title: Gender Differences in Severity and Correlates of Depression Symptoms in People Living with HIV in Ontario, Canada.
abstract: This study investigates the differences in severity and correlates of depression symptoms among 1069 men and 267 women living with HIV in Ontario, Canada, who completed the 20-item Center for Epidemiologic Studies Depression Scale (CES-D). Women had higher CES-D scores than that of men (median [interquartile range]: 13 [5-26] versus 9 [3-20], P=.0004). More women had total CES-D scores>15 (mild-moderate depression; 44% versus 33%, P=.002) and >21 (severe depression; 31% versus 23%, P=.003). Unlike men, at age 40, women's scores increased yearly (0.4 per increased year, P=.005). The distribution of scores differed by gender: There was no difference in the 10th percentile of depression scores, 0 (95% confidence interval [CI]: 1.0-1.0) but the 75th percentile of depression scores for women was 6 (95% CI: 2.0-10.0) points higher than that of men. Important gender differences exist in depression symptoms and in correlates of symptoms in people living with HIV.
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario Canada.
authors.forename: Kinda
authors.initials: K
authors.lastname: Aljassem
authors.affiliation: Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Janet M
authors.initials: JM
authors.lastname: Raboud
authors.affiliation: Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada Department of Psychology, Ryerson University, Toronto Ontario, Canada.
authors.forename: Trevor A
authors.initials: TA
authors.lastname: Hart
authors.affiliation: Department of Medicine, Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
authors.forename: Anita
authors.initials: A
authors.lastname: Benoit
authors.affiliation: Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada.
authors.forename: DeSheng
authors.initials: D
authors.lastname: Su
authors.affiliation: Department of Medicine, Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
authors.forename: Shari L
authors.initials: SL
authors.lastname: Margolese
authors.affiliation: Ontario HIV Treatment Network, Toronto, Ontario, Canada Department of Psychiatry, St. Michaels Hospital, Toronto, Ontario, Canada.
authors.forename: Sean B
authors.initials: SB
authors.lastname: Rourke
authors.affiliation: Ontario HIV Treatment Network, Toronto, Ontario, Canada Department of Psychiatry, St. Michaels Hospital, Toronto, Ontario, Canada.
authors.forename: Sergio
authors.initials: S
authors.lastname: Rueda
authors.affiliation: Department of Psychology, Ryerson University, Toronto Ontario, Canada.
authors.forename: Ann
authors.initials: A
authors.lastname: Burchell
authors.affiliation: Department of Family Medicine and Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
authors.forename: John
authors.initials: J
authors.lastname: Cairney
authors.affiliation: Department of Psychology, University of Toronto, Toronto, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Shuper
authors.affiliation: Department of Medicine, University of Toronto, Toronto, Ontario Canada Department of Medicine, Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada mona.loutfy@wchospital.ca.
authors.forename: Mona R
authors.initials: MR
authors.lastname: Loutfy
mesh_terms: D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D012720:Severity of Illness Index; D012737:Sex Factors
keywords: HIV; age; depression; gender; mental health; women