The relationship between depression and sexual health service utilization among men who have sex with men (MSM) in Côte d'Ivoire, West Africa

Ulanja, Mark B.; Lyons, Carrie; Ketende, Sosthenes; Stahlman, Shauna; Diouf, Daouda; Kouamé, Abo; Ezouatchi, Rebecca; Bamba, Amara; Dramé, Fatou Maria; Liestman, Benjamin; Baral, Stefan

doi:10.1186/s12914-019-0186-6

Cited by 23 publications

(14 citation statements)

References 78 publications

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“…Many studies have con rmed that the generation of feelings of entrapment and defeat may trigger depression and lead to poor psychological states such as lack of selfesteem and self-con dence [3,6,7,31]. Therefore, this study used the PHQ-9 to assess depressive symptoms among MSM, consistent with previous studies [32,33]. The internal consistency reliability (Cronbach's α coe cient) of the PHQ-9 in this study was 0.874.…”

supporting

confidence: 78%

Evaluating the Validity and Reliability of the Chinese Entrapment Scale and the Relationship to Depression Among Men Who Have Sex with Men in Shanghai, China

Chen

Tsamlag

et al. 2020

Preprint

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Background: Perceptions of entrapment can emerge when someone feels trapped in an aversive situation and incapable of escape. Depression and suicidal tendency are closely related to the construct of entrapment. In China, men who have sex with men (MSM) have a high incidence of depression and suicide; therefore, a tool to evaluate entrapment in this population is needed. We introduced and translated the Entrapment Scale (ES) into Chinese and evaluated its validity, reliability, applicability, and relationship to depression among MSM in Shanghai.Methods: After the original ES was localized into a Chinese version, it was disseminated to 304 MSM from four districts in Shanghai. Participants completed a health behavior questionnaire that included baseline information and psychological measurements such as the ES and Patient Health Questionnaire (PHQ-9). The sample was randomly divided into two groups for exploratory factor analysis (n = 143) and confirmatory factor analysis (n = 161). Criterion validity was tested to explore the correlation between ES and PHQ-9 scores. The reliability of the ES was evaluated with internal consistency reliability (Cronbach’s α coefficient) and split-half reliability (Spearman-Brown coefficient). We performed hierarchical regression analysis to determine the contribution of entrapment to predicting depressive symptoms after adjusting for sociodemographic factors. Finally, receiver operator characteristic curve analysis was performed to measure the optimal ES cut-off value for predicting depression. Results: Factor analysis showed the ES had one principal component, and was a one-dimensional scale with acceptable model fit. The correlation coefficient between ES and PHQ-9 scores was 0.756 (P<0.01). The Cronbach’s α coefficient was 0.970 and the Spearman-Brown coefficient was 0.976. ES scores significantly predicted an additional 45.1% of depressive symptoms after controlling for sociodemographic characteristics in the MSM population (β=0.689, P<0.001). The optimum cut-off value was 23, which had a sensitivity of 70% and a specificity of 85.4%.Conclusions: The Chinese version of the ES has good validity, reliability, and applicability in the MSM population in Shanghai, and can be used to evaluate perceptions of entrapment among MSM. The findings confirmed an association between entrapment and depression.

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supporting

confidence: 78%

Evaluating the Validity and Reliability of the Chinese Entrapment Scale and the Relationship to Depression Among Men Who Have Sex with Men in Shanghai, China

Chen

Tsamlag

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Many studies have confirmed that the generation of entrapment and defeat may trigger depression and lead to poor psychological states such as lack of self-esteem and self-confidence [ 5 , 8 , 9 , 37 ]. Therefore, this study used the PHQ-9 to assess depressive symptoms among MSM, consistent with previous studies [ 38 , 39 ]. The internal consistency reliability (Cronbach’s α coefficient) of the PHQ-9 in this study was 0.874.…”

Section: Methodsmentioning

confidence: 66%

Evaluating the validity and reliability of the Chinese entrapment scale and the relationship to depression among men who have sex with men in Shanghai, China

