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Relationship between depression and risk behaviors in a US Military population with HIV infection

机译：美国军事人群抑郁症与风险行为与艾滋病毒感染的关系

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This study evaluated the relationships between depression trajectories, depression diagnosis and sexual risk behaviors in the US Military HIV Natural History Study. Risk behavior survey data, a coded diagnosis of depression, available Center for Epidemiological Studies Depression measures, and self-reported depressive symptoms (n = 662) were utilized. Latent class analysis created 3 classes of depression trajectories, namely, low depression (LD, n = 378), recent-onset depression (ROD, n = 170), and high depression (HD, n = 114) trajectories. Overall, participants with clinically diagnosed depression were less likely to report often using condoms with new sexual partners in the past 3 months than those who have never been diagnosed with depression (OR 0.15, 95% CI 0.49-2.53). Participants with ROD (OR 0.52, 95% CI 0.28-0.97) and HD (OR 0.48, 95% CI 0.24-0.96) trajectories were less likely to report often using condoms with new sexual partners in the past 3 months than those with LD trajectories. Moreover, those with either ROD (OR 2.13, 95% CI 1.19-3.80) or HD (OR 2.74, 95% CI 1.43-5.24) trajectories were more likely to have had sex with >= 2 new sexual partners in the last 3 months than those with LD trajectories. Continued efforts targeting HIV-infected persons with mental health disorders are warranted to reduce sexual risk behaviors.
机译：本研究评估了美国军事艾滋病毒自然历史研究中抑郁术，抑郁症和性风险行为之间的关系。风险行为调查数据，使用抑郁症的编码诊断，流行病学研究抑郁症的可用中心，以及自我报告的抑郁症状（n = 662）。潜在阶级分析创建了3类抑郁术轨迹，即低凹陷（LD，N = 378），最近的衰退（杆，N = 170）和高凹陷（HD，N = 114）轨迹。总体而言，临床诊断抑郁症的参与者不太可能在过去3个月内使用避孕套在过去3个月内使用避孕套比从未被诊断出抑郁症（或0.15,95％CI 0.49-2.53）。杆（或0.52,95％CI 0.28-0.97）和HD（或0.48,95％CI 0.24-0.96）轨迹的参与者通常不太可能在过去3个月内使用新的性伴侣与LD轨迹的新性伴侣一起报告。此外，具有任一棒（或2.13,95％CI 1.19-3.80）或HD（或2.74,95％CI 1.43-5.24）轨迹的轨迹更有可能与过去3个月发生性关系比LD轨迹的那些。持续努力针对艾滋病毒感染者的心理健康障碍的人受到抑制性疾病，以减少性风险行为。

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