The Relation between Depressive Symptoms and Unsafe Sex among MSM Living with HIV
Abstract
:1. Introduction
2. Methods
2.1. MSM from the General Population
2.2. MSM from the HIV and Mental Health Cohort Study
3. Analyses
4. Results
4.1. Comparison of MSM from the HIV and Mental Health Study with the General Population
4.2. Depressive Symptoms and Unsafe Sex within Both Study Populations
4.3. Changes in Unsafe Sex after One Year of Mental Health Care
5. Discussion
6. Limitations of the Study
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Rutgers Sexual Health Monitor (HIV −) (N = 198) | HIV and Mental Health Cohort (HIV +) (N = 159) | p-Value | |||
---|---|---|---|---|---|
Mean age | 43.3 (±14.5) | 42.4 (±8.3) | 0.466 | ||
Has a partner | 107 | 54% | 71 | 48% | 0.239 |
Has paid work | 119 | 60% | 99 | 66% | 0.296 |
Higher education | 64 | 32% | 65 | 45% | 0.016 |
Western background | 182 | 92% | 135 | 87% | 0.100 |
Ever tested for HIV | 97 | 65% | - | - | - |
Has had sex in the past 6 months | 173 | 87% | 134 | 84% | 0.402 |
sex with a new contact | 106 | 54% | 119 | 75% | <0.001 |
unsafe sex with a new contact | 39 | 20% | 76 | 48% | <0.001 |
mean no. of sex partners | 4.1 (±9.5) | 8.6 (±10.1) | <0.001 |
Rutgers Sexual Health Monitor | Depressive Symptoms | |||||
---|---|---|---|---|---|---|
No. (N = 160) | Yes (N = 38) | p-Value | ||||
Has had sex in the past 6 months | 142 | 89% | 31 | 82% | 0.232 | |
sex with a new contact | 91 | 64% | 15 | 48% | 0.104 | (within the group that had sex) |
unsafe sex with a new contact | 35 | 25% | 4 | 13% | 0.156 | (within the group that had sex) |
no. of sex partners | 4.3 (±9.7) | 3.6 (±8.9) | 0.720 | (within the group that had sex) | ||
HIV and Mental Health Cohort | Depression Diagnosis | |||||
No (N = 75) | Yes (N = 84) | p-Value | ||||
Has had sex in the past 6 months | 67 | 89% | 67 | 80% | 0.098 | |
sex with a new contact | 58 | 88% | 61 | 91% | 0.552 | (within the group that had sex) |
unsafe sex with a new contact | 33 | 49% | 43 | 64% | 0.081 | (within the group that had sex) |
no. of sex partners | 9.2 (±11.7) | 8.0 (±8.4) | 0.466 | (within the group that had sex) |
N = 72 HIV and Mental Health Cohort | at Intake | after One Year | p-Value | |||
---|---|---|---|---|---|---|
IDS score | 31.1 | ±12.8 | 24.6 | ±13.7 | <0.001 | |
Has had sex in the past 6 months | 60 | 83% | 59 | 82% | 0.739 | |
sex with a new contact | 56 | 93% | 51 | 88% | 0.102 | (within the group that had sex at T0 or T1) |
unsafe sex with a new contact | 38 | 63% | 41 | 64% | 0.491 | (within the group that had sex at T0 or T1) |
no. of sex partners | 10.5 | (±11.7) | 9.3 | (±12.5) | 0.355 | (within the group that had sex at T0 or T1) |
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Schadé, A.; van Grootheest, G.; Smit, J.H. The Relation between Depressive Symptoms and Unsafe Sex among MSM Living with HIV. Int. J. Environ. Res. Public Health 2023, 20, 1595. https://doi.org/10.3390/ijerph20021595
Schadé A, van Grootheest G, Smit JH. The Relation between Depressive Symptoms and Unsafe Sex among MSM Living with HIV. International Journal of Environmental Research and Public Health. 2023; 20(2):1595. https://doi.org/10.3390/ijerph20021595
Chicago/Turabian StyleSchadé, Annemiek, Gerard van Grootheest, and Johannes H. Smit. 2023. "The Relation between Depressive Symptoms and Unsafe Sex among MSM Living with HIV" International Journal of Environmental Research and Public Health 20, no. 2: 1595. https://doi.org/10.3390/ijerph20021595