期刊
AIDS
卷 29, 期 -, 页码 S251-S259出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAD.0000000000000846
关键词
depression; HIV; AIDS; homosexuality; Kenya; male; mental health; psychosocial; social stigma; substance-related disorders
资金
- NIH [R34MH099946, K24 MH093243]
- University of Washington Thomas Francis Jr. Fellowship
- NIH - (NIAID) [P30 AI027757]
- NIH - (NCI) [P30 AI027757]
- NIH - (NIMH) [P30 AI027757]
- NIH - (NIDA) [P30 AI027757]
- NIH - (NICHD) [P30 AI027757]
- NIH - (NHLBI) [P30 AI027757]
- NIH - (NIA) [P30 AI027757]
- NIH - (NIGMS) [P30 AI027757]
- NIH - (NIDDK) [P30 AI027757]
- KEMRI-Wellcome Trust Research Programme
- American people through the United States Agency for International Development (USAID)
Objectives:Mental health conditions can erode quality of life and interfere with health-related behaviours such as medication adherence. We aimed to determine the prevalence and correlates of depression and other psychosocial factors among self-identified men who have sex with men (MSM) in coastal Kenya.Design:A cross-sectional survey.Methods:Psychosocial and mental health characteristics were assessed in an audio computer-assisted self-interview (ACASI) survey among 112 MSM participating in two ongoing HIV-positive and HIV-negative cohorts in Mtwapa, Kenya.Results:One-third of participants met criteria for major depressive disorder [16.1%, 95% confidence interval (95% CI) 9.8-24.2] or other depressive disorder (15.2%, 95% CI 9.1-23.2). Alcohol abuse was reported by 45% of respondents (95% CI 35.2-54.3) and other substance abuse by 59.8% (95% CI 50.1-69.0). Sexual and HIV stigma were moderate, with median scores of 11 [interquartile range (IQR) 6-17, potential range 0-33] and 25 (IQR 23-29, potential range 11-44), respectively. There were significant bivariate correlations between alcohol abuse, other substance abuse, sexual stigma and childhood and recent abuse. In a multivariable linear regression model, sexual stigma (beta=0.17, 95% CI 0.03-0.32) and marriage to a woman (beta=-2.41 95% CI -4.74 to -0.09) were each associated with depression score.Conclusion:We found moderate to high levels of depression and substance abuse, and moderate levels of sexual stigma. These variables were highly inter-correlated and associated with an experience of trauma or abuse. Comprehensive mental health services are needed in this population to address these issues.
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