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The Relation between Depressive Symptoms and Unsafe Sex among MSM Living with HIV

Bibliographic Data

ID15486756
AuthorsAnnemiek Schadé (0000-0002-3104-9523, Amsterdam University Medical Centers, corresponding author), Gerard van Grootheest (0000-0003-4350-6661, Vrije Universiteit Amsterdam), Johannes H Smit (0000-0002-2062-8378, Amsterdam University Medical Centers)
Year2023
Volume20
Issue2
Pages1595-1595
Publication date2023-01-16
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20021595
PMID36674350
OpenAlexW4316465130
LanguageEN
Citations received2
References cited20

In people living with HIV (PLWH), a positive association is often found between depressive symptoms and unsafe sex, which means sex without a condom. However, the results of such studies are inconclusive. The present study compared the numbers of safe and unsafe sexual contacts from men who have sex with men (MSM) (N = 159), living with HIV and attending a mental health clinic, with those of HIV-negative MSM in the general population (N = 198). We determined whether the presence of depressive symptoms was associated with unsafe sex in either of the two study populations. The depressive symptoms were measured with the Inventory of Depressive Symptoms (IDS), (MSM living with HIV) and with the 2012 Sexual Health Monitor (HIV-negative MSM). Finally, we determined whether MSM living with HIV with depressive symptoms, who received psychiatric treatment as usual, engaged in fewer unsafe sexual contacts one year after baseline. The mental-health-treatment-seeking MSM living with HIV engaged in more unsafe sexual contact than the MSM comparison group without HIV. Neither the treatment-seeking MSM living with HIV nor the MSM without HIV in the general population exhibited a relationship between depressive symptoms and unsafe sex. Moreover, the successful treatment of depressive symptoms in the treatment group did not lead to any reduction in the number of unsafe sexual contacts. Further research is needed to develop interventions that might be effective for MSM living with HIV with mental health symptoms to reduce the number of unsafe sexual contacts

Condom · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Men who have sex with men · Mental health · Population · Psychiatry · Psychological intervention · Syphilis · Unsafe Sex · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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