Estimating the Effect of Depression on HIV Transmission Risk Behaviors Among People Who Inject Drugs in Vietnam: A Causal Approach.

Autor:	Levintow, Sara N., Pence, Brian W., Powers, Kimberly A., Sripaipan, Teerada, Ha, Tran Viet, Chu, Viet Anh, Quan, Vu Minh, Latkin, Carl A., Go, Vivian F.
Předmět:	PREVENTION of mental depression HIV infection risk factors HIV infection transmission PREVENTION of infectious disease transmission ATTRIBUTION (Social psychology) CONDOMS CONFIDENCE intervals MENTAL depression NEEDLE sharing RISK assessment RISK-taking behavior SEXUAL intercourse TIME INTRAVENOUS drug abusers CROSS-sectional method DESCRIPTIVE statistics
Zdroj:	AIDS & Behavior; 2021, Vol. 25 Issue 2, p438-446, 9p, 2 Charts, 2 Graphs
Abstrakt:	The burden of depression and HIV is high among people who inject drugs (PWID), yet the effect of depression on transmission risk behaviors is not well understood in this population. Using causal inference methods, we analyzed data from 455 PWID living with HIV in Vietnam 2009–2013. Study visits every 6 months over 2 years measured depressive symptoms in the past week and injecting and sexual behaviors in the prior 3 months. Severe depressive symptoms (vs. mild/no symptoms) increased injection equipment sharing (risk difference [RD] = 3.9 percentage points, 95% CI −1.7, 9.6) but not condomless sex (RD = −1.8, 95% CI −6.4, 2.8) as reported 6 months later. The cross-sectional association with injection equipment sharing at the same visit (RD = 6.2, 95% CI 1.4, 11.0) was stronger than the longitudinal effect. Interventions on depression among PWID may decrease sharing of injection equipment and the corresponding risk of HIV transmission. Clinical trial registration ClinicalTrials.gov NCT01689545. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink