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Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men

Identifieur interne : 000019 ( PascalFrancis/Corpus ); précédent : 000018; suivant : 000020

Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men

Auteurs : Matthew J. Mimiaga ; Katie Brooks Biello ; Murugesan Sivasubramanian ; Kenneth H. Mayer ; VIVEK RAJ ANAND ; Steven A. Safren

Source :

RBID : Pascal:13-0335841

Descripteurs français

English descriptors

Abstract

Indian men who have sex with men (MSM) are at increased risk for HIV compared to the general Indian population. Psychosocial factors may be uniquely associated with HIV risk among Indian MSM and may moderate the beneficial impact of standard HIV prevention approaches. Psychiatric diagnostic interviews and psychosocial and sexual risk assessments were conducted among 150 MSM in Mumbai, India. Logistic regression was employed to examine the association of psychiatric disorders and psychosocial problems to recent sexual risk behavior. Twenty-five percent of participants reported engaging in unprotected anal sex (UAS) during their last sexual contact with a man. Men who were married to a woman were more likely to have engaged in UAS during their last sexual contact with a man (35% vs. 17%, p=0.018). In multivariable models, significant predictors of engaging in UAS were current major depression (adjusted odds ratio [AOR] =2.61; 95% confidence interval [CI] 1.07, 6.39) and number of stressful life events (AOR =0.91; 95% CI 0.83, 0.99). Alcohol dependence, anxiety, and self-esteem were not associated with engaging in UAS. Indian MSM with depression are at higher odds of engaging in UAS compared to MSM without depression. HIV prevention programs for Indian MSM may benefit from incorporating treatment or triage for mental health problems.

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Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO : PASCAL 13-0335841 INIST
ET : Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men
AU : MIMIAGA (Matthew J.); BIELLO (Katie Brooks); SIVASUBRAMANIAN (Murugesan); MAYER (Kenneth H.); VIVEK RAJ ANAND; SAFREN (Steven A.)
AF : Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital/Boston, MA/Etats-Unis (1 aut., 6 aut.); Department of Epidemiology, Harvard School of Public Health/Boston, MA/Etats-Unis (1 aut., 2 aut.); The Fenway Institute, Fenway Community Health/Boston, MA/Etats-Unis (1 aut., 2 aut., 4 aut., 6 aut.); The Humsafar Trust/Mumbai/Inde (3 aut., 5 aut.); Department of Infectious Diseases, Harvard Medical School/Beth Israel Deaconess Medical Center/Boston, MA/Etats-Unis (4 aut.)
DT : Publication en série; Niveau analytique
SO : AIDS Care : (Print); ISSN 0954-0121; Royaume-Uni; Da. 2013; Vol. 25; No. 9-10; Pp. 1109-1113; Bibl. 3/4 p.
LA : Anglais
EA : Indian men who have sex with men (MSM) are at increased risk for HIV compared to the general Indian population. Psychosocial factors may be uniquely associated with HIV risk among Indian MSM and may moderate the beneficial impact of standard HIV prevention approaches. Psychiatric diagnostic interviews and psychosocial and sexual risk assessments were conducted among 150 MSM in Mumbai, India. Logistic regression was employed to examine the association of psychiatric disorders and psychosocial problems to recent sexual risk behavior. Twenty-five percent of participants reported engaging in unprotected anal sex (UAS) during their last sexual contact with a man. Men who were married to a woman were more likely to have engaged in UAS during their last sexual contact with a man (35% vs. 17%, p=0.018). In multivariable models, significant predictors of engaging in UAS were current major depression (adjusted odds ratio [AOR] =2.61; 95% confidence interval [CI] 1.07, 6.39) and number of stressful life events (AOR =0.91; 95% CI 0.83, 0.99). Alcohol dependence, anxiety, and self-esteem were not associated with engaging in UAS. Indian MSM with depression are at higher odds of engaging in UAS compared to MSM without depression. HIV prevention programs for Indian MSM may benefit from incorporating treatment or triage for mental health problems.
CC : 002B05C02D; 002B18C07A; 002B06D01; 002B18C07D
FD : Facteur psychosocial; Facteur risque; SIDA; Virus immunodéficience humaine; Homosexualité; Inde; Santé mentale; Etat dépressif; Minorité; Stress; Santé publique; Environnement social; Mâle
FG : Virose; Infection; Lentivirus; Retroviridae; Virus; Asie; Immunodéficit; Immunopathologie; Trouble de l'humeur
ED : Psychosocial factor; Risk factor; AIDS; Human immunodeficiency virus; Homosexuality; India; Mental health; Depression; Minority; Stress; Public health; Social environment; Male
EG : Viral disease; Infection; Lentivirus; Retroviridae; Virus; Asia; Immune deficiency; Immunopathology; Mood disorder
SD : Factor sicosocial; Factor riesgo; SIDA; Human immunodeficiency virus; Homosexualidad; India; Salud mental; Estado depresivo; Minoría; Estrés; Salud pública; Contexto social; Macho
LO : INIST-22096.354000501575370060
ID : 13-0335841

