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Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men

In this Series paper, we review evidence on the co-occurring and synergistic epidemics (syndemic) of HIV and mental health problems worldwide among men who have sex with men (MSM). The multilevel determinants of this global syndemic include structural factors that enable stigma, systematic bias, and...

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Autores principales: Operario, Don, Sun, Shufang, Bermudez, Amiel Nazer, Masa, Rainier, Shangani, Sylvia, van der Elst, Elise, Sanders, Eduard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7613577/
https://www.ncbi.nlm.nih.gov/pubmed/35750058
http://dx.doi.org/10.1016/S2352-3018(22)00076-5
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author Operario, Don
Sun, Shufang
Bermudez, Amiel Nazer
Masa, Rainier
Shangani, Sylvia
van der Elst, Elise
Sanders, Eduard
author_facet Operario, Don
Sun, Shufang
Bermudez, Amiel Nazer
Masa, Rainier
Shangani, Sylvia
van der Elst, Elise
Sanders, Eduard
author_sort Operario, Don
collection PubMed
description In this Series paper, we review evidence on the co-occurring and synergistic epidemics (syndemic) of HIV and mental health problems worldwide among men who have sex with men (MSM). The multilevel determinants of this global syndemic include structural factors that enable stigma, systematic bias, and violence towards MSM across geographical and cultural contexts. Cumulative exposure to these factors over time results in population-level inequities in the burden of HIV infections and mental health problems among MSM. Evidence for this syndemic among MSM is strongest in the USA, Canada, western Europe, and parts of Asia and Latin America, with emerging evidence from sub-Saharan Africa. Integrated interventions are needed to address syndemics of HIV and mental health problems that challenge the wellbeing of MSM populations worldwide, and such interventions should consider various mental health conditions (eg, depression, anxiety, trauma, and suicidality) and their unique expressions and relationships with HIV outcomes depending on cultural contexts. In addition, interventions should identify and intervene with locally relevant structural factors that result in HIV and mental health vulnerabilities among MSM.
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spelling pubmed-76135772022-09-08 Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men Operario, Don Sun, Shufang Bermudez, Amiel Nazer Masa, Rainier Shangani, Sylvia van der Elst, Elise Sanders, Eduard Lancet HIV Article In this Series paper, we review evidence on the co-occurring and synergistic epidemics (syndemic) of HIV and mental health problems worldwide among men who have sex with men (MSM). The multilevel determinants of this global syndemic include structural factors that enable stigma, systematic bias, and violence towards MSM across geographical and cultural contexts. Cumulative exposure to these factors over time results in population-level inequities in the burden of HIV infections and mental health problems among MSM. Evidence for this syndemic among MSM is strongest in the USA, Canada, western Europe, and parts of Asia and Latin America, with emerging evidence from sub-Saharan Africa. Integrated interventions are needed to address syndemics of HIV and mental health problems that challenge the wellbeing of MSM populations worldwide, and such interventions should consider various mental health conditions (eg, depression, anxiety, trauma, and suicidality) and their unique expressions and relationships with HIV outcomes depending on cultural contexts. In addition, interventions should identify and intervene with locally relevant structural factors that result in HIV and mental health vulnerabilities among MSM. 2022-08-01 2022-06-21 /pmc/articles/PMC7613577/ /pubmed/35750058 http://dx.doi.org/10.1016/S2352-3018(22)00076-5 Text en https://creativecommons.org/licenses/by/4.0/This work is licensed under a CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/) International license.
spellingShingle Article
Operario, Don
Sun, Shufang
Bermudez, Amiel Nazer
Masa, Rainier
Shangani, Sylvia
van der Elst, Elise
Sanders, Eduard
Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men
title Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men
title_full Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men
title_fullStr Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men
title_full_unstemmed Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men
title_short Integrating HIV and mental health interventions to address a global syndemic among men who have sex with men
title_sort integrating hiv and mental health interventions to address a global syndemic among men who have sex with men
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7613577/
https://www.ncbi.nlm.nih.gov/pubmed/35750058
http://dx.doi.org/10.1016/S2352-3018(22)00076-5
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