Depressive symptoms and human immunodeficiency virus risk behavior among men who have sex with men in Chennai, India.
Depressive symptoms and human immunodeficiency virus risk behavior among men who have sex with men in Chennai, India.
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DOI：
10.1080/13548500903334754
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发表时间：
2009-12
期刊：
影响因子：
--
通讯作者：
Mayer KH
中科院分区：
文献类型：
--
作者：
Safren SA;Thomas BE;Mimiaga MJ;Chandrasekaran V;Menon S;Swaminathan S;Mayer KH
在印度，男男性行为者（MSM）是一个隐蔽的群体，他们面临着独特的环境压力和文化压力，这使他们有患抑郁症的风险。抑郁可能会影响男同性恋者的艾滋病毒风险行为，并可能影响男同性恋者从艾滋病毒预防干预中获益的程度。然而，印度男男性接触者的抑郁症在很大程度上尚未得到充分研究。金奈的210名男同性恋者完成了一项由访谈者管理的行为评估，其中包括20项流行病学研究中心抑郁量表（ses - d）、人口统计学、性风险和性身份以及其他社会心理变量。超过一半（55%）的样本超过了临界值（CES-D≥16），以筛查临床显著的抑郁症状；这与无保护肛交（OR = 1.97; 95% CI: 1.01-3.87）和较多的男性伴侣（OR = 1.04; 95% CI: 1.01-1.07）有关。统计上显著的二元预测会议屏幕的抑郁症状包括性别身份(Kothi > Panthi;或= 4.90;95%可信区间:2.30 - -10.54),不结婚(OR = 3.40; 95%可信区间:1.72 - -6.81),没有一个孩子(OR = 4.40; 95%可信区间:2.07 - -9.39),家庭不知道男男同性恋者身份(OR = 2.30; 95%可信区间:1.18 - -4.90),已经支付性(p = 5.10; 95%可信区间:2.87 - -9.47),和感知,一个是感染艾滋病毒的风险(OR = 1.10; 95%可信区间:1.02 - -1.17;连续)。在多变量logistic回归模型中，筛选抑郁症状的独特预测因子包括未婚（AOR = 3.10; 95% CI: 1.23-7.65）、曾有过性交易（AOR = 3.80; 95% CI: 1.87-7.99）和认为感染艾滋病毒的风险增加（AOR = 1.10; 95% CI: 1.03-1.21；连续）；研究入组前3个月无保护肛交的发生率接近统计学意义（AOR 2.00; 95% CI: 0.91-4.48）。金奈男男性行为者的抑郁症值得关注，在针对这一人群制定艾滋病预防干预措施时应予以考虑。未婚男男性接触者、性工作者和那些认为自己有感染艾滋病毒风险的人可能更容易出现抑郁症状。
Men who have sex with men (MSM) in India are a hidden population, facing unique environmental stressors and cultural pressures that place them at risk for depression. Depression may affect HIV risk behavior in MSM, and may affect the degree to which MSM may benefit from HIV prevention interventions. Depression in MSM in India, however, has largely been understudied. Two hundred ten MSM in Chennai completed an interviewer-administered behavioral assessment battery, which included the 20-item Center for Epidemiologic Studies Depression Scale (CES-D), demographics, sexual risk and identity, and other psychosocial variables. Over half (55%) of the sample exceeded the cutoff (CES-D ≥ 16) to screen in for clinically significant depressive symptoms; this was associated with having had unprotected anal sex (OR = 1.97; 95% CI: 1.01–3.87) and higher number of male partners (OR = 1.04; 95% CI: 1.01–1.07). Statistically significant bivariate predictors of meeting the screen in for depressive symptoms included sexual identity (Kothi > Panthi; OR = 4.90; 95% CI: 2.30–10.54), not being married (OR = 3.40; 95% CI: 1.72–6.81), not having a child (OR = 4.40; 95% CI: 2.07–9.39), family not knowing about one’s MSM identity (OR = 2.30; 95% CI: 1.18–4.90), having been paid for sex (OR = 5.10; p 95% CI: 2.87–9.47), and perceiving that one is at risk for acquiring HIV (OR = 1.10; 95% CI: 1.02–1.17; continuous). In a multivariable logistic-regression model, unique predictors of screening in for depressive symptoms included not being married (AOR = 3.10; 95% CI: 1.23–7.65), having been paid for sex (AOR 3.80; 95% CI: 1.87–7.99) and the perception of increased risk for HIV (AOR = 1.10; 95% CI: 1.03–1.21; continuous); unprotected anal sex in the 3 months prior to study enrollment approached statistical significance (AOR 2.00; 95% CI: 0.91–4.48). Depression among MSM in Chennai is of concern and should be considered while developing HIV prevention interventions with this population. MSM who are not married, sex workers, and those who perceive they are at risk for acquiring HIV may be of higher risk for symptoms of depression.
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影响因子：
5.4
作者：
SINGER, M
通讯作者：
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影响因子：
5.9
作者：
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通讯作者：
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12.7
作者：
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通讯作者：
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作者：
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通讯作者：
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