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Depression and HIV risk among men who have sex with men in Tanzania.
- Source :
-
AIDS Care . Mar2016 Supplement, Vol. 28, p140-147. 8p. - Publication Year :
- 2016
-
Abstract
- Studies have shown high rates of depression among men who have sex with men (MSM) in developed countries. Studies have also shown association between depression and HIV risk among MSM. However, very little research has been done on depression among African MSM. We assessed depression and HIV risk among a sample of MSM in Tanzania. We reviewed data on 205 MSM who were recruited from two Tanzanian cities using the respondent driven sampling method. Demographic and behavioral data were collected using a structured questionnaire. HIV and sexually transmitted infections data were determined from biological tests. Depression scores were assessed using the Patient Health Questionnaire (PHQ-9). For the analysis, depression scores were dichotomized as depressed (PHQ > 4) and not depressed (PHQ ≤ 4). Bivariate and multivariable Poisson regression analyses were conducted to assess factors associated with depression. The prevalence of depression in the sample was 46.3%. The mean (±SD) age of the sample was 25 (±5) years. In bivariate analysis, depression was associated with self-identifying as gay (p = .001), being HIV positive (p < .001: <8% of MSM knew they were HIV infected) and having a high number of sexual partners in the last 6 months (p = .001). Depression was also associated with sexual (p = .007), physical (p = .003) and verbal (p < .001) abuse. In the Poisson regression analysis, depression was associated with verbal abuse (APR = 1.91, CI = 1.30–2.81). Depression rates were high among MSM in Tanzania. It is also associated with abuse, HIV and HIV risk behaviors. Thus, reducing the risk of depression may be helpful in reducing the risk of HIV among MSM in Africa. We recommend the colocation of mental health and HIV preventive services as a cost-effective means of addressing both depression and HIV risk among MSM in Africa. [ABSTRACT FROM PUBLISHER]
- Subjects :
- *DIAGNOSIS of HIV infections
*HIV prevention
*HIV infection risk factors
*CHI-squared test
*CONFIDENCE intervals
*MENTAL depression
*GAY men
*HIV-positive persons
*MENTAL health services
*POISSON distribution
*PROBABILITY theory
*QUESTIONNAIRES
*RESEARCH funding
*T-test (Statistics)
*CROSS-sectional method
*DATA analysis software
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 28
- Database :
- Academic Search Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 114015273
- Full Text :
- https://doi.org/10.1080/09540121.2016.1146207