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Maxence Ouafik

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 19, 2023
    PubMed
    Summary

    The syndemic framework highlights how multiple health issues cluster in sexual and gender minorities (SGM) due to social factors. Addressing structural disadvantages is key to improving SGM health outcomes.

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    Mapping the current knowledge in syndemic research applied to men who have sex with men: a scoping review protocol.

    BMJ open·2020

    Area of Science:

    • Medical Anthropology
    • Public Health
    • Sociology

    Context:

    • Sexual and gender minorities (SGM) face disproportionate mental health issues, violence, and STIs.
    • Adverse social conditions like discrimination exacerbate health disparities.
    • The syndemic concept explains the interaction of multiple health conditions within vulnerable populations.

    Purpose:

    • To synthesize existing knowledge on syndemic theory applied to SGM.
    • To identify gaps in research, particularly concerning European data and specific SGM subgroups.
    • To propose actionable suggestions for future research and interventions.

    Summary:

    • A scoping review of 126 papers revealed a well-established co-occurrence of psychosocial conditions in SGM, driven by stigmatization.
    • Syndemic presence is linked to increased odds of HIV acquisition, suicidal behavior, and healthcare utilization.
    • Data on European SGM, sexual minority women, and transgender men are notably scarce.

    Impact:

    • The syndemic framework is crucial for understanding and addressing SGM health.
    • Priorities include combating structural disadvantages, enhancing research on European SGM health, and developing community-based peer-support programs.
    • Interventions should focus on addressing the root social causes of health disparities.

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