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Syndemic Theory and Male Same Sex Intimate Partner Violence: An Urban/Non-Urban Comparison

DOI: 10.4236/oalib.1101407    554 Downloads   815 Views   Citations

ABSTRACT

Background: The majority of research with gay men has been conducted in urban populations, with minimal work on partner violence in non-urban (suburban and rural) settings. Syndemic theory, the concept that negative health outcomes are increased with the addition of each new deleterious health variable, has been used to understand partner violence. The aim of the study was to determine differences in prevalence and associated factors of male same-sex intimate partner violence (MSSIPV) among gay men residing in urban versus non-urban settings. Methods: A cross-sectional survey was conducted with gay men in the state of California. Variables were identified from syndemic theory and included exposure to intimate partner violence, depression, sexual compulsivity, poly-drug use, and childhood sexual abuse. Results: Demographic differences were evident between urban and non-urban dwelling gay men. Rates of lifetime victimization and perpetration of MSSIPV between urban and non-urban gay men were not significant. In regard to syndemic variables, only childhood sexual abuse (CSA) showed any significant differences between the two populations. Being a victim of CSA increased the odds of being a lifetime victim of MSSIPV by a factor of five for non-urban participants and increased the odds of being a victim by a factor of three for all subjects. Moreover, being a victim of CSA increased the odds of being a lifetime perpetrator of MSSIPV by a factor of three for non-urban participants. Conclusion: This appears to be the first of its kind study differentiating between urban and non-urban MSM. More research is needed to verify our findings of demographic and syndemic differences between these two populations in order to fully understand and address the needs of all members of the Lesbian, Gay, Bisexual, and Transgender (LGBT) community.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Pimentel, M. , Cheng, A. and Kelly, P. (2015) Syndemic Theory and Male Same Sex Intimate Partner Violence: An Urban/Non-Urban Comparison. Open Access Library Journal, 2, 1-9. doi: 10.4236/oalib.1101407.

