Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach

AIDS and Behavior
Chukwuemeka N OkaforMary Jane Rotherman-Borus

Abstract

Young men in South Africa experience several adverse socio-structural and psychosocial factors that may contribute HIV risk behaviors. This study applied a syndemic framework to explore whether these syndemic factors are interconnected and work in synergy to increase HIV risk behaviors. Five syndemic factors were assessed including: binge drinking, polydrug use, depressive symptoms, violence and food insecurity on two HIV risk behaviors: multiple sex partners and transactional sex. Participants were (N = 1233) young men aged 18-29 years from a township in Cape Town, South Africa. Bivariate logistic regression analysis demonstrated that many of the syndemic factors were related to one another. Pairwise interactions (on an additive scale) among the syndemic factors revealed significant positive interactions between binge drinking and violence on greater odds of reporting multiple sex partners (aOR = 5.10, 95% CI 3.10, 8.29; p = < .001) compared to reporting neither factor. Also, food insecurity and violence (aOR = 2.89, 95% CI 1.63, 5.11; p = < .001) as well as food insecurity and polydrug use (aOR = 2.73, 95% CI 1.54, 4.84; p = < .001) were significantly associated with greater odds of transactional sex compared to reporting nei...Continue Reading

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Citations

Jul 12, 2019·Global Public Health·Jennifer Kibicho, Julie Kieffer Campbell
Aug 1, 2019·Epidemiology and Infection·L SmithI Grabovac
Jun 27, 2020·Social Science & Medicine·David HimmelgreenTheresa Stoddard
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Jan 9, 2022·Tropical Medicine & International Health : TM & IH·Joan ChristodoulouMark Tomlinson

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