Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study.
Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study.
复制标题
DOI：
10.1007/s10461-016-1507-6
复制
发表时间：
2017-06
影响因子：
4.4
通讯作者：
Parsons JT
中科院分区：
文献类型：
--
作者：
Millar BM;Starks TJ;Grov C;Parsons JT
抑郁症和性冒险之间的联系在文献中得到了不同的发现。目前的研究分析了1033名hiv阴性、未使用prep、同性恋和双性恋男性近期与随意伴侣进行无安全套肛交（CAS）之间的联系。当将CAS分为无或有时，抑郁与CAS（接受性和插入性合并）或仅插入性CAS的几率无关，但与接受性CAS的几率呈正相关。当将CAS作为事件的计数变量计算时，抑郁与总CAS、接受CAS和插入CAS呈正相关。加入抑郁项后，只有总CAS和接受CAS存在正的二次效应，插入CAS不存在正的二次效应。这些发现强调了在考虑抑郁症在男同性恋和双性恋男性中的作用时，使用CAS事件的计数数据，并将CAS的接受和插入定位分开处理的效用。
The link between depression and sexual risk-taking has received mixed findings in the literature. The current study analyzed the links between depression and recent condomless anal sex (CAS) with casual partners among 1033 HIV-negative, non-PrEP-using, gay and bisexual men. When CAS was dichotomized as either none or some, depression was not associated with the odds of CAS (with receptive and insertive combined) or insertive CAS only, but was positively associated with the odds of receptive CAS. When CAS was tallied as a count variable of events, depression was positively associated with total CAS, receptive CAS, and insertive CAS. With the addition of a quadratic term for depression, a positive quadratic effect was only found for total CAS and receptive CAS, but not for insertive CAS. These findings highlight the utility of using count data for CAS events and treating CAS separately with regard to receptive and insertive positioning when considering the role of depression among gay and bisexual men.