Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

06-02-2018 | Uitgave 4/2018

Journal of Behavioral Medicine 4/2018

Co-occurring psychosocial problems predict HIV status and increased health care costs and utilization among sexual minority men

Tijdschrift:
Journal of Behavioral Medicine > Uitgave 4/2018
Auteurs:
Conall O’Cleirigh, David W. Pantalone, Abigail W. Batchelder, Mark L. Hatzenbuehler, Samantha M. Marquez, Chris Grasso, Steven A. Safren, Kenneth H. Mayer

Abstract

Sexual orientation related health disparities are well documented. Sexual minority men appear to be at risk for mental health problems due to the stress they experience in establishing and maintaining a minority sexual identity. These mental health issues may combine synergistically and lead to higher medical costs to society. We examine whether sexual minority specific syndemic indicators were associated with higher health care costs, health care utilization, or the risk of being HIV-infected. Health care consumers at a community health center (N = 1211) completed a brief screening questionnaire collected over 12 months. Self-reported data were linked with participants’ clinical billing records. Adjusted logistic regression models identified that four syndemic indicators (suicidality, substance use, childhood sexual abuse, and intimate partner violence) were each significantly related to each other. Multiple syndemics significantly predicted higher medical care utilization and cost, and were associated with 2.5 times the risk of being HIV-infected (OR 2.49, 95% CI 1.45–4.25). Syndemic indicators did not significantly predict the number of mental health visits or costs per patient. These results confirm and extend earlier findings by relating syndemics to health services use and costs for sexual minority men.

Log in om toegang te krijgen

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijft u als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen uw vak. Met het online abonnement heeft u toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kunt u op uw gemak en wanneer het u het beste uitkomt verdiepen in uw vakgebied.

Literatuur
Over dit artikel

Andere artikelen Uitgave 4/2018

Journal of Behavioral Medicine 4/2018 Naar de uitgave