Perceived intentional transmission of HIV infection, sustained viral suppression and psychosocial outcomes among men who have sex with men living with HIV: a cross-sectional assessment

Brown, Monique J.; Serovich, Julianne M.; Kimberly, Judy A.

doi:10.1136/sextrans-2017-053153

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…In the present meta-analysis, the first study to report the prevalence of depression in MSM was the article of Mills et al [ 55 ], and the most recent study which measured the prevalence of depression in MSM was the article of Clark et al [ 32 ]. The highest number of studies was related to 2018 with 14 articles [ 26 , 31 , 34 , 46 , 47 , 50 , 58 , 60 , 62 , 69 , 71 , 77 , 84 , 89 ] and 2017 with 11 articles [ 28 , 30 , 38 , 40 , 41 , 43 , 54 , 56 , 67 , 70 , 73 ]. The smallest sample size was related to the study of Armstrong et al [ 25 ] with 56 people, and the highest was related to the study of Tomori et al [ 71 ] with 11,771 people.…”

Section: Resultsmentioning

confidence: 99%

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis

Nouri

Moradi

2022

Ann Gen Psychiatry

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Background Depression due to stigma resulting from their sexual identity, isolation, social exclusion, and insufficient access to care and counseling services has become a health problem among men who have sex with men (MSM). Objectives This study aimed to determine the global prevalence of depression among MSM as a systematic review and meta-analysis. Methods This study was a systematic review and meta-analysis performed in five steps of search strategy, screening and selecting articles, data extraction, evaluation of the risk of bias, and meta-analysis. In this study, the determined keywords were searched in the databases of PubMed, Scopus, Embase, and Web of Science from January 1913 to July 2021 to find the initial articles, from which data were extracted according to the set checklist in the data extraction stage. Finally, the studies were included in the present meta-analysis according to the inclusion and exclusion criteria, to be evaluated using the Newcastle Ottawa scale checklist. I Square and Q Cochrane were also used to assess the degree of heterogeneity. The analyses were performed using the random-effects model in STATA 16. Results The results showed the quality score of the majority of cross-sectional studies included in the meta-analysis (62 studies) was equal to six or seven (moderate), and five ones had a high-quality score. After combining these studies, the pooled prevalence of depression among MSM in the world was 35% (95% CI 31%–39%, I square; 98.95%, P-value < 0.001). Population subgroup analysis showed the pooled prevalence of depression among MSM living with HIV was 47% (95% CI 39%-55%, I square; 95.76%, P-value < 0.001). Continent subgroup analysis showed the highest pooled prevalence of depression among Asian MSM at 37% (95% CI 31%-43%, I square; 99.07%, P-value < 0.001). Also, in the subgroup analysis of the sampling method, the pooled prevalence in the studies which used the respondent-driven sampling method was equal to 34% (95% CI 25%-43%, I square; 99.32%, P-value < 0.001). Sensitivity analysis revealed the pooled prevalence of depression in studies included in the meta-analysis was near or around the pooled estimate. Conclusion The pooled prevalence of depression among MSM was almost three times higher than the general male population. Therefore, particular and therapeutic interventions such as screening, and harm reduction programs for mental disorders, especially depression, are suggested to be considered in service packages.

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Section: Resultsmentioning

confidence: 99%

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis

Nouri

Moradi

2022

Ann Gen Psychiatry

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“…In contrast, participants in a study conducted in Botswana did not perceive high HIV severity because respondents believed people on ARVs do not necessarily increase risky sexual behaviors [ 48 ]. A study of HIV-positive MSM in the Southeastern and Midwestern US indicated that depressive symptoms and compulsive sexual behaviour were more highly associated with beliefs in intentional transmission of HIV [ 49 ]. Suggestively, sexual compulsivity was also expressed by multiple participants in our study.…”

Section: Discussionmentioning

confidence: 99%

Exploring HIV risk perception mechanisms among youth in a test-and-treat trial in Kenya and Uganda

Owino,

Johnson-Peretz,

Lee

et al. 2024

PLOS Glob Public Health

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Understanding risk perception and risk-taking among youth can inform targeted prevention efforts. Using a health beliefs model-informed framework, we analysed 8 semi-structured, gender-specific focus group discussions with 93 youth 15–24 years old (48% male, 52% female), drawn from the SEARCH trial in rural Kenya and Uganda in 2017–2018, coinciding with the widespread introduction of PrEP. Highly connected social networks and widespread uptake of antiretrovirals shaped youth HIV risk perception. Amid conflicting information about HIV prevention methods, youth felt exposed to multiple HIV risk factors like the high prevalence of HIV, belief that people with HIV(PWH) purposefully infect others, dislike of condoms, and doubts about PrEP efficacy. Young women also reported minimal sexual autonomy in the context of economic disadvantages, the ubiquity of intergenerational and transactional sex, and peer pressure from other women to have many boyfriends. Young men likewise reported vulnerability to intergenerational sex, but also adopted a sexual conquest mentality. Comprehensive sexuality education and economic empowerment, through credible and trusted sources, may moderate risk-taking. Messaging should leverage youth’s social networks to spread fact-based, gender- and age-appropriate information. PrEP should be offered alongside other reproductive health services to address both pregnancy concerns and reduce HIV risk.

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“…Different attitudes towards the diagnosis of HIV/AIDS by the PLHIV were identified, based on reports from health professionals. It is noted that feelings of revolt may be present, reflecting the desire to intentionally transmit the virus to others, 13 with unprotected sexual activities or the abuse of substances such as alcohol and drugs. 14 It is noted that other PLHIV, in turn, develop a posture of imprisonment because, due to the stigma and prejudice rooted in HIV/AIDS and so present to this day, they may lose the will to live or to fight for their life and treatment, which can have negative social consequences.…”

Section: It Has Become a Chronic Disease Like Any Other Such As Hypementioning

confidence: 99%

Morte/morrer de pessoas com hiv: o olhar da enfermagem

Góis

Brandão

Oliveira

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: descrever os conteúdos representacionais de profissionais da Enfermagem sobre a morte e o morrer de pessoas vivendo com HIV. Método: trata-se de estudo qualitativo, de campo, descritivo e exploratório, fundamentado na Teoria das Representações Sociais, realizado em sete Serviços de Assistência Especializada (SAE) em HIV/AIDS e um Centro de Testagem e Aconselhamento (CTA, com 20 profissionais de enfermagem, por meio de entrevista semiestruturada. Analisaram-se as falas pela técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: elegeram-se quatro categorias temáticas a partir da análise das falas: “O diagnóstico”; “Os significados da morte e do morrer”; “O enfrentamento dos profissionais da Enfermagem perante a morte e morrer de PVHIV” e “A morte dando lugar à possibilidade de vida”. Conclusão: incidem-se os conteúdos representacionais nas práticas em saúde e enfermagem desde a construção simbólica do adoecimento perante a possibilidade de morte relacionada ao HIV e às novas perspectivas de tratamento e promoção da saúde, sendo possível destacar o avanço do conhecimento científico dos profissionais de enfermagem, o que contribui para a sua assistência em saúde às PVHIV. Descritores: Enfermagem; Morte; HIV; Síndrome de Imunodeficiência Adquirida; Percepção Social; Promoção da Saúde.ABSTRACT Objective: to describe the representational contents of Nursing professionals about the death and dying of people living with HIV. Method: this is a qualitative, field-based, descriptive and exploratory study, based on the Theory of Social Representations, carried out in seven Specialized Assistance Services (SAS) in HIV / AIDS and a Testing and Counseling Center (TCC) with 20 nursing professionals, through a semi-structured interview. The speeches were analyzed by the technique of Content Analysis in the Categorical Analysis modality. Results: four thematic categories were chosen from the analysis of the lines: "The diagnosis"; "The meanings of death and dying"; "The confrontation of nursing professionals before death and die of PLHIV" and "Death giving way to the possibility of life". Conclusion: the focus was on the representational contents on health and nursing practices from the symbolic construction of illness to the possibility of death related to HIV and the new perspectives of treatment and health promotion, being possible to highlight the advance of the scientific knowledge of nursing professionals, which contributes to their health care to PLHIV. Descriptors: Nursing; Death; HIV; Acquired Immunodeficiency Syndrome; Social Perception; Health Promotion.RESUMEN Objetivo: describir los contenidos representacionales de profesionales de Enfermería sobre la muerte y el morir de personas viviendo con VIH. Método: se trata de un estudio cualitativo, de campo, descriptivo y exploratorio, fundamentado en la Teoría de las Representaciones Sociales, realizado en siete Servicios de Asistencia Especializada (SAE) en VIH / SIDA y un Centro de Pruebas y Asesoramiento (CTA, con 20 profesionales de enfermería, por medio de una entrevista semiestructurada. Se analizaron las hablas por la técnica de Análisis de Contenido en la modalidad Análisis Categorial. Resultados: se elegieron cuatro categorias temáticas a partir del análisis de las hablas: “El diagnóstico”; “El significado de la muerte y del morir”; “El enfrentamiento de los profesionales de la enfermería ante la muerte y morir de PVHIV" y "La muerte dando lugar a la posibilidad de vida". Conclusión: se inciden los contenidos representacionales en las prácticas en salud y enfermería desde la construcción simbólica de la enfermedad ante la posibilidad de muerte relacionada al VIH y las nuevas perspectivas de tratamiento y promoción de la salud, siendo posible destacar el avance del conocimiento científico de los profesionales de enfermería, lo que contribuye a su asistencia en salud a las PVVIH. Descriptores: Enfermería; Muerte; VIH; Síndrome de Inmunodeficiencia Adquirida; Percepción Social; Promoción de la Salud.

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Perceived intentional transmission of HIV infection, sustained viral suppression and psychosocial outcomes among men who have sex with men living with HIV: a cross-sectional assessment

Abstract: Intervention programmes for MSM living with HIV who thought they were infected intentionally are warranted and should aim to attenuate depressive symptoms and sexual compulsivity.

Cited by 6 publications

References 19 publications

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis

What is the global prevalence of depression among men who have sex with men? A systematic review and meta-analysis

Exploring HIV risk perception mechanisms among youth in a test-and-treat trial in Kenya and Uganda

Morte/morrer de pessoas com hiv: o olhar da enfermagem

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