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Depression, Alcohol Use, and Sexual Behaviors by HIV Infection Stage and Diagnosis Timing Among STI Clinic Patients in Lilongwe, Malawi.
- Source :
- AIDS & Behavior; Nov2023, Vol. 27 Issue 11, p3612-3622, 11p
- Publication Year :
- 2023
-
Abstract
- Understanding depression, alcohol use, and sexual behaviors according to HIV infection stage and diagnosis timing is important for HIV prevention efforts. We enrolled persons with recent infection and diagnosis (i.e., acute HIV infection (AHI) (n = 92) persons newly diagnosed seropositive (n = 360)) and persons previously diagnosed with HIV (n = 190) into a randomized controlled trial in Lilongwe, Malawi (N = 641) and estimated the prevalence of probable depression (Patient Health Questionnaire-9 ≥ 5), hazardous alcohol use (Alcohol Use Disorder Identification Test-C: men ≥ 4; women ≥ 3), and sexual behaviors (transactional sex, condomless sex). Compared with previously diagnosed participants, participants newly seropositive and those with AHI reported a higher proportion of probable depression (7%, 27%, 38%; AHI/Previous: Table Probability: 0.02, p < 0.01; AHI/New: Table Probability: <0.01, p < 0.01), hazardous alcohol use (8%, 18%, 29%; AHI/Previous and AHI/New: Table Probability: <0.01, p < 0.01), and transactional sex (5%, 14%, 20%; AHI/Previous: Table Probability: <0.01, p < 0.01; AHI/New: Table Probability: 0.06, p = 0.24), respectively. HIV prevention services addressing mental health and alcohol misuse may be particularly beneficial for persons with recent HIV infection and or diagnosis. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of HIV infections
HIV prevention
HIV infections
CONFIDENCE intervals
COUNSELING
TIME
HUMAN sexuality
FISHER exact test
HIV seroconversion
ANTIRETROVIRAL agents
IMMUNE system
MENTAL depression
ALCOHOL drinking
SEX customs
RESEARCH funding
DESCRIPTIVE statistics
QUESTIONNAIRES
QUALITY of life
DATA analysis software
PSYCHOLOGY of HIV-positive persons
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 27
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 173150938
- Full Text :
- https://doi.org/10.1007/s10461-023-04075-3