Has depression surpassed HIV as a burden to gay and bisexual men's health in the United States? A comparative modeling study.
Has depression surpassed HIV as a burden to gay and bisexual men's health in the United States? A comparative modeling study.
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在美国，抑郁症已经超过艾滋病成为同性恋和双性恋男性健康的负担了吗？比较模型研究。
DOI：
10.1007/s00127-020-01938-1
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发表时间：
2021-03
影响因子：
4.4
通讯作者：
Pachankis JE
中科院分区：
文献类型：
--
作者：
Bromberg DJ;Paltiel AD;Busch SH;Pachankis JE
虽然艾滋病毒预防和治疗的进展改变了男同性恋和双性恋男子的流行病，但这一人群面临另一种流行病。男同性恋和双性恋男子是抑郁症的最高风险群体之一，这可能对生活质量和公共卫生构成与艾滋病毒相当的挑战。本研究旨在通过估计和比较美国同性恋和双性恋男性的艾滋病毒和抑郁症的发病率，为性少数男性提供全面的护理。2018年，感染艾滋病毒和抑郁症的男同性恋和双性恋男性的加权计数分别来自CDC的医疗监测项目和全国药物使用和健康调查。艾滋病和抑郁症患者的残疾年数是使用全球疾病负担研究的残疾权重计算的。在美国的同性恋和双性恋成年男性中，过去一年重度抑郁发作的患病率为14.17%，而艾滋病毒的患病率为11.52%。我们估计，在2015日历年，美国成年男同性恋和双性恋男性中，重度抑郁发作造成85，361（95%CI：58，293 - 112，212）年的残疾，而艾滋病毒造成42，981（95%CI：36，221 - 49，722）年的残疾。这项分析表明，抑郁症的发病率目前超过了艾滋病毒在美国成年男同性恋和双性恋男子。虽然同性恋和双性恋男子经常被认为是艾滋病毒的高风险人群，包括在艾滋病毒预防和治疗指南中，但目前的分析表明，这一人群也应该被视为抑郁症的高风险人群。
While advances in HIV prevention and treatment have changed the epidemic for gay and bisexual men, another epidemic faces this population. Gay and bisexual men represent one of the highest risk groups for depression, which potentially poses quality-of-life and public health challenges comparable to those of HIV. The present study seeks to inform comprehensive care for sexual minority men by estimating and comparing the morbidity of HIV and depression for US gay and bisexual men. In 2018, weighted counts of gay and bisexual men living with HIV and depression were derived from the CDC’s Medical Monitoring Project and the National Survey on Drug Use and Health, respectively. Years lived with disability for HIV and depression come were calculated using the Global Burden of Disease Study’s disability weights. Among gay and bisexual adult men in the US, the prevalence of past-year major depressive episodes is 14.17%, while the prevalence of HIV is 11.52%. We estimate that in calendar year 2015, major depressive episodes imposed 85,361 (95% CI: 58,293–112,212) years lived with disability among US adult gay and bisexual men, whereas HIV posed 42,981 (95% CI: 36,221–49,722) years lived with disability. This analysis shows that depression morbidity currently exceeds that for HIV among US adult gay and bisexual men. While gay and bisexual men are frequently understood to be a high-risk population for HIV, including in guidelines for HIV prevention and treatment, the present analysis suggests that this population should also be considered high-risk for depression.
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影响因子：
4.4
作者：
King M;Semlyen J;Tai SS;Killaspy H;Osborn D;Popelyuk D;Nazareth I
通讯作者：
Nazareth I
影响因子：
3.1
作者：
O'Cleirigh, Conall;Skeer, Margie;Mayer, Kenneth H.;Safren, Steven A.
通讯作者：
Safren, Steven A.
影响因子：
39.2
作者：
Nance RM;Delaney JAC;Simoni JM;Wilson IB;Mayer KH;Whitney BM;Aunon FM;Safren SA;Mugavero MJ;Mathews WC;Christopoulos KA;Eron JJ;Napravnik S;Moore RD;Rodriguez B;Lau B;Fredericksen RJ;Saag MS;Kitahata MM;Crane HM
通讯作者：
Crane HM
影响因子：
12.7
作者：
Coulter, Robert W. S.;Kenst, Karey S.;Scout
通讯作者：
Scout
影响因子：
3.8
作者：
Pachankis, John E.
通讯作者：
Pachankis, John E.