Investigating Conceptual Models for the Relationship Between Depression and Condomless Sex Among Gay, Bisexual, and Other Men Who have Sex with Men: Using Structural Equation Modelling to Assess Mediation.
Depression
Gay, bisexual and other men who have sex with men (MSM)
Sexual behaviour
Structural equation modelling
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
pubmed:
30
11
2019
medline:
4
11
2020
entrez:
30
11
2019
Statut:
ppublish
Résumé
The aim of this study is to investigate five hypothesized mechanisms of causation between depression and condomless sex with ≥ 2 partners (CLS2+) among gay, bisexual, and other men who have sex with men (GBMSM), involving alternative roles of self-efficacy for sexual safety and recreational drug use. Data were from the AURAH cross-sectional study of 1340 GBMSM attending genitourinary medicine clinics in England (2013-2014). Structural equation modelling (SEM) was used to investigate which conceptual model was more consistent with the data. Twelve percent of men reported depression (PHQ-9 ≥ 10) and 32% reported CLS2+ in the past 3 months. AURAH data were more consistent with the model in which depression was considered to lead to CLS2+ indirectly via low self-efficacy for sexual safety (indirect Beta = 0.158; p < 0.001) as well as indirectly via higher levels of recreational drug use (indirect Beta = 0.158; p < 0.001). SEM assists in understanding the relationship between depression and CLS among GBMSM.
Identifiants
pubmed: 31782068
doi: 10.1007/s10461-019-02724-0
pii: 10.1007/s10461-019-02724-0
pmc: PMC7220884
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1793-1806Subventions
Organisme : Department of Health
ID : RP-PG-0608-10142
Pays : United Kingdom
Organisme : National Institute for Health Research (NIHR)
ID : RP-PG-0608-10142
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