Characteristics and depressive symptoms among self-reported HIV infection through heterosexual transmission men who have sex with men.
10.3760/cma.j.cn112338-20220226-00153
- Author:
Xiao Yan ZHU
1
;
Guo Yong WANG
1
;
Mei Zhen LIAO
1
;
Ya Jun LI
1
;
Na ZHANG
1
;
Ling LI
1
;
Xing Guang YANG
1
;
Peng Xiang HUANG
1
;
Tao HUANG
1
;
Dian Min KANG
1
Author Information
1. Department of AIDS Control and Prevention, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China.
- Publication Type:Journal Article
- MeSH:
Male;
Humans;
Adult;
Middle Aged;
Heterosexuality;
Depression/epidemiology*;
HIV Infections/epidemiology*;
Self Report;
Homosexuality, Male;
Cross-Sectional Studies;
Sexual and Gender Minorities
- From:
Chinese Journal of Epidemiology
2022;43(10):1639-1644
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To understand the characteristics and depressive status of men who have sex with men (MSM) who self-reported HIV infection through heterosexual transmission and to provide evidence for personalized management of HIV infected people. Methods: A cross-sectional survey was carried out in Shandong province from September to December in 2019. Male HIV patients aged ≥15 years who self-reported HIV infection through heterosexual transmission were selected to verify the route of infection by one-to-one interview in Ji'nan, Qingdao, Weifang and Linyi cities of Shangdong province. According to the 1∶1 ratio, local HIV patients with age difference ≤3 years who self-reported MSM were selected as controls. A questionnaire survey was conducted, including data on demographic characteristics, behavior status, CES-D and PSSS. The related factors of the depressive symptoms and characteristics were analyzed. Results: A total of 373 male HIV patients were interviewed, and 39.7%(148/373) were confirmed as MSM after reexamination. The interviewers were: aged (40.3±12.0) years old, 41.9% (62/148) married/cohabiting. 27.0% (40/148) had been tested before HIV diagnosis, 71.6% (106/148) had homosexual partners ≥2 and 55.4% (82/148) had depressive symptom. Multivariate analysis showed that the MSM without HIV testings before diagnosis, had homosexual partners ≥2 before diagnosis, had first homosexual behavior at the age >30 years old and with depressive symptoms were more likely to conceal the true infection route. The incidence of depression among MSM who self-reported HIV infection through heterosexual transmission was related to physical health status social support and occupational stability. Conclusions: Some male HIV persons self-reported as being heterosexually transmitted were really transmitted through homosexual behavior. There were high-risk behaviors such as multiple partners and intersex among this group, and with high incidence of depression. It is necessary to encourage the reexamination program during follow-up and target on psychological and behavioral interventions, continuously.
