title: Depressive Symptoms, Substance Use and Partner Violence Victimization Associated with HIV Disclosure Among Men Who have Sex with Men.
abstract: HIV continues to disproportionately affect men who have sex with men (MSM). Depression and substance use have been shown to be risk factors of partner violence among male same-sex couples. However, research exploring the risk factors for partner violence victimization after HIV disclosure among MSM is limited. The aim of this study was to determine the association between depressive symptoms, substance use, and disclosure-associated verbal and/or physical violence from a partner among MSM. Data were obtained from 340 HIV-positive MSM. Multivariable logistic regression was used to determine the associations between Center for Epidemiologic Studies-Depression and substance use scores, and disclosure-associated partner violence. After adjusting for age and income, every one-unit increase in substance use scores resulted in a 9 % (OR 1.09; 95 % CI 1.01-1.16) increase in the odds of disclosure-associated partner violence. HIV disclosure interventions for MSM populations should address substance use and potential violence from partners after disclosure.
authors.affiliation: College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, 33612, USA. brownm3@usf.edu.
authors.forename: Monique J
authors.initials: MJ
authors.lastname: Brown
authors.affiliation: College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, 33612, USA.
authors.forename: Julianne M
authors.initials: JM
authors.lastname: Serovich
authors.affiliation: College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, 33612, USA.
authors.forename: Judy A
authors.initials: JA
authors.lastname: Kimberly
mesh_terms: D000328:Adult; D019548:Crime Victims; D003863:Depression / Q000175:diagnosis* / Q000523:psychology; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009820:Ohio / Q000453:epidemiology; D012307:Risk Factors; D012747:Sexual Partners / Q000523:psychology*; D013179:Spouse Abuse / Q000517:prevention & control / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D014342:Truth Disclosure; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Depression; HIV disclosure; MSM; Partner violence; Substance use