DEPRESSION AND SEXUAL RISKBEHAVIOR AMONG CLIENTS ABOUT TO START HIV ANTIRETROVIRAL THERAPY IN UGANDA
Identifieur interne : 001E38 ( Pmc/Corpus ); précédent : 001E37; suivant : 001E39DEPRESSION 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 OkelloSource :
- International journal of STD & AIDS [ 0956-4624 ] ; 2013.
Abstract
We investigated depression in relationship to sexual risk behavior with primary partners among HIVclients in Uganda.
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.
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.
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
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PMC:3841244Le document en format XML
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<author><name sortKey="Musisi, Seggane" sort="Musisi, Seggane" uniqKey="Musisi S" first="Seggane" last="Musisi">Seggane Musisi</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
</affiliation>
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<author><name sortKey="Wagner, Glenn J" sort="Wagner, Glenn J" uniqKey="Wagner G" first="Glenn J." last="Wagner">Glenn J. Wagner</name>
<affiliation><nlm:aff id="A2">RAND Corporation, 1776 Main St., Santa Monica, CA, USA 90407</nlm:aff>
</affiliation>
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<author><name sortKey="Ghosh Dastidar, Bonnie" sort="Ghosh Dastidar, Bonnie" uniqKey="Ghosh Dastidar B" first="Bonnie" last="Ghosh-Dastidar">Bonnie Ghosh-Dastidar</name>
<affiliation><nlm:aff id="A2">RAND Corporation, 1776 Main St., Santa Monica, CA, USA 90407</nlm:aff>
</affiliation>
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<author><name sortKey="Nakasujja, Noeline" sort="Nakasujja, Noeline" uniqKey="Nakasujja N" first="Noeline" last="Nakasujja">Noeline Nakasujja</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
</affiliation>
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<author><name sortKey="Dickens, Akena" sort="Dickens, Akena" uniqKey="Dickens A" first="Akena" last="Dickens">Akena Dickens</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
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<author><name sortKey="Okello, Elialilia" sort="Okello, Elialilia" uniqKey="Okello E" first="Elialilia" last="Okello">Elialilia Okello</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">DEPRESSION AND SEXUAL RISKBEHAVIOR AMONG CLIENTS ABOUT TO START HIV ANTIRETROVIRAL THERAPY IN UGANDA</title>
<author><name sortKey="Musisi, Seggane" sort="Musisi, Seggane" uniqKey="Musisi S" first="Seggane" last="Musisi">Seggane Musisi</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
</affiliation>
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<author><name sortKey="Wagner, Glenn J" sort="Wagner, Glenn J" uniqKey="Wagner G" first="Glenn J." last="Wagner">Glenn J. Wagner</name>
<affiliation><nlm:aff id="A2">RAND Corporation, 1776 Main St., Santa Monica, CA, USA 90407</nlm:aff>
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<author><name sortKey="Ghosh Dastidar, Bonnie" sort="Ghosh Dastidar, Bonnie" uniqKey="Ghosh Dastidar B" first="Bonnie" last="Ghosh-Dastidar">Bonnie Ghosh-Dastidar</name>
<affiliation><nlm:aff id="A2">RAND Corporation, 1776 Main St., Santa Monica, CA, USA 90407</nlm:aff>
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<author><name sortKey="Nakasujja, Noeline" sort="Nakasujja, Noeline" uniqKey="Nakasujja N" first="Noeline" last="Nakasujja">Noeline Nakasujja</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Dickens, Akena" sort="Dickens, Akena" uniqKey="Dickens A" first="Akena" last="Dickens">Akena Dickens</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
</affiliation>
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<author><name sortKey="Okello, Elialilia" sort="Okello, Elialilia" uniqKey="Okello E" first="Elialilia" last="Okello">Elialilia Okello</name>
<affiliation><nlm:aff id="A1">Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</nlm:aff>
</affiliation>
</author>
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<series><title level="j">International journal of STD & AIDS</title>
<idno type="ISSN">0956-4624</idno>
<idno type="eISSN">1758-1052</idno>
<imprint><date when="2013">2013</date>
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<front><div type="abstract" xml:lang="en"><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>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9007917</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1045</journal-id>
<journal-id journal-id-type="nlm-ta">Int J STD AIDS</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J STD AIDS</journal-id>
<journal-title-group><journal-title>International journal of STD & AIDS</journal-title>
</journal-title-group>
<issn pub-type="ppub">0956-4624</issn>
<issn pub-type="epub">1758-1052</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23970636</article-id>
<article-id pub-id-type="pmc">3841244</article-id>
<article-id pub-id-type="doi">10.1177/0956462413495186</article-id>
<article-id pub-id-type="manuscript">NIHMS485636</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>DEPRESSION AND SEXUAL RISKBEHAVIOR AMONG CLIENTS ABOUT TO START HIV ANTIRETROVIRAL THERAPY IN UGANDA</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Musisi</surname>
<given-names>Seggane</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wagner</surname>
<given-names>Glenn J.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ghosh-Dastidar</surname>
<given-names>Bonnie</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nakasujja</surname>
<given-names>Noeline</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dickens</surname>
<given-names>Akena</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Okello</surname>
<given-names>Elialilia</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Psychiatry, Makerere University, College of Health Sciences, P.O. Box 7072, Mulago Hill, Kampala, Uganda</aff>
<aff id="A2"><label>2</label>
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>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>17</day>
<month>6</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>19</day>
<month>7</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>2</month>
<year>2014</year>
</pub-date>
<volume>25</volume>
<issue>2</issue>
<fpage>130</fpage>
<lpage>137</lpage>
<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>
</abstract>
<kwd-group><kwd>depression</kwd>
<kwd>HIV</kwd>
<kwd>Uganda</kwd>
<kwd>sexual risk behavior</kwd>
<kwd>condom use</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>R01 MH083568 || MH</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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