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BMC Psychiatry
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Violence and depression among men who have sex with men in Tanzania

Authors: Lucy R. Mgopa, Jessie Mbwambo, Samuel Likindikoki, Pedro Pallangyo

Published in: BMC Psychiatry | Issue 1/2017

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Abstract

Background

Men who have sex with men (MSM) continue to be at an increased risk of Violence, HIV transmission and Mental Disorders such as depression on top of many other bio-psycho-socio challenges they face as a result of their sexual orientation.

Methods

We recruited 345 MSM using a respondent driven sampling technique. Revised Conflict Tactic Scale, PHQ-9 and questions adapted from the TDHS 2010 were used to assess for violence, depression and HIV-risk behaviors respectively. Continuous and categorical variables were analyzed with student’s t-test and chi-square test respectively. Logistic regression analyses were performed to assess for predictors of depression and HIV-risk behaviors. All tests were two sided and p < 0.05 was taken as significance level.

Results

Overall, 325 (94.2%) of participants experienced any form of violence, with emotional violence constituting the majority (90.1%), while physical and sexual violence were reported by 254 (73.6%) and 250 (72.5%) of participants respectively. Depressive symptoms were present in 245 (70.0%) and participants who experienced violence had a 3 times increased risk of depressive symptoms compared to their violence-free counterparts, p < 0.001. On the other hand, participants who experienced any form of violence displayed an over 11 times increased rate of depressive symptoms compared to their counterparts who were violence free, p < 0.001. Violence experience was found to be the strongest associated factor for depressive symptoms.

Conclusions

The rates of violence, depressive symptoms and HIV risk behaviors amongst MSM are astoundingly high thus necessitating extensive interventions. In view of this, deliberate measures to deal with the reported high rates necessitate joint intervention efforts from the policy makers, health providers and community at large.
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Literature
1.
2.
Dunkle KL, Wong FY, Nehl EJ. Male-on-male intimate partner violence and sexual risk behaviors among money boys and other men who have sex with men in shanghai, China. Sex Transm Dis. 2013;40(5):362–5.CrossRefPubMed
3.
Finneran C, Chard A, Sineath C, Sullivan P, Stephenson R. Intimate partner violence and social pressure among gay men in six countries. West. J Emerg Med. 2012;13(3):260–71.
4.
Finneran C, Stephenson R. Intimate partner violence among men who have sex with men. A systematic review. Trauma, Violence and Abuse. 2012;14(2):168–85.CrossRefPubMedPubMedCentral
5.
Houston E, McKirnan DJ. Intimate partner violence abuse among gay and bisexual men: risk collerates and health outcomes. Journal of Urban Health. 2007;84(5):681–90.CrossRefPubMedPubMedCentral
6.
Stephenson R, de Voux A, Sullivan PA. Intimate partner violence and sexual risk taking among men who have sex with men in South Africa. Western Journal of Emergency Medicine. 2011a;12(3):343–7.PubMedPubMedCentral
7.
8.
Stephenson R, Rentsch C, Salazar LF, Sullivan PS. Dyadic characteristics and intimate partner violence among men who have sex with men. West J Emerg Med. 2011b;12(3):324–32.PubMedPubMedCentral
9.
10.
Chellan R, Charles B, Saumya R, Ganesan N. The relationship between sexual violence and symptoms of STI among the self identified Kothis- men who have sex with men in Tamil Nadu, India. International Journal of Developmental Research. 2011;1(5):043–5.
11.
12.
13.
14.
Mills TC, Paul J. Distress and depression in men who have sex with men: the urban Men’s health study. Am J Psychiatry. 2004;161:278–85.
15.
16.
17.
Stoloff K, Joska JA, Feast D, De Swardt G, Hugo J, Struthers H, McIntyre J, Rebe K. A description of common mental disorders in men who have sex with men (MSM) referred for assessment and intervention at an MSM clinic in cape town, South Africa. AIDS Behav. 2013;17(1):S77–81. doi:10.​1007/​s10461-013-0430-3.CrossRefPubMed
18.
Tucker A, Liht J, de Swardt G, Jobson G, Rebe K, McIntyre J, Struthers H. An exploration into the role of depression and self-efficacy on township men who have sex with men’s ability to engage in safer sexual practices. AIDS Care. 2013;25(10):1227–35. doi:10.​1080/​09540121.​2013.​764383.CrossRefPubMed
19.
Maman S, Mbwambo J, Hogan NM. HIV positive women report more lifetime partner violence: findings from a voluntary Counselling and testing Clinic in Dar es salaam, Tanzania. Am J Public Health. 2002;92(8):1331–7.CrossRefPubMedPubMedCentral
20.
Monahan PO, Sacham E, Reece M. Validity/reliability of PHQ-9 and PHQ-2 depression scales among adults living with HIV/AIDS in western Kenya. J Gen Intern Med. 2009;24(2):189–97.CrossRefPubMed
21.
22.
23.
De Santis JP, Vasquez EP. A pilot study to evaluate ethnic/racial differences in depressive symptoms, self-esteem and sexual behaviors among men who have sex with men. Journal of Gay and Lesbian Social Services. 2011;23:147–64.CrossRef
24.
Klein H. Depression and HIV risk taking among men who have sex with other men and who use the internet to find Partners for Unprotected sex. Journal of Gay and Lesbian Mental Health. 2014;18:164–89.CrossRefPubMed
25.
Rogers G, Curry M, Oddy J. Depressive disorders and unprotected casual anal sex among Australian homosexually active men in primary care. HIV Medicine. 2003;4:271–5.CrossRefPubMed
26.
Mc Kirnan DJ, Du Bois SN, Alvy LM, et al. Health care access and health Behaviours among men who have sex with men: the cost of health disparities. Health Education and Behaviour. 2012;40(1):32–41.CrossRef
27.
Salomon EA, Mimiaga MJ, Husnik MJ. Depressive symptoms, utilization of mental health care, substance abuse and sexual risk among young men who have sex with men in EXPLORE; implications for age specific interventions. AIDS Behav. 2009;13(4):811–21.CrossRefPubMed
Metadata
Title
Violence and depression among men who have sex with men in Tanzania
Authors
Lucy R. Mgopa
Jessie Mbwambo
Samuel Likindikoki
Pedro Pallangyo
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1456-2

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