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Body mass index, depression and sexual transmission risk behaviors among HIV-positive MSM

机译:HIV阳性MSM中的体重指数,抑郁和性传播危险行为

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摘要

Depression has been shown to be a risk factor for serodiscordant unprotected anal intercourse (SDUAI) in some studies, but not others. Body mass index (BMI) has recently been associated with SDUAI; however, to date, no published study has investigated the interactive effect of depression and BMI on SDUAI. The current study assessed the association between depression, BMI, and SDUAI among HIV-positive MSM. Participants were 430 HIV-positive MSM recruited in a Boston community health center where they received primary care. Participants completed audio computer-assisted self interview (ACASI) measures. Objective height and weight and other clinical variables were accessed through participants' electronic medical records. Depression was positively associated with SDUAI. This association was significantly moderated by BMI. Elevated levels of depression were only associated with SDUAI for underweight participants. These findings suggest that underweight, depressed HIV-positive MSM may be particularly likely to engage in SDUAI.
机译:在某些研究中,抑郁症已被证明是血清舒乐坦无保护肛门性交(SDUAI)的危险因素,但在其他研究中却没有。体重指数(BMI)最近与SDUAI相关;然而,迄今为止,尚无公开的研究调查抑郁症和BMI对SDUAI的相互作用。本研究评估了HIV阳性MSM中抑郁症,BMI和SDUAI之间的关系。参与者是在波士顿社区卫生中心招募的430名HIV阳性MSM,他们在那里接受了初级保健。参与者完成了音频计算机辅助的自我采访(ACASI)措施。通过参加者的电子病历访问客观的身高,体重和其他临床变量。抑郁症与SDUAI呈正相关。 BMI显着缓解了这种关联。体重不足者的抑郁水平升高仅与SDUAI相关。这些发现表明,体重不足,抑郁的HIV阳性MSM可能特别有可能参与SDUAI。

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