Gradients in Depressive Symptoms by Socioeconomic Position Among Men Who Have Sex With Men in the EXPLORE Study

Dados Bibliográficos

ID3640850
AutoresBasia Pakula (University of British Columbia, autor correspondente), Brandon D L Marshall (0000-0002-0134-7052, Brown University), Jean Shoveller (0000-0002-4616-3556, University of British Columbia), Jean A Shoveller, Margaret A Chesney (0000-0001-6038-3486, University of California, San Francisco), Thomas J Coates (0000-0002-2470-2096, Oklahoma State University Center for Health Sciences), Beryl Koblin, Beryl A Koblin (0000-0002-5914-6878, New York Blood Center), Kenneth H Mayer (0000-0001-7460-733X, Fenway Health), Kenneth Mayer (0000-0002-3502-0592), Matthew J Mimiaga (0000-0001-9256-2905, Fenway Health), Matthew Mimiaga, Don Operario (0000-0003-2467-5048, Brown University)
Ano2016
Volume63
Fascículo8
Páginas1146-1160
Data de publicação2016-08-02
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Homosexuality (JOURNAL)
Identificadores do periódicoISSN: 0091-8369 • E-ISSN: 1540-3602
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00918369.2016.1150056
PMID26950686
OpenAlexW2296094387
IdiomaEN
Citações recebidas7
Referências citadas45

This study examines gradients in depressive symptoms by socioeconomic position (SEP; i.e., income, education, employment) in a sample of men who have sex with men (MSM). Data were used from EXPLORE, a randomized, controlled behavioral HIV prevention trial for HIV-uninfected MSM in six U.S. cities (n = 4,277). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale (short form). Multiple linear regressions were fitted with interaction terms to assess additive and multiplicative relationships between SEP and depressive symptoms. Depressive symptoms were more prevalent among MSM with lower income, lower educational attainment, and those in the unemployed/other employment category. Income, education, and employment made significant contributions in additive models after adjustment. The employment-income interaction was statistically significant, indicating a multiplicative effect. This study revealed gradients in depressive symptoms across SEP of MSM, pointing to income and employment status and, to a lesser extent, education as key factors for understanding heterogeneity of depressive symptoms

Center for Epidemiologic Studies Depression Scale · Cognition · Depression (economics · Depressive symptoms · Educational attainment · Human immunodeficiency virus (HIV · Men who have sex with men · Population · Psychiatry · Socioeconomic status · Sociology · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Gerontology