title: Depression and sexual risk behaviour among clients about to start HIV antiretroviral therapy in Uganda.
abstract: We investigated depression in relationship to sexual risk behaviour with primary partners among HIV-positive clients in Uganda. Baseline data were analyzed from a cohort of clients starting antiretroviral therapy. The Patient Health Questionnaire (PHQ-9) was used to classify depressive severity (none, minor and major depression) and symptom type (cognitive and somatic). Condom use was assessed over the past six months and during the last episode of sexual intercourse. A total of 386 participants had a primary sex partner, with whom 41.6% always used condoms during sex over the past six months, and 62.4% during last sex. Use of a condom during last sex was associated with having no depression and lower PHQ-9 total and cognitive and somatic subscale scores in bivariate analyses; most of these relationships were marginally significant for intercourse over the past six months. Controlling for demographics, HIV disclosure and partner HIV status, only minor depression was associated with unprotected sex. Depressive symptoms, even if not a clinical disorder, warrant early detection and treatment for promoting HIV prevention among HIV-affected couples.
authors: Department of Psychiatry, College of Health Sciences, Makerere University, Kampala, Uganda.
authors: Seggane
authors: S
authors: Musisi
authors: Glenn J
authors: GJ
authors: Wagner
authors: Bonnie
authors: B
authors: Ghosh-Dastidar
authors: Noeline
authors: N
authors: Nakasujja
authors: Akena
authors: A
authors: Dickens
authors: Elialilia
authors: E
authors: Okello
mesh_terms: D000328:Adult; D000367:Age Factors; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012309:Risk-Taking; D012720:Severity of Illness Index; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014454:Uganda / Q000453:epidemiology; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data
keywords: AIDS; Depression; HIV; Uganda; condom use; sexual risk behaviour; transmission
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