Depression and HIV Risk Among Men Who Have Sex with Men in Tanzania

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dc.contributor.authorAhaneku, Hycienth
dc.contributor.authorRoss, Michael W.
dc.contributor.authorNyoni, Joyce E.
dc.contributor.authorSelwyn, Beatrice J.
dc.contributor.authorTroisi, Catherine
dc.contributor.authorMbwambo, Jessie
dc.contributor.authorAdeboye, Adeniyi
dc.contributor.authorMccurdy, Sheryl
dc.date.accessioned2016-07-12T13:01:46Z
dc.date.available2016-07-12T13:01:46Z
dc.date.issued2016
dc.descriptionFull text can be accessed at http://www.tandfonline.com/doi/abs/10.1080/09540121.2016.1146207en_US
dc.description.abstractStudies have shown high rates of depression among men who have sex with men (MSM) in developed countries. Studies have also shown association between depression and HIV risk among MSM. However, very little research has been done on depression among African MSM. We assessed depression and HIV risk among a sample of MSM in Tanzania. We reviewed data on 205 MSM who were recruited from two Tanzanian cities using the respondent driven sampling method. Demographic and behavioral data were collected using a structured questionnaire. HIV and sexually transmitted infections data were determined from biological tests. Depression scores were assessed using the Patient Health Questionnaire (PHQ-9). For the analysis, depression scores were dichotomized as depressed (PHQ > 4) and not depressed (PHQ ≤ 4). Bivariate and multivariable Poisson regression analyses were conducted to assess factors associated with depression. The prevalence of depression in the sample was 46.3%. The mean (±SD) age of the sample was 25 (±5) years. In bivariate analysis, depression was associated with self-identifying as gay (p = .001), being HIV positive (p < .001: <8% of MSM knew they were HIV infected) and having a high number of sexual partners in the last 6 months (p = .001). Depression was also associated with sexual (p = .007), physical (p = .003) and verbal (p < .001) abuse. In the Poisson regression analysis, depression was associated with verbal abuse (APR = 1.91, CI = 1.30–2.81). Depression rates were high among MSM in Tanzania. It is also associated with abuse, HIV and HIV risk behaviors. Thus, reducing the risk of depression may be helpful in reducing the risk of HIV among MSM in Africa. We recommend the colocation of mental health and HIV preventive services as a cost-effective means of addressing both depression and HIV risk among MSM in Africa.en_US
dc.identifier.citationAhaneku, H., Ross, M.W., Nyoni, J.E., Selwyn, B., Troisi, C., Mbwambo, J., Adeboye, A. and McCurdy, S., 2016. Depression and HIV risk among men who have sex with men in Tanzania. AIDS care, 28(sup1), pp.140-147.en_US
dc.identifier.issn10.1080/09540121.2016.1146207
dc.identifier.urihttp://hdl.handle.net/20.500.11810/3127
dc.language.isoenen_US
dc.publisherTaylor and Francisen_US
dc.subjectMen who have sex with menen_US
dc.subjectHIVen_US
dc.subjectDepressionen_US
dc.subjectAfricaen_US
dc.subjectTanzaniaen_US
dc.titleDepression and HIV Risk Among Men Who Have Sex with Men in Tanzaniaen_US
dc.typeJournal Article, Peer Revieweden_US
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