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首页> 外文期刊>AIDS and Behavior >Clinically Significant Depressive Symptoms as a Risk Factor for HIV Infection Among Black MSM in Massachusetts
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Clinically Significant Depressive Symptoms as a Risk Factor for HIV Infection Among Black MSM in Massachusetts

机译：临床上重要的抑郁症状是马萨诸塞州黑人MSM中HIV感染的危险因素

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摘要

High rates of depression have been observed among men who have sex with men (MSM) relative to the general adult male population; however, a dearth of research has explored depression among Black MSM. Black MSM (n = 197) recruited via modified respondent-driven sampling between January and July 2008 completed an interviewer-administered quantitative assessment and voluntary HIV counseling and testing. Bivariate and multivariable logistic regression procedures examined the associations of demographics, behavioral HIV risk factors, and psychosocial variables with depressive symptoms by severity, using the 20-item Center for Epidemiologic Studies Depression Scale (CES-D). Adjusting for demographic and behavioral variables, significant factors associated with (1) clinically significant depressive symptoms (33%; CES-D score ≥ 16): being publicly insured by Medicaid, having serodiscordant anal sex with a casual male partner, and being diagnosed with an STD in the prior 12 months; (2) moderate depressive symptoms (19%; CES-D score 16–26): having serodiscordant unprotected anal sex with a casual male partner and being diagnosed with an STD in the prior 12 months; (3) severe depressive symptoms (14%; CES-D score 27+): being publicly insured by Medicaid and reporting difficulty accessing healthcare in the past 12 months. Moderately depressed Black MSM may be more likely to engage in behaviors that place them at increased risk for HIV and other STDs. HIV prevention interventions for Black MSM may benefit from incorporating screening and/or treatment for depression, allowing MSM who are depressed to respond more effectively to behavioral change approaches.
机译：与普通成年男性相比，与男性发生性关系的男性中，抑郁症的发生率较高。但是，缺乏研究已经探索了黑人MSM中的抑郁症。在2008年1月至2008年7月之间，通过以调查对象驱动的改进抽样方式招募的黑人MSM（n = 197）完成了由访调员管理的定量评估以及自愿性HIV咨询和检测。使用20个项目的流行病学研究抑郁量表（CES-D），按严重程度通过双变量和多变量Logistic回归程序检查了人口统计学，行为HIV危险因素和心理社会变量与抑郁症状的相关性。调整人口统计学和行为变量以及与（1）临床上显着的抑郁症状相关的重要因素（33％; CES-D得分≥16）：由Medicaid公开投保，与偶然的男性伴侣发生浆膜性肛门肛交并被诊断为前12个月的性病； （2）中度抑郁症状（19％； CES-D评分为16-26）：与男性随便性伴侣在血清保护性无保护的情况下肛交，并在之前的12个月中被诊断为性病。 （3）严重的抑郁症状（14％； CES-D得分为27+）：由Medicaid公开投保，并且在过去12个月内报告难以获得医疗保健。中度抑郁的黑人MSM更有可能从事使他们面临HIV和其他性病风险增加的行为。针对黑人MSM的HIV预防干预措施可能会受益于对抑郁症的筛查和/或治疗，使抑郁症的MSM对行为改变方法更有效地做出反应。

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  • 来源
    《AIDS and Behavior》 |2009年第4期|798-810|共13页
  • 作者

    Sari L. Reisner; Matthew J. Mimiaga; Margie Skeer; Donna Bright; Kevin Cranston; Deborah Isenberg; Sean Bland; Thomas A. Barker; Kenneth H. Mayer;

  • 作者单位

    The Fenway Institute Fenway Health 1340 Boylston Street 8th Floor Boston MA 02215 USA;

    The Fenway Institute Fenway Health 1340 Boylston Street 8th Floor Boston MA 02215 USA;

    The Fenway Institute Fenway Health 1340 Boylston Street 8th Floor Boston MA 02215 USA;

    Justice Resource Institute Boston MA USA;

    Massachusetts Department of Public Health Boston MA USA;

    Massachusetts Department of Public Health Boston MA USA;

    The Fenway Institute Fenway Health 1340 Boylston Street 8th Floor Boston MA 02215 USA;

    Massachusetts Department of Public Health Boston MA USA;

    The Fenway Institute Fenway Health 1340 Boylston Street 8th Floor Boston MA 02215 USA;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    MSM; Depression; African American; HIV; STD;

    机译：男男性接触者;抑郁症;非裔美国人;艾滋病毒;性病;

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