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ID: <

10670/1.fna176

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DOI: <

10.26226/morressier.5d1a038457558b317a140d52

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Syndemic Factors Associated With Depression Among Men Who Have Sex With Men (MSM) In Brazil

Abstract

Session typetAbstract SubmissionTopictDepressive disordersPresentation preferencetOral PresentationAbstract titletSYNDEMIC FACTORS ASSOCIATED WITH DEPRESSION AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN BRAZILCo-authorstM. Guimaraes1, K. McKinnon2, I. Dourado3, M.A. Veras4, M. Almeida3, L. Kerr5, F. Cournos6.1Universidade Federal de Minas Gerais, Medicina Preventiva, BELO HORIZONTE, Brazil.2Columbia University College of Physicians and Surgeons, New York State Psychiatric Institute, New York, USA.3Universidade Federal da Bahia, Instituto de Sau00fade Coletiva, Salvador, Brazil.4Faculdade de Ciu00eancias Mu00e9dicas da Santa Casa, Medicina Preventiva, Su00e3o Paulo, Brazil.5Universidade Federal do Cearu00e1, Departamento de Sau00fade Comunitu00e1ria, Fortaleza, Brazil.6Columbia Mailmann School of Public Health, Department of Epidemiology, New York, USA.Abstract texttObjectives:To assess the prevalence and syndemic factors associated with depression among MSM in Brazil in 2016.Background:Globally, depression rates are high among men who have sex with men(MSM). Multiple factors may interact to synergistically increase this risk.Materials and Methods:Respondent Driven Sampling(RDS) cross-sectional study in 12 Brazilian cities among 4176 MSM. Sociodemographic and behavioral characteristics were collected. Depression was screened by PHQ-9. Estimates were weighted by RDS Gileu00b4s estimator with 95% confidence intervals (95% CI). Moderate-severe depression (PHQ-9=>10) was compared to none-mild (PHQ-9<10). The magnitude of associations was estimated by the Odds Ratio (OR) using multiple logistic regression. Syndemic factors were a combination of four variables: unprotected receptive anal sex, alcohol or illicit drug use, physical violence and sexual violence. Those with one to four factors were compared to those with none, adjusting for age, education, race, socioeconomic status.Results and Conclusions:The overall prevalence of moderate-severe depression was 25.0%(95% CI=21.8-28.1). There was a dose-response effect according to the number of syndemic factors (Table 1). Perception of HIV risk, high level of HIV knowledge, known HIV positive, and poor/very poor self-rated health were also independently associated with depression.tTable 1: Prevalence and Adjusted OR of depressiontttSyndemic factors:t Weighted Prevalence(%)t Adjusted OR(95% CI) Nonet 12.0t 1.0 Onet 21.1t 1.92(1.14-3.23) Twot 28.7t 2.59(1.51-4.44) Threet 42.2t 5.89(2.99-11.59) Fourt 53.8t 8.79(1.89-40.92)Depression among MSM is higher than in the general Brazilian population. The accumulation of factors associated with depression highlights the need for integrative public health actions targeting MSM in Brazil, addressing risk behavior, substance use and violence prevention.KeywordstDepressionMen who have sex with menSyndemicBrazilRespondent Driven Sampling

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