Opposing associations of depression with sexual behaviour: implications for epidemiological investigation among gay, bisexual and other men who have sex with men.

Szczegóły
Abstrakt

Tytuł:: Opposing associations of depression with sexual behaviour: implications for epidemiological investigation among gay, bisexual and other men who have sex with men.
Autorzy:: Miltz AR; Institute for Global Health, University College London, London, UK .
Rodger AJ; Institute for Global Health, University College London, London, UK.
Phillips AN; Institute for Global Health, University College London, London, UK.
Sewell J; Institute for Global Health, University College London, London, UK.
Edwards S; Mortimer Market Centre, Central and North West London NHS Foundation Trust, London, UK.
Allan S; City of Coventry NHS Healthcare Centre, Coventry, UK.
Sherr L; Institute for Global Health, University College London, London, UK.
Johnson AM; Institute for Global Health, University College London, London, UK.
Burman WJ; Denver Public Health, Denver, Colorado, USA.
Lampe FC; Institute for Global Health, University College London, London, UK.
Corporate Authors:: ASTRA and AURAH Study Groups
Źródło:: Sexually transmitted infections [Sex Transm Infect] 2021 Dec; Vol. 97 (8), pp. 613-618. Date of Electronic Publication: 2021 Jan 11.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group, c1998-
MeSH Terms:: Ambulatory Care Facilities/*statistics & numerical data
Bisexuality/*statistics & numerical data
Depression/*epidemiology
Homosexuality, Male/*statistics & numerical data
Sexual Behavior/*psychology
Unsafe Sex/*statistics & numerical data
Adult ; Cross-Sectional Studies ; England/epidemiology ; Humans ; Male ; Middle Aged ; Prevalence ; Risk-Taking ; Sexual Partners ; Surveys and Questionnaires
References:: AIDS Care. 2017 Dec;29(12):1538-1542. (PMID: 28366006)
Health Psychol. 2001 Jul;20(4):291-9. (PMID: 11515741)
JMIR Res Protoc. 2016 Apr 18;5(2):e58. (PMID: 27091769)
AIDS. 2006 Mar 21;20(5):731-9. (PMID: 16514304)
AIDS Behav. 2017 Jun;21(6):1665-1675. (PMID: 27475943)
Addict Behav. 2013 Mar;38(3):1715-8. (PMID: 23254224)
J Behav Med. 2016 Aug;39(4):665-74. (PMID: 27001255)
PLoS One. 2013 Oct 15;8(10):e77230. (PMID: 24143214)
AIDS Behav. 2016 Jul;20(7):1478-88. (PMID: 26078115)
AIDS Educ Prev. 2003 Feb;15(1):81-92. (PMID: 12627745)
Ann Behav Med. 2011 Dec;42(3):370-80. (PMID: 21887585)
Am J Public Health. 2012 Jan;102(1):156-62. (PMID: 22095358)
J Acquir Immune Defic Syndr. 2009 Jul 1;51(3):340-8. (PMID: 19367173)
AIDS Patient Care STDS. 2009 Jul;23(7):545-50. (PMID: 19534602)
Am J Epidemiol. 2004 May 15;159(10):1002-12. (PMID: 15128613)
AIDS Educ Prev. 2004 Aug;16(4):328-40. (PMID: 15342335)
AIDS Behav. 2011 Aug;15(6):1171-9. (PMID: 20217471)
AIDS Behav. 2014 Jan;18(1):50-8. (PMID: 23681697)
Arch Sex Behav. 2016 Aug;45(6):1431-41. (PMID: 26310878)
AIDS Behav. 2012 Nov;16(8):2209-15. (PMID: 22323005)
Child Abuse Negl. 2001 Apr;25(4):557-84. (PMID: 11370726)
Sex Transm Infect. 2003 Apr;79(2):142-6. (PMID: 12690138)
Drug Alcohol Depend. 2016 Sep 01;166:258-62. (PMID: 27449272)
AIDS Behav. 2020 Jun;24(6):1793-1806. (PMID: 31782068)
J Acquir Immune Defic Syndr. 2014 Apr 15;65(5):579-86. (PMID: 24378726)
Am J Mens Health. 2008 Dec;2(4):314-21. (PMID: 19477795)
J Gay Lesbian Ment Health. 2014;18(2):164-189. (PMID: 26877831)
Public Health. 2013 Nov;127(11):1041-4. (PMID: 24074630)
BJPsych Open. 2017 May 8;3(3):127-137. (PMID: 28507772)
Contributed Indexing:: Investigator: A Speakman; M Daskalopoulou; S Collins; J Elford; A Miners; A Johnson; G Hart; AM Geretti; B Burman; M Johnson; J McDonnell; A Aderonke; R Gilson; L Haddow; S Gilson; C Broussard; R Pralat; S Wayal; M Fisher; N Perry; A Pollard; S Fedele; L Kerr; L Heald; W Hadley; K Hobbs; J Williams; E Youssef; C Richardson; S Groth; E Wilkins; Y Clowes; J Cullie; C Murphy; C Martin; V George; A Thompson; J Anderson; S Mguni; D Awosika; R Scourse; K Aderogba; C Osborne; S Cross; J Whinney; M Jones; R O'Connell; C Tawana; M Lascar; Z Maseko; G Townsend; V Theodore; J Sagoo; RJ Gilson; D Asboe; NC Nwokolo; A Clarke; MM Gompels; C Scott; S Day; V Apea; M Farazmand; S Mann; J Dhar; DR Ivens; T Sadiq; S Taylor; M Brady; A Tang; R Dhairyawan; GJ Hart; S Obeyesekera; J Saunders; J Hand; N Makoka; G Gilleran; C Stretton; M Roche; D Stacey; S Kirk; M Gompels; L Jennings; C Holder; KA Baker; M Robinson; E Street; A Shomoye; N Nwokolo; A Ogilvy; S Mguni; R Clark; C Sajani; V Espa; S Ladd; J Syred; L Hamza; L Campbell; E Wandolo; J Alagarajah; L Mashonganyika; S Batham; R Trombin; A Milinkovic; C Oakland; R Wilson; E Green; S O'Connor; S Kempster; KK Fedders; D Ivens; N Tyrrell; J Rogers; S Belmondo; M Sohal; W Majewska; A Patterson; O Okolo; D Cox; M Tarik; C Jackson; J Honigsbaum; C Boggon; S Ghosh; B Kelly; R Aroney; E Phiri; N Partridge; K Orton; A Nardone; A Sullivan
Keywords: HIV; epidemiology (general); gay men; sexual behaviour
Entry Date(s):: Date Created: 20210112 Date Completed: 20211130 Latest Revision: 20211204
Update Code:: 20240105
PubMed Central ID:: PMC8606445
DOI:: 10.1136/sextrans-2020-054634
PMID:: 33431606
: Czasopismo naukowe

