Social Network Factors as Correlates and Predictors of High Depressive Symptoms Among Black Men Who Have Sex with Men in HPTN 061
- PMID: 27480454
- PMCID: PMC5288401
- DOI: 10.1007/s10461-016-1493-8
Social Network Factors as Correlates and Predictors of High Depressive Symptoms Among Black Men Who Have Sex with Men in HPTN 061
Abstract
Depression is linked to a range of poor HIV-related health outcomes. Minorities and men who have sex with men (MSM), suffer from high rates of depression. The current study examined the relationship between depressive symptoms and social network characteristics among community-recruited Black MSM in HPTN 061 from 6 US cities. A social network inventory was administer at baseline and depression was assessed with the CES-D at baseline, 6, and 12-months. At baseline, which included 1167 HIV negative and 348 HIV positive participants, size of emotional, financial, and medical support networks were significantly associated with fewer depressive symptoms. In longitudinal mixed models, size of emotional, financial, and medical support networks were significantly associated with fewer depressive symptoms as was the number of network members seen weekly. In the multivariate analyses, size of medical appointment network remained statistically significant (aOR 0.89, CI 0.81-0.98). These findings highlight the importance of network support of medical care on depression and suggest the value of support mobilization.
Depresión está vinculado a una variedad de resultados de problemas de salud con el VIH. Las minorías y los hombres que tienen sexo con hombres (HSH), sufren de altos índices de depresión. El presente estudio examinó la relación entre síntomas depresivos y características de red social entre reclutó a comunidad negra HSH en HPTN 061 de 6 ciudades de Estados Unidos. Un inventario de la red social fue administrar al inicio del estudio y la depresión se evaluó con el CES-D al inicio, 6 y 12 meses. En línea de base, que incluyó 1167 VIH negativo y 348 VIH positivos los participantes, el tamaño de las redes de apoyo emocional, financiero y médico se asociaron significativamente con menos síntomas depresivos. En modelos mixtos longitudinales, tamaño de las redes de apoyo emocional, financiero y médico se asociaron significativamente con menos síntomas depresivos como el número de miembros de la red visto semanalmente. En el Análisis multivariantes, tamaño de cita médica red permaneció estadísticamente significativa (aOR = 0.89, CI = 0.81-0.98). Estos resultados destacan la importancia del apoyo de la red de atención médica sobre la depresión y sugieren el valor de la movilización de apoyo.
Keywords: African American; Black MSM; Depression; HIV; Social networks.
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