Amsterdam 2015
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| Abstract #2313 - Poster 2 | ||||
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Session: 59.15: Poster 2 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Prof. Yan Guo - Sun Yat-sen University, School of Public Health, China |
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| Additional Authors: | ||||
| Aim: Behavior-perception difference as an important factor on depression has been examined in broad health literature, but largely neglected in the studies on mental health of people living with HIV/AIDS (PLWHA). This study focuses on the difference between an individual’s own condom use behavior and perceived condom use of their friends (social norm), and examines the relationship between this factor and depression in men who have sex with men (MSM) and non-MSM who are HIV seropositive. | ||||
| Method / Issue: We conducted a cross-sectional survey by convenient sampling among 284 HIV-seropositive men between March and June, 2013 in Guangzhou, China. MSM were men who had ever had sex with male partner(s).We utilized the Center for Epidemiologic Studies Depression Scale (CES-D) to assess depression, with 19 being the cut-off point. Social norm of condom use were measured as perception of proportion of friends thinking it necessary to use condoms when having sex. By comparing one’s own condom use with one’s perception of his friends’ condom use, we constructed a variable that measured behavior-perception difference. Bivariate and multivariate logistic regression analyses were performed examining relationships between behavior-perception difference and depression in MSM and non-MSM. | ||||
| Results / Comments: There were 126 (44.4%) MSM and 158 (55.6%) non-MSM who were seropositive in the sample. Among MSM, the average age was 31.9 years about three fourths had high school degree or above and one fifth was married. We found significant differences in age, education, marital status, and monthly income between MSM and non-MSM. The rates of depression were 40.5% for MSM and 33.5% for non-MSM. Multivariate logistic regression showed that high level of HIV-related stigma and low level of self-efficacy were associated with depression for both MSM and non-MSM. Controlled for other variables, the significant relationship between behavior-perception difference and depression only existed in MSM, not in non-MSM. In other words, MSM whose condom use behaviors were better than their perceived condom use behavior of their friends were less likely to be depressive. | ||||
| Discussion: Results indicate that behavior-perception difference in condom use is an important factor associated with depression in MSM who are seropositive. Future interventions to improve mental health among HIV seropositive MSM need not only to reduce HIV-related stigma and improve self-efficacy, but also to take into account of their condom use behavior and perceived social norms in condom use. | ||||
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