Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men

Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men
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DOI:
10.1521/aeap.15.1.81.23842
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发表时间:
2003-02-01
影响因子:
1.8
通讯作者:
Valleroy, L
Valleroy, L
中科院分区:
医学4区
文献类型:
--
作者:
Perdue, T;Hagan, H;Valleroy, L

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心理抑郁已被确定为可能影响注射毒品使用者(IDUs)和男男性行为者(MSM)的艾滋病毒风险行为的一种情况。在西雅图的两项研究中,1,228名注射吸毒者和429名年轻的男男性接触者完成了流行病学研究中心抑郁量表(CES-D);使用逻辑回归分析评估了抑郁与注射和性风险行为之间的关系。47%的注射吸毒者的CES-D评分大于或等于23;高分与使用另一名注射吸毒者使用的注射器注射显著相关(调整后的比值比为1.4),但与其他注射风险行为无关。在MSM中,CES-D评分大于或等于16分与过去6个月内报告3名或更多性伴侣有关,但与其他性风险行为无关。这一分析表明,心理抑郁可能会影响某些艾滋病毒的风险行为,在年轻的男男性接触者和注射吸毒者,和干预措施,解决抑郁症可能会指示。
Psychological depression Has been identified as a condition that may influence HIV risk behavior among injection drug users (IDUs) and men who have sex with men (MSM). In two Seattle studies, 1,228 IDUs and 429 young MSM completed the Center for Epidemiologic Studies Depression Scale (CES-D); the relationship between depression and injection and sexual risk behavior was assessed using logistic regression analysis. Forty-seven percent of IDUs had CES-D scores greater than or equal to 23; a high score was significantly related to injection with a syringe used by another IDU (adjusted odds ratio 1.4) but not other injection risk behavior. Among MSM, CES-D scores greater than or equal to 16 were related to reporting 3 or more sex partners in the last 6 months but not to other sexual risk behavior. This analysis suggests that psychological depression may influence certain HIV risk behavior in young MSM and IDUs, and that interventions addressing depression may be indicated.