TABLE 4.
Associations of adversity groups on syndemic and CS outcomes among young men who have sex with men (MSM), Los Angeles, CA 2005–2006 (N = 470)
| Syndemic | CS | |||
|---|---|---|---|---|
| B (95 % CI) | Adj. R 2 | OR (95 % CI) | Nagelkerke R 2 | |
| Model 1: social adversity | 0.030, p = 0.004 | 0.042, p = 0.029 | ||
| Homophobia | 0.068 (−0.159, 0.295) | 1.37 (0.82, 2.28) | ||
| Gay related discrimination | 0.317** (0.093, 0.540) | 1.26 (0.76, 2.10) | ||
| Identity rejection | 0.084 (−0.167, 0.335) | 1.57 (0.89, 2.78) | ||
| Model 2: victimization | 0.038, p = 0.001 | 0.067, p = 0.001 | ||
| Gay related victimization | 0.177 (−0.018, 0.372) | 1.18 (0.75, 1.85) | ||
| Unwanted sex | 0.038 (−0.143, 0.220) | 0.72 (0.47, 1.10) | ||
| Sexual assault | 0.287** (0.091, 0.483) | 1.93** (1.22, 3.05) | ||
| Racial victimization | 0.141 (−0.173, 0.455) | 2.36* (1.11, 5.04) | ||
| Model 3: family adversity | 0.042, p < 0.001 | 0.067, p = 0.002 | ||
| Negative family influence | 0.329** (0.152, 0.506) | 0.93 (0.62, 1.40) | ||
| Sexual abuse (in home) | −0.006 (−0.312, 0.300) | 2.52* (1.22, 5.19) | ||
| Victim of physical abuse | 0.017 (−0.157, 0.192) | 0.625* (0.416, 0.940) | ||
| Family substance use | 0.060 (−0.112, 0.231) | 1.68* (1.13, 2.51) | ||
| Model 4: adverse context | 0.059, p < 0.001 | 0.018, p = 0.406 | ||
| Poverty | 0.163 (−0.078, 0.403) | 0.98 (0.56, 1.70) | ||
| Lifetime homelessness | 0.012 (−0.331, 0.354) | 1.38 (0.63, 3.03) | ||
| Stressful life events | 0.507** (0.294, 0.720) | 0.99 (0.61, 1.62) | ||
| Model 5: total adversity | 0.071, p < 0.001 | 0.059, p = 0.002 | ||
| Social adversity | 0.335 (−0.055, 0.725) | 2.62* (1.04, 6.61) | ||
| Victimization | 0.219 (−0.199, 0.638) | 2.69 (0.99, 7.29) | ||
| Family adversity | 0.187 (−0.146, 0.520) | 1.19 (0.54, 2.60) | ||
| Adverse context | 0.663** (0.213, 1.11) | 0.56 (0.19, 1.65) | ||
*p < 0.05; **p < 0.01