tailieunhanh - báo cáo hóa học:" Associations between depressive symptoms, sexual behaviour and relationship characteristics: a prospective cohort study of young women and men in the Eastern Cape, South Africa"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Associations between depressive symptoms, sexual behaviour and relationship characteristics: a prospective cohort study of young women and men in the Eastern Cape, South Africa | Nduna et al. Journal of the International AIDS Society 2010 13 44 http content 13 1 44 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Associations between depressive symptoms sexual behaviour and relationship characteristics a prospective cohort study of young women and men in the Eastern Cape South Africa 1 2 3 2 4 Mzikazi Nduna Rachel K Jewkes Kristin L Dunkle Nwabisa P Jama Shai Ian Colman Abstract Background Psychological factors are often neglected in HIV research although psychological distress is common in low- to middle-income countries such as South Africa. There is a need to deepen our understanding of the role of mental health factors in the HIV epidemic. We set out to investigate whether baseline depressive symptomatology was associated with risky sexual behaviour and relationship characteristics of men and women at baseline as well as those found 12 months later. Methods We used prospective cohort data from a cluster randomized controlled trial of an HIV prevention intervention in the Eastern Cape Province of South Africa. Our subjects were 1002 female and 976 male volunteers aged 15 to 26. Logistic regression was used to model the cross-sectional and prospective associations between baseline depressive symptomatology risky sexual behaviors and relationship characteristics. The analysis adjusted for the clustering effect study design intervention and several confounding variables. Results Prevalence of depressive symptoms was among women and among men. At baseline women with depressed symptoms were more likely to report lifetime intimate partner violence AOR 95 CI and have dated an older partner AOR 95 CI . A year later baseline depressive symptomatology was associated with transactional sex AOR 95 CI and intimate partner violence AOR 95 CI in the previous 12 months. Men with depressive symptoms were more likely to report ever having had .