Changes in condom use during the first year of HIV treatment in Uganda and the relationship to depression
Wagner, G.J.; Ghosh-Dastidar, B.; Slaughter, M.Ellen.; Akena, D.; Nakasujja, N.; Musisi, S.
Annals of Behavioral Medicine a Publication of the Society of Behavioral Medicine 48(2): 175-183
2014
ISSN/ISBN: 0883-6612 PMID: 24504978 DOI: 10.1007/s12160-013-9586-3Document Number: 578952
We examined the effect of antiretroviral therapy (ART), and the predictive role of depression, on condom use with primary partners. 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. 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. Improved depression diagnosis and treatment could benefit HIV prevention.
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