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23.11.2016 | Original Paper | Ausgabe 6/2017

AIDS and Behavior 6/2017

Association Between Depression and Condom Use Differs by Sexual Behavior Group in Patients with HIV

Zeitschrift:
AIDS and Behavior > Ausgabe 6/2017
Autoren:
Cristina Brickman, Kathleen J. Propert, Chelsea Voytek, David Metzger, Robert Gross
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s10461-016-1610-8) contains supplementary material, which is available to authorized users.

Abstract

Identifying a relationship between depression and sexual risk behavior in HIV-infected patients could establish a mechanism to enhance prevention efforts. We conducted a cross-sectional analysis using data from the University of Pennsylvania Center for AIDS Research and used ordinal logistic regression to measure the association between depression and non-condom use. 716 men who have sex with men (MSM), 262 heterosexual men and 277 heterosexual women were included. The association between depression and non-condom use was strongest in heterosexual men with and without HIV-infected regular partners (OR 8.53, 95% CI 1.18–61.89 and OR 2.30, 95% CI 0.99–5.36 respectively), but absent in heterosexual women regardless of partner. Although the OR was low in MSM overall, an association was detected in MSM without HIV-infected regular partners (OR 2.44, 95% CI 1.39–4.31). In conclusion, we demonstrated an association between depression and non-condom use driven by heterosexual men and MSM without HIV-infected regular partners. Sexual risk should be addressed when intervening on depressive symptoms in these subgroups.

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Zusatzmaterial
Supplementary material 1 (DOCX 70 kb)
10461_2016_1610_MOESM1_ESM.docx
Supplementary material 2 (DOCX 89 kb)
10461_2016_1610_MOESM2_ESM.docx
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