Associations between depressive syndromes and HIV risk behaviors among SanFrancisco men who have sex with men

被引:12
作者
Chen, Yea-Hung [1 ]
Raymond, Henry Fisher [1 ,2 ]
机构
[1] Ctr Publ Hlth Res, Dept Publ Hlth, 25 Van Ness Ave,Ste 500, San Francisco, CA 94102 USA
[2] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2017年 / 29卷 / 12期
关键词
Depression; men who have sex with men (MSM); HIV; antiretroviral therapy (ART); condomless intercourse; RANDOMIZED CONTROLLED-TRIAL; UNITED-STATES; POSITIVE MEN; INFECTED MEN; ANAL SEX; CBT-AD; ADHERENCE; THERAPY; SYMPTOMS; HEALTH;
D O I
10.1080/09540121.2017.1307925
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
HIV prevention plans for men who have sex with men (MSM) are often multifaceted. They involve reduction of sexual risk behaviors, such as condomless intercourse, but also often include pharmaceutical approaches, such as early treatment of HIV-infected individuals with antiretroviral therapy (ART). Effectiveness is possibly threatened by individual-level factors, such as depression. In this study of 322 SanFrancisco MSM (240 HIV-uninfected individuals and 82 HIV-infected individuals, according to self-report), we examine associations between depressive syndromes and HIV risk behaviors (sexual risk behaviors and ART non-adherence). Our study failed to find evidence that depressive syndromes lead to increases in ART non-adherence (risk difference, RD: 27.9; 95% confidence interval, CI: -3.5, 59.3). However, the study does suggest an association between depressive syndromes and concurrence of non-adherence and potentially HIV-discordant condomless receptive anal intercourse (RD: 36.0; 95% CI: 5.2, 66.8). Among HIV-uninfected MSM, our study suggests negative associations between depressive syndromes and sexual risk behaviors. We recommend screening and treatment of depression among HIV-infected MSM.
引用
收藏
页码:1538 / 1542
页数:5
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