A longitudinal analysis of HIV treatment adherence among men who have sex with men: A cognitive escape perspective

Bois, Steve N. Du; McKirnan, David J.

doi:10.1080/09540121.2011.650676

Cited by 14 publications

(15 citation statements)

References 31 publications

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“…13,14 Among HIV-positive men in Chicago, those with greater depressive symptoms were more likely to self-report a missed HIV medical visit within the past 12 months. 32 A study from rural Rwanda tested the relation between depression and retention in care directly and also examined whether it was mediated by suboptimal adherence to antiretroviral treatment.…”

Section: Discussionmentioning

confidence: 99%

The Role of Depression in Retention in Care for Persons Living with HIV

Zuñiga

Yoo‐Jeong

Dai

et al. 2016

AIDS Patient Care and STDs

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Individuals infected with HIV experience high rates of depression when compared to their sero-negative counterparts. Although symptoms of depression have been consistently linked to poor medication adherence among persons living with HIV/AIDS, their relation to retention in care are less well-known. The purpose of this study was to examine whether clusters of depressive symptoms influence retention in care and if so, whether these clusters had different relations to retention in care. This is a secondary data analysis of a larger study that investigated the role of health literacy, cognitive impairment, and social determinants on retention in HIV care. Individuals with HIV were recruited from South Florida from August 2009 to May 2011. A total of 210 participants were included in the current analyses. A measure of visit constancy was calculated to represent the number of 4-month intervals with at least one kept visit. Individual items on the Center for Epidemiological Studies Depression Scale short form (CES-D10) and factor analysis of the CES-D10 were independent variables. Overall, there was a high prevalence of depressive symptoms in the study participants. Furthermore, factor analysis showed that certain clusters of depressive symptoms were significantly associated with visit constancy. Specifically, negative mood/somatic symptoms were associated with a greater odds of missing a visit in any of the observed 4-month time periods than positive mood factor. Those patients reporting somatic symptoms and negative mood may need additional intervention and support to be effectively retained in care and successfully follow through with appointments and care.

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Section: Discussionmentioning

confidence: 99%

The Role of Depression in Retention in Care for Persons Living with HIV

Zuñiga

Yoo‐Jeong

Dai

et al. 2016

AIDS Patient Care and STDs

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“…Furthermore, depression has been shown to affect sexual functioning and increase the risk of condomless sex and substance use among MSM (Ahaneku et al, 2016; Watkins et al, 2016). Finally, depression can be a barrier to accessing HIV prevention services and care (Du Bois and McKirnan, 2012; Wei et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Depression, Loneliness, and Sexual Risk-Taking Among HIV-Negative/Unknown Men Who Have Sex with Men in China

Zhou

et al. 2017

Arch Sex Behav

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Research conducted among men who have sex with men (MSM) in high-income countries has demonstrated that negative mental health is one of the significant drivers of HIV infection, and few studies have examined the status of mental health among MSM in China. We sought to describe depression and loneliness and identify their correlates among Chinese MSM. A cross-sectional study was conducted among HIV-negative or unknown status MSM in 2014. Time-location sampling and online convenience sampling methods were employed. Depression was measured via a short version of CES-D (CES-D 10). Loneliness was measured from a single item in CES-D 10. Multivariable logistic regressions were conducted to identify independent correlates of depression and loneliness. A total of 507 individuals participated in the study. Of them, 26.8 and 35.5% reported moderate-to-severe symptoms of depression and feeling lonely, respectively. Depressed participants were more likely to have a sense of hopelessness for the future (AOR 3.20, 95% CI 1.90, 5.20) and report higher levels of internalized homophobia (AOR 2.32, 95% CI 1.47, 3.67). Participants who reported feeling lonely were more likely to have had condomless receptive anal intercourse in the past 6 months (AOR 1.67, 95% CI 1.08, 2.58) and feel hopeless for the future (AOR 2.40, 95% CI 1.60, 3.70). MSM in China have significant rates of depression and loneliness. HIV prevention efforts should address the mental health needs of Chinese MSM such as providing safe environments for social support and role models.

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“…3 Among people living with HIV (PLWH), depressive symptoms are linked to lower adherence to antiretroviral medications, greater number of missed medical appointments, and physical health symptoms of HIV. 4-8 In longitudinal studies of PLWH, depression is also predictive of mortality. 9,10 Men who have sex with men (MSM) experience higher rates of depression compared with heterosexual populations.…”

Section: Introductionmentioning

confidence: 99%

Social Network Factors as Correlates and Predictors of High Depressive Symptoms Among Black Men Who Have Sex with Men in HPTN 061

et al. 2016

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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.

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A longitudinal analysis of HIV treatment adherence among men who have sex with men: A cognitive escape perspective

Cited by 14 publications

References 31 publications

The Role of Depression in Retention in Care for Persons Living with HIV

The Role of Depression in Retention in Care for Persons Living with HIV

Depression, Loneliness, and Sexual Risk-Taking Among HIV-Negative/Unknown Men Who Have Sex with Men in China

Social Network Factors as Correlates and Predictors of High Depressive Symptoms Among Black Men Who Have Sex with Men in HPTN 061

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