It Gets Better Because We Grow Stronger An Interview With Leading Gay Men s Health Expert Dr. Ron Stall Jim Pickett
The term "syndemics" describes interacting and intertwining epidemics, or synergistic epidemics.
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RON: Once you buy the idea that syndemics exist among gay men, the next question would be why is that so? We think that a very important piece to this puzzle is that gay men not only suffer far greater rates of violence victimization as adolescents, but that nearly all young gay men watch schoolmates being publicly victimized for having the same sexual orientation that they do. This sets gay men up early on to have a sense of being different, of being less than, of not being deserving, of being alone -- in short, for internalized homophobia at a very early age. And these experiences predispose young gay men to be more depressed, to have greater substance abuse profiles at a very early age, to have higher rates of having sex under the influence of alcohol or drugs and to suffer greater rates of violence victimization, each of which raise HIV risk profiles among young MSM. Dr. Mark Friedman in our group published an analysis to show the associations between the experience of violence victimization and bullying during adolescence and poorer health profiles -- including HIV seropositivity -- among adult gay men. We are conducting additional analyses from a separate cohort study to measure how the experiences of violence victimization at a young age predict syndemic production among middle-aged gay men.