Journal article
Prevalence and associated factors of depressive and anxiety symptoms among HIV-infected men who have sex with men in China
AIDS care, v 28(4), pp 465-470
02 Apr 2016
PMID: 26689341
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
HIV-positive men who have sex with men (HIVMSM) face severe stigma and high levels of stressors, and have high prevalence of mental health problems (e.g., depression and anxiety). Very few studies explored the role of positive psychological factors on mental health problems among HIVMSM. The present study investigated the prevalence of two mental health problems (anxiety and depression), and their associated protective (gratitude) and risk (enacted HIV-related stigma, and perceived stress) factors among HIVMSM in China. A cross-sectional survey was conducted among 321 HIVMSM in Chengdu, China, by using a structured questionnaire. Over half (55.8%) of the participants showed probable mild to severe depression (as assessed by the Center of Epidemiologic Studies Depression scale); 53.3% showed probable anxiety (as assessed by the General Anxiety Disorder scale). Adjusted logistic regression models revealed that gratitude (adjusted odds ratio (ORa = 0.90, 95% confidence intervals (95% CI) = 0.86-0.94) was found to be protective, whilst perceived stress (ORa = 1.17, 95% CI = 1.12-1.22) and enacted stigma (ORa = 7.72, 95% CI = 2.27-26.25) were risk factors of depression. Gratitude (ORa = 0.95, 95% CI = 0.91-0.99) was also found to be protective whilst perceived stress (ORa = 1.19, 95% CI = 1.14-1.24) was a risk factor of anxiety. Gratitude did not moderate the associations found between related factors and poor mental health. It is warranted to promote mental health among HIVMSM, as depression/anxiety was highly prevalent. Such interventions should consider enhancement of gratitude, reduction of stress, and removal of enacted stigma as potential strategies, as such factors were significantly associated with depression/anxiety among HIVMSM.
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Details
- Title
- Prevalence and associated factors of depressive and anxiety symptoms among HIV-infected men who have sex with men in China
- Creators
- Jinghua Li - Chinese Univ Hong Kong, Fac Med, Sch Publ Hlth & Primary Care, Div Behav Hlth & Hlth Promot, Shatin, Hong Kong, Peoples R ChinaPhoenix K. H. Mo - Chinese University of Hong KongChristopher W. Kahler - Brown UniversityJoseph T. F. Lau - Chinese Univ Hong Kong, Fac Med, Sch Publ Hlth & Primary Care, Div Behav Hlth & Hlth Promot, Shatin, Hong Kong, Peoples R ChinaMengran Du - Sichuan UniversityYingxue Dai - Sichuan Center for Disease Control and PreventionHanyang Shen - Drexel UniversityJingjing Li - Urban Health Collaborative (2015-)
- Publication Details
- AIDS care, v 28(4), pp 465-470
- Publisher
- Taylor & Francis
- Number of pages
- 6
- Grant note
- P30AI042853 / Lifespan/Tufts/Brown Center for AIDS Research under a international developmental grant 81302479 / National Natural Science Foundation of China under a young scientists' grant
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:000371645600011
- Scopus ID
- 2-s2.0-84959238035
- Other Identifier
- 991019173572704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Policy & Services
- Psychology, Multidisciplinary
- Public, Environmental & Occupational Health
- Respiratory System
- Social Sciences, Biomedical