References

[1] De Santis, J.P., et al. (2008) The Relationship of Depressive Symptoms, Self-Esteem, and Sexual Behaviors in a Predominantly Hispanic Sample of Men Who Have Sex with Men. American Journal of Men’s Health, 2, 314-321.
http://dx.doi.org/10.1177/1557988307312883
[2] Hart, B. (1986) Lesbian Battering: A Examination. In: Lobel, K., Ed., Naming the Violence, Seal Press, Seattle.
[3] Randle, A.A. and Graham, C.A. (2012) A Review of the Evidence on the Effects of Intimate Partner Violence on Men.
http://www.apa.org/pubs/journals/releases/men-12-2-97.pdf
[4] Stephenson, R., Khosropour, C. and Sullivan, P. (2010) Reporting of Intimate Partner Violence among Men Who Have Sex with Men in an Online Survey. Western Journal of Emergency Medicine, 11, 242-246.
[5] Chen, P.H., Jacobs, A. and Rovi, S.L. (2013) Intimate Partner Violence: IPV in the LGBT Community. FP Essentials, 412, 28-35.
[6] Singer, M. (1996) A Dose of Drugs, a Touch of Violence, a Case of AIDS: Conceptualizing the SAVA Syndemic. Free Inquiry in Creative Sociology, 24, 99-110.
[7] Stall, R., Friedman, M. and Catania, J.A. (2008) Interacting Epidemics and Gay Men’s Health: A Theory of Syndemic Production among Urban Gay Men. In: Wolitski, R.J., Stall, R. and Valdiserri, R.O., Eds., Unequal Opportunity: Health Disparities Affecting Gay and Bisexual Men in the United States, Oxford University Press, New York, 251-274.
[8] Singer, M. (1994) AIDS and the Health Crisis of the U.S. Urban Poor: The Perspective of Critical Medical Anthropology. Social Science Medicine, 39, 931-948.
http://dx.doi.org/10.1016/0277-9536(94)90205-4
[9] González-Guarda, R.M., Florom-Smith, A.L. and Thomas, T. (2011) A Syndemic Model of Substance Abuse, Intimate Partner Violence, HIV Infection, and Mental Health among Hispanics. Public Health Nursing, 28, 366-378.
http://dx.doi.org/10.1111/j.1525-1446.2010.00928.x
[10] Kelly, P.J., et al. (2014) A Syndemic Model of Women Incarcerated in Community Jails. Public Health Nursing, 31, 118-125.
http://dx.doi.org/10.1111/phn.12056
[11] Lee, M.G. and Quam, J.K. (2013) Comparing Supports for LGBT Aging in Rural versus Urban Areas. Journal of Gerontological Social Work, 56, 112-126.
http://dx.doi.org/10.1080/01634372.2012.747580
[12] Ristock, J.L. (2005) Relationship Violence in Lesbian/Gay/Bisexual/Transgender/Queer [LGBTQ] Communities: Moving beyond a Gender-Based Framework. Violence against Women Online Resources, University of Minnesota, Minnesota.
[13] Bowen, A.M., Horvath, K. and Williams, M.L. (2007) A Randomized Control Trial of Internet-Delivered HIV Prevention Targeting Rural MSM. Health Education Research, 22, 120-127.
http://dx.doi.org/10.1093/her/cyl057
[14] Kennedy, M.G. (2010) Rural Men, Sexual Identity and Community. Journal of Homosexuality, 57, 1051-1091.
http://dx.doi.org/10.1080/00918369.2010.507421
[15] Horvath, K.J., Bowen, A.M. and Williams, M.L. (2006) Virtual and Physical Venues as Contexts for HIV Risk among Rural Men Who Have Sex with Men. Health Psychology, 25, 237-242.
http://dx.doi.org/10.1037/0278-6133.25.2.237
[16] Kakietek, J., Sullivan, P.S. and Heffelfinger, J.D. (2011) You’ve Got Male: Internet Use, Rural Residence, and Risky Sex in Men Who Have Sex with Men Recruited in 12 U.S. Cities. AIDS Education and Prevention, 23, 118-127.
http://dx.doi.org/10.1521/aeap.2011.23.2.118
[17] Schnarrs, P.W., Rosenberger, J.G., Satinsky, S., Brinegar, E., Stowers, J., Dodge, B. and Reece, M. (2010) Sexual Compulsivity, the Internet, and Sexual Behaviors among Men in a Rural Area of the United States. AIDS Patient Care and STDs, 24, 563-569.
http://dx.doi.org/10.1089/apc.2010.0117
[18] Bowen, A.M., Williams, M.L., Daniel, C.M. and Clayton, S. (2008) Internet Based HIV Prevention Research Targeting Rural MSM: Feasibility, Acceptability, and Preliminary Efficacy. Journal of Behavioral Medicine, 31, 463-477.
http://dx.doi.org/10.1007/s10865-008-9171-6
[19] Medicine, I.O. (2011) The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for a Better Understanding. The National Academies Press, Washington DC, 347.
[20] Polit, D.F. and Beck, C.T. (2012) Nursing Research: Generating and Assessing Evidence for Nursing Practice. Vol. 9, J. B. Lippincott, Williams & Wilkins, New York.
[21] Radloff, L.S. (1977) The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1, 385-401.
