Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men
Identifieur interne : 000019 ( PascalFrancis/Corpus ); précédent : 000018; suivant : 000020Psychosocial 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. SafrenSource :
- AIDS Care : (Print) [ 0954-0121 ] ; 2013.
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- Pascal (Inist)
English descriptors
- KwdEn :
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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Format Inist (serveur)
NO : | PASCAL 13-0335841 INIST |
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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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<front><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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<fC03 i1="07" i2="X" l="ENG"><s0>Mental health</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Salud mental</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Etat dépressif</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Depression</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Estado depresivo</s0>
<s5>08</s5>
</fC03>
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<s5>09</s5>
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<s5>09</s5>
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<s5>09</s5>
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<s5>10</s5>
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<fC03 i1="10" i2="X" l="ENG"><s0>Stress</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Estrés</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Santé publique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Public health</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Salud pública</s0>
<s5>11</s5>
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<fC03 i1="12" i2="X" l="FRE"><s0>Environnement social</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Social environment</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Contexto social</s0>
<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Mâle</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Male</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Macho</s0>
<s5>18</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Immunodéficit</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Immune deficiency</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Inmunodeficiencia</s0>
<s5>37</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Immunopathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Immunopathology</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Inmunopatología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>Trouble de l'humeur</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>Mood disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA"><s0>Trastorno humor</s0>
<s5>40</s5>
</fC07>
<fN21><s1>315</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
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<server><NO>PASCAL 13-0335841 INIST</NO>
<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>
<SO>AIDS Care : (Print); ISSN 0954-0121; Royaume-Uni; Da. 2013; Vol. 25; No. 9-10; Pp. 1109-1113; Bibl. 3/4 p.</SO>
<LA>Anglais</LA>
<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>
<CC>002B05C02D; 002B18C07A; 002B06D01; 002B18C07D</CC>
<FD>Facteur psychosocial; Facteur risque; SIDA; Virus immunodéficience humaine; Homosexualité; Inde; Santé mentale; Etat dépressif; Minorité; Stress; Santé publique; Environnement social; Mâle</FD>
<FG>Virose; Infection; Lentivirus; Retroviridae; Virus; Asie; Immunodéficit; Immunopathologie; Trouble de l'humeur</FG>
<ED>Psychosocial factor; Risk factor; AIDS; Human immunodeficiency virus; Homosexuality; India; Mental health; Depression; Minority; Stress; Public health; Social environment; Male</ED>
<EG>Viral disease; Infection; Lentivirus; Retroviridae; Virus; Asia; Immune deficiency; Immunopathology; Mood disorder</EG>
<SD>Factor sicosocial; Factor riesgo; SIDA; Human immunodeficiency virus; Homosexualidad; India; Salud mental; Estado depresivo; Minoría; Estrés; Salud pública; Contexto social; Macho</SD>
<LO>INIST-22096.354000501575370060</LO>
<ID>13-0335841</ID>
</server>
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