Estimating the Effect of Depression on HIV Transmission Risk Behaviors Among People Who Inject Drugs in Vietnam : A Causal Approach

The burden of depression and HIV is high among people who inject drugs (PWID), yet the effect of depression on transmission risk behaviors is not well understood in this population. Using causal inference methods, we analyzed data from 455 PWID living with HIV in Vietnam 2009-2013. Study visits every 6 months over 2 years measured depressive symptoms in the past week and injecting and sexual behaviors in the prior 3 months. Severe depressive symptoms (vs. mild/no symptoms) increased injection equipment sharing (risk difference [RD] = 3.9 percentage points, 95% CI -1.7, 9.6) but not condomless sex (RD = -1.8, 95% CI -6.4, 2.8) as reported 6 months later. The cross-sectional association with injection equipment sharing at the same visit (RD = 6.2, 95% CI 1.4, 11.0) was stronger than the longitudinal effect. Interventions on depression among PWID may decrease sharing of injection equipment and the corresponding risk of HIV transmission.Clinical trial registration ClinicalTrials.gov NCT01689545.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

AIDS and behavior - 25(2021), 2 vom: 24. Feb., Seite 438-446

Sprache:

Englisch

Beteiligte Personen:

Levintow, Sara N [VerfasserIn]
Pence, Brian W [VerfasserIn]
Powers, Kimberly A [VerfasserIn]
Sripaipan, Teerada [VerfasserIn]
Ha, Tran Viet [VerfasserIn]
Chu, Viet Anh [VerfasserIn]
Quan, Vu Minh [VerfasserIn]
Latkin, Carl A [VerfasserIn]
Go, Vivian F [VerfasserIn]

Links:

Volltext

Themen:

Depressive symptoms
HIV transmission
Injecting behavior
Journal Article
Marginal structural models
People who inject drugs
Pharmaceutical Preparations
Sexual behavior

Anmerkungen:

Date Completed 12.02.2021

Date Revised 18.02.2022

published: Print

ClinicalTrials.gov: NCT01689545

Citation Status MEDLINE

doi:

10.1007/s10461-020-03007-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314066519