http://dx.doi.org/10.1177/014662167700100306
[22] Dyer, T.P., Shoptaw, S., Guadamuz, T.E., Plankey, M., Kao, U., Ostrow, D., et al. (2012) Application of Syndemic Theory to Black Men Who Have Sex with Men in the Multicenter AIDS Cohort Study. Journal of Urban Health, 89, 697-708.
http://dx.doi.org/10.1007/s11524-012-9674-x
[23] Parsons, J.T., Grov, C. and Golub, S.A. (2012) Sexual Compulsivity, Co-Occurring Psychosocial Health Problems, and HIV Risk among Gay and Bisexual Men: Further Evidence of a Syndemic. American Journal of Public Health, 102, 156-162.
http://dx.doi.org/10.2105/AJPH.2011.300284
[24] Kalichman, S.C. and Rompa, D. (2001) The Sexual Compulsivity Scale: Further Development and Use with HIV Positive Persons. Journal of Personality Assessment, 76, 379-395.
http://dx.doi.org/10.1207/S15327752JPA7603_02
[25] Straus, M.A., Hamby, S.L., Boney-McCoy, S. and Sugarman, D.B. (1996) The Revised Conflict Tactics Scales (CTS2): Development and Preliminary Psychometric Data. Journal of Family Issues, 17, 283-316.
http://dx.doi.org/10.1177/019251396017003001
[26] Nowinski, S.N. and Bowen, E. (2012) Partner Violence against Heterosexual and Gay Men: Prevalence and Correlates. Aggression and Violent Behavior, 17, 36-52.
http://dx.doi.org/10.1016/j.avb.2011.09.005
[27] Straus, M.A. and Douglas, E.M. (2004) A Short Form of the Revised Conflict Tactics Scales, and Typologies for Severity and Mutuality. Violence and Victims, 19, 507-520.
http://dx.doi.org/10.1891/vivi.19.5.507.63686
[28] Finneran, C. and Stephenson, R. (2013) Intimate Partner Violence among Men Who Have Sex with Men: A Systematic Review. Trauma, Violence, & Abuse, 14, 168-185.
http://dx.doi.org/10.1177/1524838012470034
[29] Phillips, G., Magnus, M., Kuo, I., Rawls, A., Peterson, J., Montanez, L., et al. (2014) Childhood Sexual Abuse and HIV-Related Risks among Men Who Have Sex with Men in Washington, DC. Archives of Sexual Behavior, 43, 771-778.
http://dx.doi.org/10.1007/s10508-014-0267-5
[30] Han, S.C., Gallagher, M.W., Franz, M.R., Chen, M.S., Cabral, F.M. and Marx, B.P. (2013) Childhood Sexual Abuse, Alcohol Use, and PTSD Symptoms as Predictors of Adult Sexual Assault among Lesbians and Gay Men. Journal of Interpersonal Violence, 28, 2505-2520.
http://dx.doi.org/10.1177/0886260513479030
[31] Balsam, K.F., Rothblum, E.D. and Beauchaine, T.P. (2005) Victimization over the Life Span: A Comparison of Lesbian, Gay, Bisexual, and Heterosexual Siblings. Journal of Consulting and Clinical Psychology, 73, 477-487.
http://dx.doi.org/10.1037/0022-006X.73.3.477
[32] De Santis, J.P., Gonzalez-Guarda, R., Provencio-Vasquez, E. and Deleon, D.A. (2013) The Tangled Branches (Las Ramas Enredadas): Sexual Risk, Substance Abuse, and Intimate Partner Violence among Hispanic Men Who Have Sex with Men. Journal of Transcultural Nursing, 25, 23-32.
http://dx.doi.org/10.1177/1043659613504110
[33] Andersen, J.P. and Blosnich, J. (2013) Disparities in Adverse Childhood Experiences among Sexual Minority and Heterosexual Adults: Results from a Multi-State Probability-Based Sample. PLoS ONE, 8, e54691.
http://dx.doi.org/10.1371/journal.pone.0054691
[34] Siemieniuk, R., Miller, P., Woodman, K., Ko, K., Krentz, H.B. and Gill, M.J. (2012) Prevalence, Clinical Associations, and Impact of Intimate Partner Violence among HIV-Infected Gay and Bisexual Men: A Population-Based Study. HIV Medicine, 14, 293-302.
http://dx.doi.org/10.1111/hiv.12005
[35] Welles, S.L., Corbin, T.J., Rich, J.A., Reed, E. and Raj, A. (2011) Intimate Partner Violence among Men Having Sex with Men, Women, or Both: Early-Life Sexual and Physical Abuse as Antecedents. Journal of Community Health, 36, 477-485.
http://dx.doi.org/10.1007/s10900-010-9331-9
[36] Preston, D.B., D’Augelli, A.R., Kassab, C.D. and Starks, M.T. (2007) The Relationship of Stigma to the Sexual Risk Behavior of Rural Men Who Have Sex with Men. AIDS Education and Prevention, 19, 218-230.
http://dx.doi.org/10.1521/aeap.2007.19.3.218
[37] Rees, J. (2012) The Extra Challenges of HIV Stigma in a Rural Community. HIV Nursing, 12, 3-5.
[38] Delgado-Rodriguez, M. and Llorca, J. (2004) Bias. Journal of Epidemiology & Community Health, 58, 635-641.
http://dx.doi.org/10.1136/jech.2003.008466

  
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