Depression and HIV risk behaviors among patients in a sexually transmitted disease clinic
Depression and HIV risk behaviors among patients in a sexually transmitted disease clinic
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DOI：
10.1176/appi.ajp.161.5.912
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发表时间：
2004-05-01
影响因子：
17.7
通讯作者：
Erbelding, EJ
中科院分区：
文献类型：
--
作者：
Hutton, HE;Lyketsos, CG;Erbelding, EJ
目的：作者的目的是在城市性病诊所调查抑郁症与HIV危险行为或性传播疾病（STD）诊断之间的关系。方法：对671例性病临床患者进行大规模、横断面调查，采用计算机辅助的音频自访，回答有关艾滋病危险行为和抑郁的问题。访谈者使用DSM-IV的结构化临床访谈的非患者版评估了一部分患者（N=201）当前的重度抑郁症。结果：与非抑郁症患者相比，抑郁症患者更有可能为金钱或毒品而发生性行为，更有可能与静脉注射吸毒者发生性行为，更有可能在酒精或药物“高度”时发生性行为，拥有更多的终生性伴侣，以及滥用酒精或药物。药物滥用调整后，HIV风险行为与抑郁的关联仍然存在。结论：性病临床患者抑郁与HIV危险行为相关，但与性病诊断无关。识别抑郁症并制定有效干预策略可能会减少艾滋病毒风险行为并改善健康结果。
objective: The authors' goal was to investigate the relationship between depression and HIV risk behaviors or sexually transmitted disease (STD) diagnosis at an urban STD clinic.Method: Using audio computer-assisted self-interview, 671 STD clinic patients answered questions about HIV risk behaviors and depression in a large-scale, cross-sectional study. A subset of the patients (N=201) was evaluated for current major depressive disorder by interviewers using the nonpatient edition of the Structured Clinical interview for DSM-IV.Results: Depressed patients were more likely to have sex for money or drugs, to have had sex with an intravenous drug user, to have sex when "high" on alcohol or drugs, to have a greater number of lifetime sex partners, and to abuse alcohol or drugs than were nondepressed patients. Associations of HIV risk behaviors with depression persisted after adjustment for substance abuse.Conclusions: Depression in STD clinic patients is associated with HIV risk behaviors but not STD diagnosis. identifying depression and developing strategies to intervene effectively may reduce HIV risk behaviors and improve health outcomes.