Objective: The aim of this report is to investigate the nature of the relationship between depression and condomless sex (CLS) among gay, bisexual and other men who have sex with men (GBMSM).
Methods: Data are from the Antiretrovirals, Sexual Transmission Risk and Attitude (ASTRA) study of people living with HIV and attending one of eight HIV outpatient clinics in England (2011-2012) and the Attitudes to and Understanding of Risk of Acquisition of HIV (AURAH) study of HIV-negative/unknown status individuals attending one of 20 genitourinary medicine clinics in England (2013-2014). This analysis included GBMSM only. For each study, the prevalence of depressive symptoms (Patient Health Questionnaire-9 score ≥10) was presented according to three categories of sex in the past 3 months (considering anal/vaginal sex with men/women and anal sex with men in separate definitions): (1) no sex, (2) condom-protected sex only and (3) CLS. Multinomial logistic regression with 'condom-protected sex only' as the reference group was used to adjust for age and (for ASTRA participants) time since HIV diagnosis.
Results: There were opposing associations of depression with recent sexual behaviour: the prevalence of depression was higher among those who reported no sex and those who reported CLS, compared with those who reported condom-protected sex only. Among the 2170 HIV-positive GBMSM in ASTRA, considering anal/vaginal sex with men/women, the prevalence of depressive symptoms was 32%, 20% and 28%, respectively, among men reporting no sex (n=783), condom-protected sex only (n=551) and CLS (n=836) (global p<0.001). Among the 1477 HIV-negative GBMSM in AURAH, the prevalence of depressive symptoms was 12%, 8% and 13%, respectively, for no sex (n=137), condom-protected sex only (n=487) and CLS (n=853) (global p=0.017). Patterns were similar after adjustment and when only considering anal sex between men.
Conclusions: Depression may be linked both to lack of sexual activity and to sexual risk taking. When investigating associations between depression and CLS, it is important to separate out individuals reporting condom-protected sex only from those reporting no sex.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.)

Informacja