Posttraumatic Stress Disorder, Depression, and HIV Risk Behavior Among Ohio Army National Guard Soldiers
Identifieur interne : 001255 ( Main/Merge ); précédent : 001254; suivant : 001256Posttraumatic Stress Disorder, Depression, and HIV Risk Behavior Among Ohio Army National Guard Soldiers
Auteurs : Brandon D. L. Marshall [États-Unis] ; Marta R. Prescott [États-Unis] ; Israel Liberzon [États-Unis] ; Marijo B. Tamburrino [États-Unis] ; Joseph R. Calabrese [États-Unis] ; Sandro Galea [États-Unis]Source :
- Journal of traumatic stress [ 0894-9867 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Armée.
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Abstract
We examined the relationship between posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and human immunodeficiency virus (HIV) risk behavior among the Ohio Army National Guard (OHARNG). We analyzed data collected from a sample of OHARNG enlisted between June 2008 and February 2009. Participants completed interviews assessing HIV risk activities defined by the Behavioral Risk Factor Surveillance System, and were screened for PTSD and MDD based on DSM-IV criteria according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV; American Psychiatric Association, 1994). Logistic regression was used to examine the independent and combined effects of PTSD and MDD on past-year HIV risk behavior. Of 2,259 participants, 142 (6.3%) reported at least 1 past-year HIV risk behavior. In adjusted models, relative to soldiers with neither disorder, screening positive for MDD only was associated with HIV risk behavior (adjusted odds ratio [AOR] = 2.33, 95% CI = [1.15, 4.71]), whereas PTSD was not significant (AOR = 1.60, 95% CI = [0.80, 3.20]). Participants with both PTSD and depression were most likely to report HIV risk behavior (AOR = 2.75, 95% CI = [1.06, 7.11]). Soldiers with PTSD and MDD may be at greater risk for HIV infection due to increased engagement in HIV risk behavior. Integrated interventions to address mental health problems and reduce HIV risk behavior are in need of development and evaluation.
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L." last="Marshall">Brandon D. L. Marshall</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Epidemiology, Columbia University Mailman School of Public Health</s1><s2>New York, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Epidemiology, Brown University</s1><s2>Providence, Rhode Island</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Rhode Island</region><settlement type="city">Providence (Rhode Island)</settlement></placeName><orgName type="university">Université Brown</orgName></affiliation></author><author><name sortKey="Prescott, Marta R" sort="Prescott, Marta R" uniqKey="Prescott M" first="Marta R." last="Prescott">Marta R. Prescott</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Epidemiology, Columbia University Mailman School of Public Health</s1><s2>New York, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Liberzon, Israel" sort="Liberzon, Israel" uniqKey="Liberzon I" first="Israel" last="Liberzon">Israel Liberzon</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Psychiatry, University of Michigan</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Veterans Affairs Medical Center</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Tamburrino, Marijo B" sort="Tamburrino, Marijo B" uniqKey="Tamburrino M" first="Marijo B." last="Tamburrino">Marijo B. Tamburrino</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Psychiatry, University of Toledo College of Medicine</s1><s2>Toledo, Ohio</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Calabrese, Joseph R" sort="Calabrese, Joseph R" uniqKey="Calabrese J" first="Joseph R." last="Calabrese">Joseph R. Calabrese</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Case Western Reserve University, University Hospitals Case Medical Center</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Galea, Sandro" sort="Galea, Sandro" uniqKey="Galea S" first="Sandro" last="Galea">Sandro Galea</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Epidemiology, Columbia University Mailman School of Public Health</s1><s2>New York, New York</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of traumatic stress</title><title level="j" type="abbreviated">J. trauma. stress</title><idno type="ISSN">0894-9867</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of traumatic stress</title><title level="j" type="abbreviated">J. trauma. stress</title><idno type="ISSN">0894-9867</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Army</term><term>Depression</term><term>Human immunodeficiency virus</term><term>Military</term><term>Ohio</term><term>Posttraumatic stress disorder</term><term>Risk taking</term><term>Stress</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Etat de stress posttraumatique</term><term>Stress</term><term>Etat dépressif</term><term>SIDA</term><term>Virus immunodéficience humaine</term><term>Prise risque</term><term>Ohio</term><term>Armée</term><term>Militaire</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Armée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We examined the relationship between posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and human immunodeficiency virus (HIV) risk behavior among the Ohio Army National Guard (OHARNG). We analyzed data collected from a sample of OHARNG enlisted between June 2008 and February 2009. Participants completed interviews assessing HIV risk activities defined by the Behavioral Risk Factor Surveillance System, and were screened for PTSD and MDD based on DSM-IV criteria according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV; American Psychiatric Association, 1994). Logistic regression was used to examine the independent and combined effects of PTSD and MDD on past-year HIV risk behavior. Of 2,259 participants, 142 (6.3%) reported at least 1 past-year HIV risk behavior. In adjusted models, relative to soldiers with neither disorder, screening positive for MDD only was associated with HIV risk behavior (adjusted odds ratio [AOR] = 2.33, 95% CI = [1.15, 4.71]), whereas PTSD was not significant (AOR = 1.60, 95% CI = [0.80, 3.20]). Participants with both PTSD and depression were most likely to report HIV risk behavior (AOR = 2.75, 95% CI = [1.06, 7.11]). Soldiers with PTSD and MDD may be at greater risk for HIV infection due to increased engagement in HIV risk behavior. Integrated interventions to address mental health problems and reduce HIV risk behavior are in need of development and evaluation.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Michigan</li><li>Ohio</li><li>Rhode Island</li><li>État de New York</li></region><settlement><li>Providence (Rhode Island)</li></settlement><orgName><li>Université Brown</li></orgName></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Marshall, Brandon D L" sort="Marshall, Brandon D L" uniqKey="Marshall B" first="Brandon D. L." last="Marshall">Brandon D. L. Marshall</name></region><name sortKey="Calabrese, Joseph R" sort="Calabrese, Joseph R" uniqKey="Calabrese J" first="Joseph R." last="Calabrese">Joseph R. Calabrese</name><name sortKey="Galea, Sandro" sort="Galea, Sandro" uniqKey="Galea S" first="Sandro" last="Galea">Sandro Galea</name><name sortKey="Liberzon, Israel" sort="Liberzon, Israel" uniqKey="Liberzon I" first="Israel" last="Liberzon">Israel Liberzon</name><name sortKey="Liberzon, Israel" sort="Liberzon, Israel" uniqKey="Liberzon I" first="Israel" last="Liberzon">Israel Liberzon</name><name sortKey="Marshall, Brandon D L" sort="Marshall, Brandon D L" uniqKey="Marshall B" first="Brandon D. L." last="Marshall">Brandon D. L. Marshall</name><name sortKey="Prescott, Marta R" sort="Prescott, Marta R" uniqKey="Prescott M" first="Marta R." last="Prescott">Marta R. Prescott</name><name sortKey="Tamburrino, Marijo B" sort="Tamburrino, Marijo B" uniqKey="Tamburrino M" first="Marijo B." last="Tamburrino">Marijo B. Tamburrino</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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