title: A syndemic of psychosocial health disparities and associations with risk for attempting suicide among young sexual minority men.
abstract: OBJECTIVE
  We examined a syndemic of psychosocial health issues among young men who have sex with men (MSM), with men and women (MSMW), and with women (MSW). We examined hypothesized drivers of syndemic production and effects on suicide attempts.
  
  
  METHODS
  Using a pooled data set of 2005 and 2007 Youth Risk Behavior Surveys from 11 jurisdictions, we used structural equation modeling to model a latent syndemic factor of depression symptoms, substance use, risky sex, and intimate partner violence. Multigroup models examined relations between victimization and bullying experiences, syndemic health issues, and serious suicide attempts.
  
  
  RESULTS
  We found experiences of victimization to increase syndemic burden among all male youths, especially MSMW and MSM compared with MSW (variance explained = 44%, 38%, and 10%, respectively). The syndemic factor was shown to increase the odds of reporting a serious suicide attempt, particularly for MSM (odds ratio [OR] = 5.75; 95% confidence interval [CI] = 1.36, 24.39; P < .001) and MSMW (OR = 5.08; 95% CI = 2.14, 12.28; P < .001) compared with MSW (OR = 3.47; 95% CI = 2.50, 4.83; P < .001).
  
  
  CONCLUSIONS
  Interventions addressing multiple psychosocial health outcomes should be developed and tested to better meet the needs of young MSM and MSMW.
authors: Brian Mustanski and Rebecca Andrews are with the Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL. Amy Herrick and Ron Stall are with the University of Pittsburgh School of Public Health, Pittsburgh, PA. Phillip W. Schnarrs is with the University of Texas, San Antonio.
authors: Brian
authors: B
authors: Mustanski
authors: Rebecca
authors: R
authors: Andrews
authors: Amy
authors: A
authors: Herrick
authors: Ron
authors: R
authors: Stall
authors: Phillip W
authors: PW
authors: Schnarrs
mesh_terms: D000293:Adolescent; D019548:Crime Victims / Q000706:statistics & numerical data; D003863:Depression / Q000453:epidemiology; D054624:Health Status Disparities; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000706:statistics & numerical data; D019529:Sexuality / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data*; D013179:Spouse Abuse / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014754:Violence / Q000706:statistics & numerical data