Clinically significant depressive symptoms as a risk factor for HIV infection among black MSM in Massachusetts.
Clinically significant depressive symptoms as a risk factor for HIV infection among black MSM in Massachusetts.
复制标题
DOI：
10.1007/s10461-009-9571-9
复制
发表时间：
2009-08
影响因子：
4.4
通讯作者：
Mayer, Kenneth H.
中科院分区：
文献类型：
--
作者：
Reisner, Sari L.;Mimiaga, Matthew J.;Skeer, Margie;Bright, Donna;Cranston, Kevin;Isenberg, Deborah;Bland, Sean;Barker, Thomas A.;Mayer, Kenneth H.
与一般成年男性相比，男男性行为者 (MSM) 的抑郁症发病率较高；然而，缺乏对黑人男男性接触者抑郁症的研究。 2008 年 1 月至 7 月期间，通过改良的受访者驱动抽样招募的黑人 MSM（n = 197）完成了访谈员管理的定量评估以及自愿艾滋病毒咨询和检测。使用包含 20 项的流行病学研究中心抑郁量表 (CES-D)，双变量和多变量逻辑回归程序检查了人口统计学、行为 HIV 危险因素和心理社会变量与抑郁症状（按严重程度）的关联。调整人口和行为变量后，与 (1) 临床显着抑郁症状相关的重要因素（33%；CES-D 评分 ≥ 16）：接受医疗补助公共保险、与临时男性伴侣进行血清不一致的肛交、以及在过去 12 个月内被诊断患有 STD； (2) 中度抑郁症状（19%；CES-D 评分 16-26）：与临时男性伴侣进行血清不一致的无保护肛交，并在过去 12 个月内被诊断患有 STD； (3) 严重抑郁症状（14%；CES-D 评分 27+）：接受 Medicaid 公共保险，并报告在过去 12 个月内难以获得医疗保健。中度抑郁的黑人男男性接触者可能更有可能做出使他们感染艾滋病毒和其他性传播疾病的风险增加的行为。针对黑人 MSM 的艾滋病毒预防干预措施可能会受益于纳入抑郁症筛查和/或治疗，从而使抑郁的 MSM 能够更有效地应对行为改变方法。
High rates of depression have been observed among men who have sex with men (MSM) relative to the general adult male population; however, a dearth of research has explored depression among Black MSM. Black MSM (n = 197) recruited via modified respondent-driven sampling between January and July 2008 completed an interviewer-administered quantitative assessment and voluntary HIV counseling and testing. Bivariate and multivariable logistic regression procedures examined the associations of demographics, behavioral HIV risk factors, and psychosocial variables with depressive symptoms by severity, using the 20-item Center for Epidemiologic Studies Depression Scale (CES-D). Adjusting for demographic and behavioral variables, significant factors associated with (1) clinically significant depressive symptoms (33%; CES-D score ≥ 16): being publicly insured by Medicaid, having serodiscordant anal sex with a casual male partner, and being diagnosed with an STD in the prior 12 months; (2) moderate depressive symptoms (19%; CES-D score 16–26): having serodiscordant unprotected anal sex with a casual male partner and being diagnosed with an STD in the prior 12 months; (3) severe depressive symptoms (14%; CES-D score 27+): being publicly insured by Medicaid and reporting difficulty accessing healthcare in the past 12 months. Moderately depressed Black MSM may be more likely to engage in behaviors that place them at increased risk for HIV and other STDs. HIV prevention interventions for Black MSM may benefit from incorporating screening and/or treatment for depression, allowing MSM who are depressed to respond more effectively to behavioral change approaches.
登录
查看更多内容
影响因子：
168.9
作者：
Blumenthal, JA;Lett, HS;Newman, MF
通讯作者：
Newman, MF
影响因子：
39.2
作者：
BUCHSBAUM, DG;BUCHANAN, RG;LAWTON, MJ
通讯作者：
LAWTON, MJ
DOI：
10.15288/jsa.1998.59.420
发表时间：
1998-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Cherpitel, CJ
通讯作者：
Cherpitel, CJ
影响因子：
12.7
作者：
Cochran, SD;Mays, VM
通讯作者：
Mays, VM
DOI：
10.15288/jsa.1998.59.659
发表时间：
1998-11-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Caetano, R;Clark, CL
通讯作者：
Clark, CL