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. 2017 Jun;21(6):1676-1683.
doi: 10.1007/s10461-016-1610-8.

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

Cristina Brickman  1 , Kathleen J Propert  2 , Chelsea Voytek  2 , David Metzger  2 , Robert Gross  2
Affiliations

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

Cristina Brickman et al. AIDS Behav. 2017 Jun.

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.

Keywords: Condom use; Depression; Heterosexual men; Human immunodeficiency virus; Men who have sex with men; Sexual risk; Women.

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Figures

Figure 1
Figure 1
Flow Diagram of Study Participants
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