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Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective

Depressive symptoms are common among people living with HIV (PLWH). The aim of this study was to identify the determinants of depressive symptoms in PLWH in Spain. A total of 1060 PLWH participated in this cross-sectional study and completed the Patient Health Questionnaire-9. The odds ratios for th...

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Autores principales: Bayes-Marin, Ivet, Egea-Cortés, Laia, Palacio-Vieira, Jorge, Bruguera, Andreu, Mesías-Gazmuri, Jocelyn, Llibre, Josep M., Fernández, Emma, Imaz, Arkaitz, Forero, Carlos G., Agustí, Cristina, Arbones-Fernández, Laia, Miró, José M., Casabona, Jordi, Reyes-Ureña, Juliana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9964424/
https://www.ncbi.nlm.nih.gov/pubmed/36834381
http://dx.doi.org/10.3390/ijerph20043687
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author Bayes-Marin, Ivet
Egea-Cortés, Laia
Palacio-Vieira, Jorge
Bruguera, Andreu
Mesías-Gazmuri, Jocelyn
Llibre, Josep M.
Fernández, Emma
Imaz, Arkaitz
Forero, Carlos G.
Agustí, Cristina
Arbones-Fernández, Laia
Miró, José M.
Casabona, Jordi
Reyes-Ureña, Juliana
author_facet Bayes-Marin, Ivet
Egea-Cortés, Laia
Palacio-Vieira, Jorge
Bruguera, Andreu
Mesías-Gazmuri, Jocelyn
Llibre, Josep M.
Fernández, Emma
Imaz, Arkaitz
Forero, Carlos G.
Agustí, Cristina
Arbones-Fernández, Laia
Miró, José M.
Casabona, Jordi
Reyes-Ureña, Juliana
author_sort Bayes-Marin, Ivet
collection PubMed
description Depressive symptoms are common among people living with HIV (PLWH). The aim of this study was to identify the determinants of depressive symptoms in PLWH in Spain. A total of 1060 PLWH participated in this cross-sectional study and completed the Patient Health Questionnaire-9. The odds ratios for the presence of depressive symptoms were analyzed in a multivariable logistic regression model, including sociodemographic data, comorbidities, health-related behaviors, and social-environment-related variables. We found an overall prevalence of depressive symptoms of 21.42%; by subgroup, namely men, women, and transgender persons, prevalence was 18.13%, 32.81%, and 37.14%, respectively. Moreover, social isolation (OR = 1.05 [CI, 1.02–1.08]) and poor physical and mental quality of life (OR = 1.06 [CI, 1.02–1.09] and OR = 1.13 [CI, 1.09–1.17], respectively) were associated with depressive symptoms. As protective factors, we identified serodisclosure to more people (vs. none; OR = 0.39 [CI, 0.17–0.87]), satisfaction with social roles (OR = 0.86 [CI, 0.79–0.94]), better cognitive function (OR = 0.92 [CI, 0.89–0.95]), and sexualized drug use once in a lifetime (OR = 0.52 [CI, 0.29–0.93]). This study showed a high prevalence of depressive symptoms in PLWH, especially among women and transgender people. The association between psychosocial variables and depressive symptoms highlights the multidimensionality of the problem and identifies areas for intervention. This study found that the management of mental health issues is an area that needs to be improved and tailored to specific groups, with the aim of enhancing the well-being of PLWH.
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spelling pubmed-99644242023-02-26 Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective Bayes-Marin, Ivet Egea-Cortés, Laia Palacio-Vieira, Jorge Bruguera, Andreu Mesías-Gazmuri, Jocelyn Llibre, Josep M. Fernández, Emma Imaz, Arkaitz Forero, Carlos G. Agustí, Cristina Arbones-Fernández, Laia Miró, José M. Casabona, Jordi Reyes-Ureña, Juliana Int J Environ Res Public Health Article Depressive symptoms are common among people living with HIV (PLWH). The aim of this study was to identify the determinants of depressive symptoms in PLWH in Spain. A total of 1060 PLWH participated in this cross-sectional study and completed the Patient Health Questionnaire-9. The odds ratios for the presence of depressive symptoms were analyzed in a multivariable logistic regression model, including sociodemographic data, comorbidities, health-related behaviors, and social-environment-related variables. We found an overall prevalence of depressive symptoms of 21.42%; by subgroup, namely men, women, and transgender persons, prevalence was 18.13%, 32.81%, and 37.14%, respectively. Moreover, social isolation (OR = 1.05 [CI, 1.02–1.08]) and poor physical and mental quality of life (OR = 1.06 [CI, 1.02–1.09] and OR = 1.13 [CI, 1.09–1.17], respectively) were associated with depressive symptoms. As protective factors, we identified serodisclosure to more people (vs. none; OR = 0.39 [CI, 0.17–0.87]), satisfaction with social roles (OR = 0.86 [CI, 0.79–0.94]), better cognitive function (OR = 0.92 [CI, 0.89–0.95]), and sexualized drug use once in a lifetime (OR = 0.52 [CI, 0.29–0.93]). This study showed a high prevalence of depressive symptoms in PLWH, especially among women and transgender people. The association between psychosocial variables and depressive symptoms highlights the multidimensionality of the problem and identifies areas for intervention. This study found that the management of mental health issues is an area that needs to be improved and tailored to specific groups, with the aim of enhancing the well-being of PLWH. MDPI 2023-02-19 /pmc/articles/PMC9964424/ /pubmed/36834381 http://dx.doi.org/10.3390/ijerph20043687 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bayes-Marin, Ivet
Egea-Cortés, Laia
Palacio-Vieira, Jorge
Bruguera, Andreu
Mesías-Gazmuri, Jocelyn
Llibre, Josep M.
Fernández, Emma
Imaz, Arkaitz
Forero, Carlos G.
Agustí, Cristina
Arbones-Fernández, Laia
Miró, José M.
Casabona, Jordi
Reyes-Ureña, Juliana
Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
title Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
title_full Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
title_fullStr Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
title_full_unstemmed Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
title_short Determinants of Depressive Symptoms in People Living with HIV: Findings from a Population-Based Study with a Gender Perspective
title_sort determinants of depressive symptoms in people living with hiv: findings from a population-based study with a gender perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9964424/
https://www.ncbi.nlm.nih.gov/pubmed/36834381
http://dx.doi.org/10.3390/ijerph20043687
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