Depression and HIV risk among men who have sex with men in Tanzania.
Depression and HIV risk among men who have sex with men in Tanzania.
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DOI：
10.1080/09540121.2016.1146207
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发表时间：
2016
期刊：
影响因子：
1.7
通讯作者：
McCurdy S
中科院分区：
文献类型：
--
作者：
Ahaneku H;Ross MW;Nyoni JE;Selwyn B;Troisi C;Mbwambo J;Adeboye A;McCurdy S
研究表明，在发达国家，男男性行为者（MSM）患抑郁症的比例很高。研究还表明，在男男性接触者中，抑郁与艾滋病毒风险之间存在关联。然而，关于非洲男同性恋者抑郁症的研究很少。我们在坦桑尼亚的一个男同性恋者样本中评估了抑郁和艾滋病毒风险。我们回顾了从坦桑尼亚两个城市招募的205名男男性行为者的数据，采用受访者驱动的抽样方法。使用结构化问卷收集人口统计和行为数据。艾滋病毒和性传播感染的数据是通过生物试验确定的。使用患者健康问卷（PHQ-9）评估抑郁评分。在分析中，将抑郁评分分为抑郁（PHQ≤4）和非抑郁（PHQ≤4）。采用双变量和多变量泊松回归分析来评估与抑郁症相关的因素。样本中抑郁症患病率为46.3%。样本的平均（±SD）年龄为25（±5）岁。在双变量分析中，抑郁与自我认同为同性恋相关(p =。001)， HIV阳性(p <。001: <8%的男男性行为者知道他们感染了艾滋病毒)，并且在过去6个月内有很多性伴侣（p = .001）。抑郁也与性行为有关(p =。007)、身体虐待（p = 0.003）和言语虐待（p < 0.001）。在泊松回归分析中，抑郁与言语虐待相关（APR = 1.91, CI = 1.30-2.81）。在坦桑尼亚，男男性行为者的抑郁率很高。它还与虐待、艾滋病毒和艾滋病毒风险行为有关。因此，降低抑郁风险可能有助于降低非洲男男性行为者感染艾滋病毒的风险。我们建议将心理健康和艾滋病毒预防服务作为解决非洲男男性行为者抑郁症和艾滋病毒风险的一种具有成本效益的手段。
Studies have shown high rates of depression among men who have sex with men (MSM) in developed countries. Studies have also shown association between depression and HIV risk among MSM. However, very little research has been done on depression among African MSM. We assessed depression and HIV risk among a sample of MSM in Tanzania. We reviewed data on 205 MSM who were recruited from two Tanzanian cities using the respondent driven sampling method. Demographic and behavioral data were collected using a structured questionnaire. HIV and sexually transmitted infections data were determined from biological tests. Depression scores were assessed using the Patient Health Questionnaire (PHQ-9). For the analysis, depression scores were dichotomized as depressed (PHQ > 4) and not depressed (PHQ ≤ 4). Bivariate and multivariable Poisson regression analyses were conducted to assess factors associated with depression. The prevalence of depression in the sample was 46.3%. The mean (±SD) age of the sample was 25 (±5) years. In bivariate analysis, depression was associated with self-identifying as gay (p = .001), being HIV positive (p < .001: <8% of MSM knew they were HIV infected) and having a high number of sexual partners in the last 6 months (p = .001). Depression was also associated with sexual (p = .007), physical (p = .003) and verbal (p < .001) abuse. In the Poisson regression analysis, depression was associated with verbal abuse (APR = 1.91, CI = 1.30–2.81). Depression rates were high among MSM in Tanzania. It is also associated with abuse, HIV and HIV risk behaviors. Thus, reducing the risk of depression may be helpful in reducing the risk of HIV among MSM in Africa. We recommend the colocation of mental health and HIV preventive services as a cost-effective means of addressing both depression and HIV risk among MSM in Africa.