Depression and sexual risk behaviour among clients about to start HIV antiretroviral therapy in Uganda.
Depression and sexual risk behaviour among clients about to start HIV antiretroviral therapy in Uganda.
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DOI：
10.1177/0956462413495186
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发表时间：
2014-02
影响因子：
1.4
通讯作者：
Okello E
中科院分区：
文献类型：
--
作者：
Musisi S;Wagner GJ;Ghosh-Dastidar B;Nakasujja N;Dickens A;Okello E
我们调查了乌干达艾滋病毒客户中抑郁与性风险行为与主要伴侣的关系。基线数据分析来自开始抗逆转录病毒治疗的患者队列。采用患者健康问卷（PHQ-9）对抑郁严重程度（无、轻度和重度抑郁）和症状类型（认知型和躯体型）进行分类。评估了过去6个月和最后一次性交期间的安全套使用情况。386名参与者有主要性伴侣，41.6%的人在过去6个月的性行为中总是使用避孕套，62.4%的人在最后一次性行为中使用避孕套。在双变量分析中，在最后一次性行为中使用避孕套与无抑郁和较低的PHQ-9总分、认知和躯体亚量表得分相关；在过去的6个月里，这些关系中的大多数在性方面都不太重要。控制人口统计、艾滋病病毒披露和伴侣艾滋病病毒状况，只有轻微抑郁与无保护的性行为有关。抑郁症状，即使不是一种临床障碍，也需要及早发现和治疗，以促进受艾滋病毒感染的夫妇预防艾滋病毒。
We investigated depression in relationship to sexual risk behavior with primary partners among HIVclients in Uganda. Baseline data were analyzed from a cohort of clients starting ART. The Patient Health Questionnaire (PHQ-9) was used to classify depressive severity (none, minor and major depression) and symptom type (cognitive and somatic). Condom use was assessed over the past 6 months and during the last episode of sexual intercourse. 386 participants had a primary sex partner, with whom 41.6% always used condoms during sex over the past 6 months, and 62.4% during last sex. Use of a condom during last sex was associated with having no depression and lower PHQ-9 total and cognitive and somatic subscale scores in bivariate analyses; most of these relationships were marginally significant for sex over the past 6 months. Controlling for demographics, HIV disclosure and partner HIV status, only minor depression was associated with unprotected sex. Depressive symptoms, even if not a clinical disorder, warrant early detection and treatment for promoting HIV prevention among HIV-affected couples.
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