Depressive symptoms and HIV among a cohort of adolescent young men and transgender women who have sex with men, Bangkok and Nakhon Sawan, Thailand, 2017-2019.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI:10.1080/09540121.2024.2354866
M Vasantiuppapokakorn, S Pattanasin, R Kittiyaowamarn, S Chantraraprasat, S Winaitham, P Khongsom, J V Woodring, S M O'Connor, W Sukwicha, S Na-Pompet, E F Dunne
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Abstract

Screening for depression may identify persons for HIV prevention services and to ensure linkage to care for ART and mental health. We assessed factors associated with depressive symptoms using multiple logistic regression among 15- to 29-year-old gay, bisexual or other men who have sex with men (MSM) and transgender women who have sex with men (TGW) attending HIV prevention clinics at Silom Community Clinic or Bangrak Hospital in Bangkok or Rainbow Clinic in Nakhon Sawan, Thailand. We defined depressive symptoms as a self-report of feelings of sadness that impacted daily life in the past one month. Among 192 MSM, 51 TGW, and 11 gender-questioning persons screened: 12.6% met the criteria for depression; 5.9% had new HIV diagnosis. Independently associated factors which increase the risk of depressive symptoms included: studying in a private school (AOR 7.17); experiencing any type of bullying (AOR 2.8); having a partner with HIV (AOR 4.1); and learning about the study from sources other than a friend (AOR 4.2). Given many youths had depressive symptoms, screening for depression and connection to mental health services would be beneficial in sexual health settings to meet the needs of HIV-vulnerable youth.

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2017-2019年泰国曼谷和那空沙旺男男性行为者和变性女性青少年队列中的抑郁症状和艾滋病毒。
对抑郁症进行筛查可以识别出需要接受艾滋病预防服务的人群,并确保将他们与抗逆转录病毒疗法和心理健康护理联系起来。我们采用多元逻辑回归法评估了在泰国曼谷西隆社区诊所或 Bangrak 医院或那空沙旺彩虹诊所接受 HIV 预防门诊治疗的 15 至 29 岁男同性恋、双性恋或其他男男性行为者 (MSM) 和变性女男性行为者 (TGW) 中出现抑郁症状的相关因素。我们将抑郁症状定义为过去一个月内影响日常生活的悲伤情绪的自我报告。在接受筛查的 192 名 MSM、51 名 TGW 和 11 名性别问题者中,12.6% 符合抑郁症的标准:12.6%的人符合抑郁症的标准;5.9%的人有新的 HIV 诊断。增加抑郁症状风险的独立相关因素包括:在私立学校学习(AOR 7.17);遭受任何类型的欺凌(AOR 2.8);伴侣感染了 HIV(AOR 4.1);从朋友以外的渠道了解到这项研究(AOR 4.2)。鉴于许多青少年有抑郁症状,在性健康环境中进行抑郁症筛查并提供心理健康服务将有助于满足易感染 HIV 青少年的需求。
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