title: Depression and HIV risk behaviors among patients in a sexually transmitted disease clinic.
abstract: OBJECTIVE
  The authors' goal was to investigate the relationship between depression and HIV risk behaviors or sexually transmitted disease (STD) diagnosis at an urban STD clinic.
  
  
  METHODS
  Using audio computer-assisted self-interview, 671 STD clinic patients answered questions about HIV risk behaviors and depression in a large-scale, cross-sectional study. A subset of the patients (N=201) was evaluated for current major depressive disorder by interviewers using the nonpatient edition of the Structured Clinical Interview for DSM-IV.
  
  
  RESULTS
  Depressed patients were more likely to have sex for money or drugs, to have had sex with an intravenous drug user, to have sex when "high" on alcohol or drugs, to have a greater number of lifetime sex partners, and to abuse alcohol or drugs than were nondepressed patients. Associations of HIV risk behaviors with depression persisted after adjustment for substance abuse.
  
  
  CONCLUSIONS
  Depression in STD clinic patients is associated with HIV risk behaviors but not STD diagnosis. Identifying depression and developing strategies to intervene effectively may reduce HIV risk behaviors and improve health outcomes.
authors.affiliation: Department of Psychiatry, Johns Hopkins School of Medicine, 550 N. Broadway, Suite 203, Baltimore, MD 21205, USA. hhutton@jhmi.edu
authors.forename: Heidi E
authors.initials: HE
authors.lastname: Hutton
authors.forename: Constantine G
authors.initials: CG
authors.lastname: Lyketsos
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Zenilman
authors.forename: Richard E
authors.initials: RE
authors.lastname: Thompson
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Erbelding
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D015142:Baltimore / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology / Q000635:transmission; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology