Relationship between depression and risk behaviors in a US Military population with HIV infection

Carney, Brandon; White, James; Xu, Xiaohe; Sunil, Thankam; Daniels, Colton; Byrne, Morgan; Ganesan, Anuradha; Deiss, Robert; Macalino, Grace; Agan, Brian K.; Okulicz, Jason F.

doi:10.1080/09540121.2019.1595522

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…According to the longitudinal study published in 2019 (Carney et al, 2019) and conducted on 662 soldiers over 18 years of age in the United States, infected with HIV, found that those with clinically diagnosed depression reported the lowest condom use in sexual intercourse with new partners compared to those with mild depressive symptoms. Depression seems to be an important factor in choosing risky behaviors in students as well.…”

Section: Resultsmentioning

confidence: 99%

Anxiety, Depression, Stress, Emotionality and Aggressivity - Factors That May Influence Irrational Alcohol Consumption and Risky Sexual Behavior

Lungu¹,

Neacșu²,

Rada³

2021

ARS

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Objectives. This literature review aimed to reveal the relationship between psychological factors such as anxiety, depression, stress, emotionality and aggression on the one hand, and irrational alcohol consumption and risky sexual activity on the other hand, in students (19-25 years) and adjacent age groups. Material and methods. The study was conducted by analyzing the literature published between 2010 and 2020. The search was conducted in Romanian and English, in 9 international publications, by the following key phrases and terms, separately or in combination: anxiety, depression, stress, emotionality, aggressiveness, alcohol consumption, drinking motives, binge drinking, sexual behavior, risky sex. Results. Applying repeated exclusion criteria, 31 articles remained in the analysis. Among these, risk behaviors were rarely analyzed in connection with psychological factors. Most studies that investigate risky behaviors regarding alcohol consumption and sexual activity, address them according to gender, educational level, age groups. Women were more prone to anxiety and depression, but also to show more psychological aggression compared to men who showed more physical aggression, even in sexual activity. Researches included aggression as a behavioral trait, and emotionality has been used as a variable in studies to validate standardized tools. Irrational alcohol consumption has been significantly associated with risky sexual activity and various forms of aggression. Conclusions. The risk of manifesting and developing depressive and anxiety symptoms is higher in victims of aggression, in people with risky sexual activity, and in consumers of irrational alcohol. In students and young people, stress has high values, contributing to the tendency towards risky behaviors. It is necessary to promote successful coping strategies and mechanisms, both in individual and group level, as well as the development of prevention strategies and therapeutic procedures to improve the listed risk behaviors. Keywords: anxiety, depression, aggression, alcohol consumption, sexual activity.

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Section: Resultsmentioning

confidence: 99%

Anxiety, Depression, Stress, Emotionality and Aggressivity - Factors That May Influence Irrational Alcohol Consumption and Risky Sexual Behavior

Lungu¹,

Neacșu²,

Rada³

2021

ARS

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“…Self-reported Center for Epidemiological Studies Depression (CES-D) measures standardized by the American Psychological Association [14] and ICD-9 codes for depression collected from 2006 to 2010 were evaluated with self-reported depressive symptoms from 2014 to 2015 as previously described [13]. Using a cutoff score of 16 to identify respondents at risk for clinical depression, the 20-item CES-D scores from 2006 (time period 1), 2007-08 (time period 2), and 2009 (time period 3), respectively, were coded such that 1 represented 16 or higher (at risk for clinical depression) and 0 indicating below 16 (less risk).…”

Section: Methodsmentioning

confidence: 99%

“…We previously analyzed the relationship between longitudinal depression trajectories and sexual risk behaviors in US Military HIV Natural History Study (NHS), observing that participants with depression were less likely to use condoms and more likely to have sex with multiple partners [13]. The current analysis used the same longitudinal depression trajectories to further understand the potential impact of depression on self-reported adherence and longitudinal HIV treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

Association between depression and HIV treatment outcomes in a US military population with HIV infection

Carney

Daniels

et al. 2021

AIDS Res Ther

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Background Depression is common among HIV-infected individuals and may contribute to suboptimal adherence to antiretroviral therapy (ART) and subsequent inability to attain viral load (VL) suppression. We evaluated associations between depression, self-reported adherence, and longitudinal HIV treatment outcomes in US Military HIV Natural History Study (NHS) participants with and without depression. Methods Male NHS participants with available ICD-9 data for mental health diagnoses, Center for Epidemiological Studies Depression (CES-D) measures, and self-reported adherence (SRA) were included. ART use was defined as ART initiation between 2006 and 2010, with follow-up through 2015. SRA was defined as taking 95% of ART doses and continuous ART was defined as longitudinal ART use with gaps < 30 days. Continuous VL suppression was defined as maintaining VLs < 200 c/mL on ART. To analyse the association between depression and HIV treatment outcomes, latent class analysis was used to create classes of depression trajectories: low depression (LD), recent onset depression (ROD) and high Depression (HD). Results Participants had a mean age of 32 (± 8.3) years at HIV diagnosis, and similar proportions were Caucasian (44.3%) or African American (40.8%). Overall, older participants at HIV diagnosis had greater odds of having 95% self-reported adherence (OR 1.06, 95% CI 1.02–1.12), and African Americans had lower odds (OR 0.41, 95% CI 0.22–0.76) compared to Caucasians (OR 1.49, 95% CI 0.52–4.28). However, there was no difference in SRA by depression trajectory. Participants with HD had an increased odds of taking ART continuously (OR 1.75, 95% CI 0.99–3.09), and those with ROD had significantly higher odds of virologic failure (OR 0.58, 95% CI 0.38–0.91). Conclusions Although there was no observed association between depression and SRA, participants with ROD had lower odds of attaining the HIV treatment goal of VL suppression. Continued efforts to identify and aggressively manage mental health disorders is important to success along the HIV care continuum.

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“…( Ettman et al, 2020 ) People with depression are more likely to be involved in behaviors that put them at risk for acquiring the human immunodeficiency virus (HIV), such as injection drug use or unprotected sexual encounters. ( Ahaneku et al, 2016 , Carney et al, 2019 , Marshall et al, 2013 , Kim et al, 2019 ) In this regard, it is believed that the prevalence of depression was highly correlated with HIV infection. ( Angelino, 2008 ) A previous study from a nationally representative survey demonstrated that around half of people with HIV screened positive for psychiatric disorders, including minor and major depression.…”

Section: Introductionmentioning

confidence: 99%

HIV testing and risk behaviors associated with depression in the United States

McDaniel

Lai

Chou

2023

Preventive Medicine Reports

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Relationship between depression and risk behaviors in a US Military population with HIV infection

Cited by 5 publications

References 6 publications

Anxiety, Depression, Stress, Emotionality and Aggressivity - Factors That May Influence Irrational Alcohol Consumption and Risky Sexual Behavior

Anxiety, Depression, Stress, Emotionality and Aggressivity - Factors That May Influence Irrational Alcohol Consumption and Risky Sexual Behavior

Association between depression and HIV treatment outcomes in a US military population with HIV infection

HIV testing and risk behaviors associated with depression in the United States

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