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

Smith, L; Cao, C; Zong, X; McDermott, DT; Stefanac, S; Haider, S; Jackson, SE; ... Grabovac, I; + view all (2019) Syndemic effects of HIV risk behaviours: results from the NHANES study. Epidemiology and Infection , 147 , Article e241. 10.1017/s095026881900133x. Green open access

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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.

Type: Article
Title: Syndemic effects of HIV risk behaviours: results from the NHANES study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/s095026881900133x
Publisher version: https://doi.org/10.1017/S095026881900133X
Language: English
Additional information: © The Author(s) 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/ by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Adults, HIV, NHANES, risk factors, syndemic theory
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10078195
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