Integrated AIDS Awareness Sangam, Mooknayak, Pahal Foundation, and Solidarity and Action Against HIV Infection in India.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This study was funded by Indian Council of Medical Research (RHN/Adhoc/21/2010–11). Dr Newman was supported in part by grants from the Canadian Institutes of Health Research (MOP-102512; THA-118570) and the Canada Research Chairs Program.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access
  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart
* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.