AIDS and Behavior

, Volume 17, Issue 5, pp 1764–1769

Moderate Levels of Depression Predict Sexual Transmission Risk in HIV-Infected MSM: A Longitudinal Analysis of Data From Six Sites Involved in a “Prevention for Positives” Study

  • Conall O’Cleirigh
  • Michael E. Newcomb
  • Kenneth H. Mayer
  • Margie Skeer
  • Lara Traeger
  • Steven A. Safren
Brief Report

DOI: 10.1007/s10461-013-0462-8

Cite this article as:
O’Cleirigh, C., Newcomb, M.E., Mayer, K.H. et al. AIDS Behav (2013) 17: 1764. doi:10.1007/s10461-013-0462-8

Abstract

Depression is highly comorbid with HIV and may contribute to increased sexual transmission risk behavior (TRB) amongst HIV-infected MSM, the largest risk group for HIV in the U.S. However, examinations of this effect are inconsistent. The present longitudinal analyses of 746 HIV-infected MSM is from a multi-site “prevention for positives” study. A non-linear association between depression and TRB emerged. Moderate levels of depression (compared to either low or high levels) were associated with a more modest decline in the odds of sexual risk behavior over 12-month follow-up. Assessing depression in HIV primary care settings may help to identify those at risk and integrating the treatment of depression into secondary prevention and treatment initiatives may decrease the likelihood of sexual risk and help to contain the epidemic among MSM.

Keywords

HIV prevention with positivesMen who have sex with menSexual riskDepression

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Conall O’Cleirigh
    • 1
    • 2
  • Michael E. Newcomb
    • 1
    • 2
  • Kenneth H. Mayer
    • 2
    • 3
  • Margie Skeer
    • 2
  • Lara Traeger
    • 1
  • Steven A. Safren
    • 1
    • 2
  1. 1.Department of Psychiatry, Behavioral MedicineMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  2. 2.Fenway Institute, Fenway HealthBostonUSA
  3. 3.Beth Israel Hospital and Harvard Medical SchoolBostonUSA