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Pascal:13-0335841

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<div type="abstract" xml:lang="en">Indian men who have sex with men (MSM) are at increased risk for HIV compared to the general Indian population. Psychosocial factors may be uniquely associated with HIV risk among Indian MSM and may moderate the beneficial impact of standard HIV prevention approaches. Psychiatric diagnostic interviews and psychosocial and sexual risk assessments were conducted among 150 MSM in Mumbai, India. Logistic regression was employed to examine the association of psychiatric disorders and psychosocial problems to recent sexual risk behavior. Twenty-five percent of participants reported engaging in unprotected anal sex (UAS) during their last sexual contact with a man. Men who were married to a woman were more likely to have engaged in UAS during their last sexual contact with a man (35% vs. 17%, p=0.018). In multivariable models, significant predictors of engaging in UAS were current major depression (adjusted odds ratio [AOR] =2.61; 95% confidence interval [CI] 1.07, 6.39) and number of stressful life events (AOR =0.91; 95% CI 0.83, 0.99). Alcohol dependence, anxiety, and self-esteem were not associated with engaging in UAS. Indian MSM with depression are at higher odds of engaging in UAS compared to MSM without depression. HIV prevention programs for Indian MSM may benefit from incorporating treatment or triage for mental health problems.</div>
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<ET>Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men</ET>
<AU>MIMIAGA (Matthew J.); BIELLO (Katie Brooks); SIVASUBRAMANIAN (Murugesan); MAYER (Kenneth H.); VIVEK RAJ ANAND; SAFREN (Steven A.)</AU>
<AF>Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital/Boston, MA/Etats-Unis (1 aut., 6 aut.); Department of Epidemiology, Harvard School of Public Health/Boston, MA/Etats-Unis (1 aut., 2 aut.); The Fenway Institute, Fenway Community Health/Boston, MA/Etats-Unis (1 aut., 2 aut., 4 aut., 6 aut.); The Humsafar Trust/Mumbai/Inde (3 aut., 5 aut.); Department of Infectious Diseases, Harvard Medical School/Beth Israel Deaconess Medical Center/Boston, MA/Etats-Unis (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
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<EA>Indian men who have sex with men (MSM) are at increased risk for HIV compared to the general Indian population. Psychosocial factors may be uniquely associated with HIV risk among Indian MSM and may moderate the beneficial impact of standard HIV prevention approaches. Psychiatric diagnostic interviews and psychosocial and sexual risk assessments were conducted among 150 MSM in Mumbai, India. Logistic regression was employed to examine the association of psychiatric disorders and psychosocial problems to recent sexual risk behavior. Twenty-five percent of participants reported engaging in unprotected anal sex (UAS) during their last sexual contact with a man. Men who were married to a woman were more likely to have engaged in UAS during their last sexual contact with a man (35% vs. 17%, p=0.018). In multivariable models, significant predictors of engaging in UAS were current major depression (adjusted odds ratio [AOR] =2.61; 95% confidence interval [CI] 1.07, 6.39) and number of stressful life events (AOR =0.91; 95% CI 0.83, 0.99). Alcohol dependence, anxiety, and self-esteem were not associated with engaging in UAS. Indian MSM with depression are at higher odds of engaging in UAS compared to MSM without depression. HIV prevention programs for Indian MSM may benefit from incorporating treatment or triage for mental health problems.</EA>
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