Depression, substance use and HIV risk in a probability sample of men who have sex with men.

Depression, substance use and HIV risk in a probability sample of men who have sex with men.
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DOI:
10.1016/j.addbeh.2012.09.005
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发表时间:
2013-03
影响因子:
4.4
通讯作者:
Mackesy-Amiti, Mary Ellen
Mackesy-Amiti, Mary Ellen
中科院分区:
医学2区
文献类型:
--
作者:
Fendrich, Michael;Avci, Ozgur;Johnson, Timothy P.;Mackesy-Amiti, Mary Ellen

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男男性行为者(MSM)中艾滋病毒的持续流行表明,有必要继续研究与危险性行为相关的因素。根据以前的文献,抑郁症和药物使用在艾滋病毒风险中的作用也是不确定的。过去研究结果的概括性也可能受限于研究没有采用概率样本的程度。在这里,我们报告了少数几个MSM的概率样本之一,以检查抑郁症状和物质使用对危险性行为(RSB)的作用。多项Logistic回归分析表明,抑郁和物质使用与我们的风险测量独立相关,因此那些报告抑郁症状或物质使用水平高的人更有可能报告无保护的接受性肛交和无保护的插入性肛交,以及与高风险伴侣的性行为。对预防和治疗的意义进行了讨论。
The persistent HIV epidemic among men who have sex with men (MSM) suggests that continued research on factors associated with risky sexual behavior is necessary. Drawing on prior literature, the role of depression and substance use in HIV risk is also inconclusive. Generalizability of past findings may also be limited to the extent that research has not employed probability samples. Here we report on one of the few probability samples of MSM to examine the role of depressive symptoms and substance use on risky sexual behavior (RSB). Multinomial logistic regression analysis suggested that depression and substance use are independently linked to our risk measure, such that those reporting high levels of depressive symptoms or substance use were more likely to report both unprotected receptive anal intercourse and unprotected insertive anal intercourse, and sex with a risky partner. Implications for prevention and treatment are discussed.
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