Depression, Alcohol Use, and Sexual Behaviors by HIV Infection Stage and Diagnosis Timing Among STI Clinic Patients in Lilongwe, Malawi.

Autor: Bhushan NL; RTI International, Research Triangle Park, NC, USA. nbhushan@rti.org., Chen JS; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Maierhofer CN; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Rutstein SE; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Matoga M; UNC Project Malawi, Lilongwe, Malawi., Jere E; UNC Project Malawi, Lilongwe, Malawi., Massa C; UNC Project Malawi, Lilongwe, Malawi., Ndalama B; UNC Project Malawi, Lilongwe, Malawi., Bonongwe N; UNC Project Malawi, Lilongwe, Malawi., Mathiya E; UNC Project Malawi, Lilongwe, Malawi., Hoffman IF; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Powers KA; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Schwartz E; The Ohio State University, Columbus, OH, USA., Phiri S; RTI International, Research Triangle Park, NC, USA., Miller WC; The Ohio State University, Columbus, OH, USA., Lancaster KE; The Ohio State University, Columbus, OH, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2023 Nov; Vol. 27 (11), pp. 3612-3622. Date of Electronic Publication: 2023 May 17.
DOI: 10.1007/s10461-023-04075-3
Abstrakt: Understanding depression, alcohol use, and sexual behaviors according to HIV infection stage and diagnosis timing is important for HIV prevention efforts. We enrolled persons with recent infection and diagnosis (i.e., acute HIV infection (AHI) (n = 92) persons newly diagnosed seropositive (n = 360)) and persons previously diagnosed with HIV (n = 190) into a randomized controlled trial in Lilongwe, Malawi (N = 641) and estimated the prevalence of probable depression (Patient Health Questionnaire-9 ≥ 5), hazardous alcohol use (Alcohol Use Disorder Identification Test-C: men ≥ 4; women ≥ 3), and sexual behaviors (transactional sex, condomless sex). Compared with previously diagnosed participants, participants newly seropositive and those with AHI reported a higher proportion of probable depression (7%, 27%, 38%; AHI/Previous: Table Probability: 0.02, p < 0.01; AHI/New: Table Probability: <0.01, p < 0.01), hazardous alcohol use (8%, 18%, 29%; AHI/Previous and AHI/New: Table Probability: <0.01, p < 0.01), and transactional sex (5%, 14%, 20%; AHI/Previous: Table Probability: <0.01, p < 0.01; AHI/New: Table Probability: 0.06, p = 0.24), respectively. HIV prevention services addressing mental health and alcohol misuse may be particularly beneficial for persons with recent HIV infection and or diagnosis.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: