title: Social Network Factors as Correlates and Predictors of High Depressive Symptoms Among Black Men Who Have Sex with Men in HPTN 061.
abstract: Depression is linked to a range of poor HIV-related health outcomes. Minorities and men who have sex with men (MSM), suffer from high rates of depression. The current study examined the relationship between depressive symptoms and social network characteristics among community-recruited Black MSM in HPTN 061 from 6 US cities. A social network inventory was administer at baseline and depression was assessed with the CES-D at baseline, 6, and 12-months. At baseline, which included 1167 HIV negative and 348 HIV positive participants, size of emotional, financial, and medical support networks were significantly associated with fewer depressive symptoms. In longitudinal mixed models, size of emotional, financial, and medical support networks were significantly associated with fewer depressive symptoms as was the number of network members seen weekly. In the multivariate analyses, size of medical appointment network remained statistically significant (aOR 0.89, CI 0.81-0.98). These findings highlight the importance of network support of medical care on depression and suggest the value of support mobilization.
authors.affiliation: Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 737 Hampton House, Baltimore, MD, 21205, USA. carl.latkin@jhu.edu.
authors.forename: Carl A
authors.initials: CA
authors.lastname: Latkin
authors.affiliation: School of Medicine, Columbia University, New York, NY, USA.
authors.forename: Hong
authors.initials: H
authors.lastname: Van Tieu
authors.affiliation: Mervyn M. Dymally School of Nursing, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.
authors.forename: Sheldon
authors.initials: S
authors.lastname: Fields
authors.affiliation: Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
authors.forename: Brett S
authors.initials: BS
authors.lastname: Hanscom
authors.affiliation: Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
authors.forename: Matt
authors.initials: M
authors.lastname: Connor
authors.affiliation: Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
authors.forename: Brett
authors.initials: B
authors.lastname: Hanscom
authors.affiliation: Hubert Department of Global Health, Rollins School of Public Health Division of Infectious Diseases, School of Medicine, Emory University, Atlanta, GA, USA.
authors.forename: Sophia A
authors.initials: SA
authors.lastname: Hussen
authors.affiliation: San Francisco Department of Public Health, San Francisco, CA, USA.
authors.forename: Hyman M
authors.initials: HM
authors.lastname: Scott
authors.affiliation: Department of Behavioral & Social Health Sciences and Epidemiology, School of Public Health, Brown University, Providence, RI, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Mimiaga
authors.affiliation: Department of Human Development, State University of New York at Binghamton, Binghamton, NY, USA.
authors.forename: Leo
authors.initials: L
authors.lastname: Wilton
authors.affiliation: Milken Institute School of Public Health, Department of Epidemiology and Biostatistics, George Washington University, Washington, USA.
authors.forename: Manya
authors.initials: M
authors.lastname: Magnus
authors.affiliation: School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Iris
authors.initials: I
authors.lastname: Chen
authors.affiliation: Laboratory of Infectious Disease Prevention Member, Lindsley F. Kimball Research Institute, New York Blood Center, New York, NY, USA.
authors.forename: Beryl A
authors.initials: BA
authors.lastname: Koblin
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D016022:Case-Control Studies; D002947:Cities; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D008297:Male; D000072339:Sexual and Gender Minorities / Q000523:psychology* / Q000706:statistics & numerical data; D012944:Social Support; D014481:United States / Q000453:epidemiology; D014505:Urban Population
keywords: African American; Black MSM; Depression; HIV; Social networks