Skip Ribbon Commands
Skip to main content

Title

Diverse rates of depression among MSM across India: Insights from a multi-site mixed method study

Authors

C Tomori, AM McFall, AK Srikrishnan, et al

Network Affiliation

Other

Organization

 

Journal Name

AIDS and Behavior

Publication Date

9/1/2015

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/26386592

Link to full-text

 

PMID

26386592

Abstract

​Poor psychosocial health contributes to HIV risk behavior and reduced engagement in treatment and care. This study investigates depression and its correlates among 11,992 MSM recruited via respondent driven sampling in 12 cities across India using the Patient Health Questionnaire-9 and supplemented by analysis of qualitative research from 15 sites with 363 MSM. Overall prevalence of depression was 11 %, with substantial variation across sites and subgroups of MSM, and high prevalence of suicidal thoughts among depressed MSM. In multivariable analyses identification as a kothi (feminine sexual identity) [adjusted odds ratio (aOR) = 1.91], disclosure of being MSM to non-family (aOR = 1.7) and family (aOR = 2.4), disclosure of HIV-status (aOR = 5.6), and substance use were associated with significantly higher odds of depression. Qualitative results emphasized dire social consequences of disclosing MSM- and HIV-status, especially to family, including suicidality. Combination prevention interventions should include mental health services that address disclosure, suicidality, and substance use.

Keywords

 

Topic

Behavior; Intervention; MSM; Substance Abuse

Attachments

Created at 9/21/2015 1:16 PM by Davis, Gregory P
Last modified at 9/21/2015 1:16 PM by Davis, Gregory P