Background: High rates of depression have been observed among men who have sex with men
(MSM) compared to the U.S. adult male population. Depression in MSM may be associated with
risk behavior that increases risk for human immunodeficiency virus (HIV).
Methods: A cross-sectional analysis was conducted to examine demographic and behavioral
characteristics associated with depression among HIV-negative black and white MSM in Atlanta.
The data used for this analysis were collected from July 2010 through December 2011 in the
Involve[men]t project. This project is investigating HIV and sexually transmitted infection
prevalence and incidence differences between adult black and white MSM in Atlanta.
Results: Among 393 HIV-negative MSM at baseline, the prevalence of depression was 27.0%.
Factors associated with depression included being 25 years of age and older compared to 18-24
years, non-injection drug use, an alcohol problem, unprotected anal intercourse (UAI), exchange
sex, often being treated as if you were "stupid" or "talked down to" because of your race/ethnic
group, agreeing that 'most people in my city think less of a person who is gay', and that 'my city
is a bad place for me to live as a gay man'. Race was a significant effect modifier of the
association between depression and non-injection drug use. Depression prevalence was not
significantly different in black versus white men, though subsequent analyses revealed racial
differences in factors associated with depression. Depression was associated with exchange sex
in black MSM, and with UAI and substance use in white MSM.
Conclusions: The prevalence of depression among HIV-negative MSM is high compared to the
general U.S. adult male population. The link between risk behavior and depression is strongest
among white MSM; depression screening should be incorporated into behavioral interventions.
Both racial and sexual stigma play a role in the mental health and possibly the behavior of black
Table of Contents
TABLE OF CONTENTS
Introduction ... 1
Methods ... 6
Results ... 10
References ... 19
Table 1. Characteristics of an HIV-negative population of men who have sex with men
in Atlanta by depression status, July 2010 - December 2011 (n=393) ... 23
Table 2. Factors associated with depression among HIV-negative men who have sex
with men in Atlanta, July 2010 - December 2011 (n=393) ... 26
Table 3. Factors associated with depression among black HIV-negative men who have
sex with men in Atlanta, July 2010 - December 2011 (n=170) ... 31
Table 4. Factors associated with depression among white HIV-negative men who have
sex with men in Atlanta, July 2010 - December 2011 (n=223) ... 33
Appendix A. Andresen Short-Form (CESD-10) of the Center for Epidemiologic
Studies Depression (CES-D) Scale ... 35
Appendix B. SAS Code ... 36
About this Master's Thesis
|Subfield / Discipline|
|Committee Chair / Thesis Advisor|
|PREVALENCE OF DEPRESSION AND ASSOCIATED RISK FACTORS AMONG HIV-NEGATIVE MEN WHO HAVE SEX WITH MEN ()||2018-08-28||