The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV

Background: People living with HIV (PLHIV) have a longer lifespan with treatment and continue to be sexually active. To date, the extent of risky sexual behaviour among local PLHIV and its associated factors were undetermined. Objective: To examine the role of depression, anxiety and illness charact...

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Main Authors: Chong, Seng Choi, Ibrahim, Normala, Ang, Jin Kiat, Masiran, Ruziana, Tan, Kit Aun, Beatrice, Ng Andrew, Soh, Kwong Yan, Kumar, Suresh
Format: Article
Language:English
Published: Bentham Science Publishers 2019
Online Access:http://psasir.upm.edu.my/id/eprint/82585/1/The%20role%20of%20depression.pdf
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author Chong, Seng Choi
Ibrahim, Normala
Ang, Jin Kiat
Masiran, Ruziana
Tan, Kit Aun
Beatrice, Ng Andrew
Soh, Kwong Yan
Kumar, Suresh
author_facet Chong, Seng Choi
Ibrahim, Normala
Ang, Jin Kiat
Masiran, Ruziana
Tan, Kit Aun
Beatrice, Ng Andrew
Soh, Kwong Yan
Kumar, Suresh
author_sort Chong, Seng Choi
collection UPM
description Background: People living with HIV (PLHIV) have a longer lifespan with treatment and continue to be sexually active. To date, the extent of risky sexual behaviour among local PLHIV and its associated factors were undetermined. Objective: To examine the role of depression, anxiety and illness characteristics on risky sexual behaviour among PLHIV attending care in a Malaysian tertiary reference hospital (N= 406). Methods: It was a cross-sectional study. Subjects were recruited by systematic random sampling. Risky sexual behaviour was determined by using the modified National Youth Risk Behaviour Survey. PHQ-9 and GAD-7 were used to measure the depressive and anxiety symptoms, respectively. Chi-square test was used to examine the association between the variables. Multiple logistic regression was used to examine the predictors of the study. A p value of less than 0.05 was considered significant and odds ratio was used as the measure of risk association. Results: Our study showed that 29.3% had risky sexual behaviour. Meanwhile, 21.9% and 26.4% had depressive and anxiety symptoms, respectively. Risky sexual behaviour was significantly associated with age, religion, education level, duration of HIV diagnosis, depressive and anxiety symptoms. From multivariate logistic regression, duration of HIV diagnosis and anxiety symptoms significantly predicted risky sexual behaviour. Conclusion: This study highlights that a substantial number of PLHIV had risky sexual behaviour and psychological symptoms. It is important for psychological interventions that reduce risky sexual behaviour among PLHIV who attend treatment, especially during the early phase.
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spelling upm.eprints-825852020-10-17T21:27:48Z http://psasir.upm.edu.my/id/eprint/82585/ The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV Chong, Seng Choi Ibrahim, Normala Ang, Jin Kiat Masiran, Ruziana Tan, Kit Aun Beatrice, Ng Andrew Soh, Kwong Yan Kumar, Suresh Background: People living with HIV (PLHIV) have a longer lifespan with treatment and continue to be sexually active. To date, the extent of risky sexual behaviour among local PLHIV and its associated factors were undetermined. Objective: To examine the role of depression, anxiety and illness characteristics on risky sexual behaviour among PLHIV attending care in a Malaysian tertiary reference hospital (N= 406). Methods: It was a cross-sectional study. Subjects were recruited by systematic random sampling. Risky sexual behaviour was determined by using the modified National Youth Risk Behaviour Survey. PHQ-9 and GAD-7 were used to measure the depressive and anxiety symptoms, respectively. Chi-square test was used to examine the association between the variables. Multiple logistic regression was used to examine the predictors of the study. A p value of less than 0.05 was considered significant and odds ratio was used as the measure of risk association. Results: Our study showed that 29.3% had risky sexual behaviour. Meanwhile, 21.9% and 26.4% had depressive and anxiety symptoms, respectively. Risky sexual behaviour was significantly associated with age, religion, education level, duration of HIV diagnosis, depressive and anxiety symptoms. From multivariate logistic regression, duration of HIV diagnosis and anxiety symptoms significantly predicted risky sexual behaviour. Conclusion: This study highlights that a substantial number of PLHIV had risky sexual behaviour and psychological symptoms. It is important for psychological interventions that reduce risky sexual behaviour among PLHIV who attend treatment, especially during the early phase. Bentham Science Publishers 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/82585/1/The%20role%20of%20depression.pdf Chong, Seng Choi and Ibrahim, Normala and Ang, Jin Kiat and Masiran, Ruziana and Tan, Kit Aun and Beatrice, Ng Andrew and Soh, Kwong Yan and Kumar, Suresh (2019) The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV. Current Psychiatry Reviews, 15 (4). pp. 267-276. ISSN 1573-4005 10.2174/2666082215666191022112412
spellingShingle Chong, Seng Choi
Ibrahim, Normala
Ang, Jin Kiat
Masiran, Ruziana
Tan, Kit Aun
Beatrice, Ng Andrew
Soh, Kwong Yan
Kumar, Suresh
The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV
title The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV
title_full The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV
title_fullStr The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV
title_full_unstemmed The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV
title_short The role of depression, anxiety and illness characteristics on risky sexual behaviour among people with HIV
title_sort role of depression anxiety and illness characteristics on risky sexual behaviour among people with hiv
url http://psasir.upm.edu.my/id/eprint/82585/1/The%20role%20of%20depression.pdf
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