Published in:
01-10-2014 | Original Article
Changes in Condom Use During the First Year of HIV Treatment in Uganda and the Relationship to Depression
Authors:
Glenn J. Wagner, Ph.D., Bonnie Ghosh-Dastidar, Ph.D., Mary Ellen Slaughter, M.S., Dickens Akena, M.B.Ch.B., Noeline Nakasujja, M.B.Ch.B., Seggane Musisi, M.B.Ch.B.
Published in:
Annals of Behavioral Medicine
|
Issue 2/2014
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Abstract
Purpose
We examined the effect of antiretroviral therapy (ART), and the predictive role of depression, on condom use with primary partners.
Methods
Data from three studies in Uganda were combined into a sample of 750 patients with a primary sex partner, with 502 starting ART and 248 entering HIV care, and followed for 12 months. Random-effects logistic regression models were used to examine the impact of ART, and the influence of baseline level and change in depression, on condom use with primary partners.
Results
At month 12, 61 % ART and 67 % non-ART patients were consistent condom users, compared to 44 and 41 % at baseline, respectively. Multivariate analysis revealed that consistent condom use increased similarly for ART and non-ART patients, and that minor depression at baseline and increased depression over time predicted inconsistent condom use.
Conclusions
Improved depression diagnosis and treatment could benefit HIV prevention.