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DEPRESSION AND SEXUAL RISKBEHAVIOR AMONG CLIENTS ABOUT TO START HIV ANTIRETROVIRAL THERAPY IN UGANDA

Identifieur interne : 001E38 ( Pmc/Corpus ); précédent : 001E37; suivant : 001E39

DEPRESSION AND SEXUAL RISKBEHAVIOR AMONG CLIENTS ABOUT TO START HIV ANTIRETROVIRAL THERAPY IN UGANDA

Auteurs : Seggane Musisi ; Glenn J. Wagner ; Bonnie Ghosh-Dastidar ; Noeline Nakasujja ; Akena Dickens ; Elialilia Okello

Source :

RBID : PMC:3841244

Abstract

Objective

We investigated depression in relationship to sexual risk behavior with primary partners among HIVclients in Uganda.

Methods

Baseline data were analyzed from a cohort of clients starting ART. The Patient Health Questionnaire (PHQ-9) was used to classify depressive severity (none, minor and major depression) and symptom type (cognitive and somatic). Condom use was assessed over the past 6 months and during the last episode of sexual intercourse.

Results

386 participants had a primary sex partner, with whom 41.6% always used condoms during sex over the past 6 months, and 62.4% during last sex. Use of a condom during last sex was associated with having no depression and lower PHQ-9 total and cognitive and somatic subscale scores in bivariate analyses; most of these relationships were marginally significant for sex over the past 6 months. Controlling for demographics, HIV disclosure and partner HIV status, only minor depression was associated with unprotected sex.

Conclusion

Depressive symptoms, even if not a clinical disorder, warrant early detection and treatment for promoting HIV prevention among HIV-affected couples.


Url:
DOI: 10.1177/0956462413495186
PubMed: 23970636
PubMed Central: 3841244

Links to Exploration step

PMC:3841244

Le document en format XML

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<title>Objective</title>
<p id="P1">We investigated depression in relationship to sexual risk behavior with primary partners among HIVclients in Uganda.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Baseline data were analyzed from a cohort of clients starting ART. The Patient Health Questionnaire (PHQ-9) was used to classify depressive severity (none, minor and major depression) and symptom type (cognitive and somatic). Condom use was assessed over the past 6 months and during the last episode of sexual intercourse.</p>
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<title>Results</title>
<p id="P3">386 participants had a primary sex partner, with whom 41.6% always used condoms during sex over the past 6 months, and 62.4% during last sex. Use of a condom during last sex was associated with having no depression and lower PHQ-9 total and cognitive and somatic subscale scores in bivariate analyses; most of these relationships were marginally significant for sex over the past 6 months. Controlling for demographics, HIV disclosure and partner HIV status, only minor depression was associated with unprotected sex.</p>
</sec>
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<title>Conclusion</title>
<p id="P4">Depressive symptoms, even if not a clinical disorder, warrant early detection and treatment for promoting HIV prevention among HIV-affected couples.</p>
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Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</aff>
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RAND Corporation, 1776 Main St., Santa Monica, CA, USA 90407</aff>
<author-notes>
<corresp id="FN1">Corresponding Author: Glenn Wagner; RAND Corporation, 1776 Main St., Santa Monica, CA, USA 90407; (310) 393-0411, x7698; fax: (310) 260-8159;
<email>gwagner@rand.org</email>
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<pmc-comment>elocation-id from pubmed: 10.1177/0956462413495186</pmc-comment>
<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P1">We investigated depression in relationship to sexual risk behavior with primary partners among HIVclients in Uganda.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Baseline data were analyzed from a cohort of clients starting ART. The Patient Health Questionnaire (PHQ-9) was used to classify depressive severity (none, minor and major depression) and symptom type (cognitive and somatic). Condom use was assessed over the past 6 months and during the last episode of sexual intercourse.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">386 participants had a primary sex partner, with whom 41.6% always used condoms during sex over the past 6 months, and 62.4% during last sex. Use of a condom during last sex was associated with having no depression and lower PHQ-9 total and cognitive and somatic subscale scores in bivariate analyses; most of these relationships were marginally significant for sex over the past 6 months. Controlling for demographics, HIV disclosure and partner HIV status, only minor depression was associated with unprotected sex.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">Depressive symptoms, even if not a clinical disorder, warrant early detection and treatment for promoting HIV prevention among HIV-affected couples.</p>
</sec>
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