Tsamlag

et al. 2021

BMC Psychiatry

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Background Perception of entrapment can emerge when someone feels trapped in an aversive situation and incapable of escape. Depression is closely related to the construct of entrapment. In China, men who have sex with men (MSM) have a high prevalence of depression; therefore, a tool to evaluate entrapment in this population is needed. We evaluated the validity and reliability of the Chinese version of the entrapment scale (ES) and the relationship to depression among MSM in Shanghai, China. Methods We recruited 304 MSM from four districts in Shanghai, China. Participants completed health behavior questionnaires that included baseline information and psychological measurements such as the ES and Patient Health Questionnaire (PHQ-9). The sample was randomly divided into two groups for exploratory factor analysis (n = 143) and confirmatory factor analysis (n = 161). Criterion validity was tested to explore the correlation between the ES and PHQ-9 scores. The reliability of the ES was evaluated with internal consistency reliability (Cronbach’s α coefficient) and split-half reliability (Spearman-Brown coefficient). We performed hierarchical regression analysis to determine the variance explained of entrapment to predicting depressive symptoms after adjusting for sociodemographic factors. Finally, receiver operator characteristic curve analysis was performed to measure the optimal ES cut-off value for predicting depression. Results Factor analysis showed the ES had one principal component, and one-dimensional scale had more acceptable model fit indices than two-dimensional model. The correlation coefficient between the ES and PHQ-9 scores was 0.756 (P < 0.01). The Cronbach’s α coefficient was 0.970 and the Spearman-Brown coefficient was 0.976. ES scores significantly predicted an additional 45.1% of depressive symptoms after controlling for sociodemographic characteristics in the MSM population (β = 0.689, P < 0.001). The optimum cut-off value was 23, which had a sensitivity of 70% and a specificity of 85.4%. Conclusions The Chinese version of the ES has good validity and reliability in the MSM population in Shanghai, and can be used to evaluate perception of entrapment among MSM. The findings confirmed an association between entrapment and depression.

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“…Our data suggest an association between depression, viral non-suppression and an increased risk of STIs. This potentially represents a robust target for intervention as only 10% of persons living in Sub-Saharan Africa have adequate access to mental health care [31]. Integrating care, such as mental health services and behavioral counseling for STI prevention, may be an effective and cost-effective intervention to reduce STIs [32].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with sexually transmitted infections among care-seeking adults in the African Cohort Study

et al. 2021

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Objectives Sexually transmitted infections (STIs) are a major cause of morbidity. Understanding drivers of transmission can inform effective prevention programs. We describe STI prevalence and identify factors associated with STIs in four African countries. Methods The African Cohort Study is an ongoing, prospective cohort in Kenya, Nigeria, Tanzania and Uganda. At enrollment, a physical exam was conducted and STI diagnosis made by a clinician using a syndromic management approach. Multivariable logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) for factors associated with an STI diagnosis. Results As of June 2020, 3544 participants were enrolled. STI prevalence was 7.7% and did not differ by HIV status (p = 0.30). Prevalence differed by syndrome (3.5% vaginal discharge, 1.5% genital ulcer, 2.1% lower abdominal pain, 0.2% inguinal bubo). The odds of having an STI were higher at all sites compared to Kisumu West, Kenya, and among those with a primary level education or below compared to those with secondary or higher (aOR: 1.77; 95% CI: 1.32–2.38). The odds of an STI diagnosis was higher among participants 18–29 years (aOR: 2.29; 95% CI: 1.35–3.87), females (aOR: 2.64; 95% CI: 1.94–3.59), and those with depression (aOR: 1.78; 95% CI: 1.32–2.38). Among PLWH, similar factors were independently associated with an STI diagnosis. Viral suppression was protective against STIs (aOR: 2.05; 95% CI: 1.32–3.20). Conclusions Prevalence of STIs varied by site with young people and females most at risk for STIs. Mental health is a potential target area for intervention.

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The relationship between depression and sexual health service utilization among men who have sex with men (MSM) in Côte d'Ivoire, West Africa

Cited by 23 publications

References 78 publications

Evaluating the Validity and Reliability of the Chinese Entrapment Scale and the Relationship to Depression Among Men Who Have Sex with Men in Shanghai, China

Evaluating the Validity and Reliability of the Chinese Entrapment Scale and the Relationship to Depression Among Men Who Have Sex with Men in Shanghai, China

Evaluating the validity and reliability of the Chinese entrapment scale and the relationship to depression among men who have sex with men in Shanghai, China

Factors associated with sexually transmitted infections among care-seeking adults in the African Cohort Study

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