Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California

Wiss David A.; Javanbakht Marjan; Li Michael J.Prelip MichaelBolan RobertShoptaw SteveGorbach Pamina M.

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Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California

机译：Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California

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Objective: To understand the relationship between drug use, food insecurity (FI) and mental health among men who have sex with men (MSM). Design: Cohort study (2014-2019) with at least one follow-up. Setting: Visits at 6-month intervals included self-assessment for FI and depressive symptoms. Urine testing results confirmed drug use. Factors associated with FI were assessed using multiple logistic regression with random effects for repeated measures. General structural equation modelling tested whether FI mediates the relationship between drug use and depressive symptoms. Participants: Data were from HIV-positive and high-risk HIV-negative MSM in Los Angeles, CA (n 431; 1192 visits). Results: At baseline, FI was reported by 50 center dot 8 % of participants, depressive symptoms in 36 center dot 7 % and 52 center dot 7 % of urine screening tests were positive for drugs (i.e. marijuana, opioids, methamphetamine, cocaine and ecstasy). A positive drug test was associated with a 96 % increase in the odds of being food insecure (95 % CI 1 center dot 26, 3 center dot 07). Compared to those with high food security, individuals with very low food security have a nearly sevenfold increase in the odds of reporting depressive symptoms (95 % CI 3 center dot 71, 11 center dot 92). Findings showed 14 center dot 9 % of the association between drug use (exposure) and depressive symptoms (outcome) can be explained by FI (mediator). Conclusion: The prevalence of FI among this cohort of HIV-positive and high-risk HIV-negative MSM was high; the association between drug use and depressive symptoms was partially mediated by FI. Findings suggest that enhancing access to food and nutrition may improve mood in the context of drug use, especially among MSM at risk for HIV transmission.

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《Public Health Nutrition》 |2021年第13期|3977-3985|共9页
作者
Wiss David A.; Javanbakht Marjan; Li Michael J.Prelip MichaelBolan RobertShoptaw SteveGorbach Pamina M.;
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作者单位

Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Community Hlth Sci, 650 Young Dr South, Los Angeles, CA 90095 USA;

Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA USA;

Univ Calif Los Angeles, David Geffen Sch Med, Dept Family Med, Los Angeles, CA 90095 USALos Angeles LGBT Ctr, Los Angeles, CA USA;

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正文语种英语
中图分类预防医学、卫生学;
关键词
Food insecurity; Drug use; Depressive symptoms; Men who have sex with men; HIV; AIDS;

Food insecurity partially mediates the association between drug use and depressive symptoms among men who have sex with men in Los Angeles, California

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