Gradients in Depressive Symptoms by Socioeconomic Position Among Men Who Have Sex With Men in the EXPLORE Study

Basia Pakula, Brandon D.L. Marshall, Jean A. Shoveller, Margaret A. Chesney, Thomas J. Coates, Beryl Koblin, Kenneth Mayer, Matthew Mimiaga, Don Operario

Résultat de recherche: Articleexamen par les pairs

8 Citations (Scopus)

Résumé

This study examines gradients in depressive symptoms by socioeconomic position (SEP; i.e., income, education, employment) in a sample of men who have sex with men (MSM). Data were used from EXPLORE, a randomized, controlled behavioral HIV prevention trial for HIV-uninfected MSM in six U.S. cities (n = 4,277). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale (short form). Multiple linear regressions were fitted with interaction terms to assess additive and multiplicative relationships between SEP and depressive symptoms. Depressive symptoms were more prevalent among MSM with lower income, lower educational attainment, and those in the unemployed/other employment category. Income, education, and employment made significant contributions in additive models after adjustment. The employment-income interaction was statistically significant, indicating a multiplicative effect. This study revealed gradients in depressive symptoms across SEP of MSM, pointing to income and employment status and, to a lesser extent, education as key factors for understanding heterogeneity of depressive symptoms.

Langue d'origineEnglish
Pages (de-à)1146-1160
Nombre de pages15
JournalJournal of Homosexuality
Volume63
Numéro de publication8
DOI
Statut de publicationPublished - août 2 2016
Publié à l'externeOui

Note bibliographique

Funding Information:
BP is the recipient of the CIHR Doctoral Research Award (Frederick Banting and Charles Best Canada Graduate Scholarship), the CIHR Institute of Gender and Health Skills Development Award, and Killam Doctoral Scholarship. She is an alumnus of the Summer Institute in LGBT Population Health at the Fenway Institute where the study was initiated. BM and DO are supported by the National Institute on Alcohol Abuse and Alcoholism (grant U24-AA022000).

Publisher Copyright:
© 2016 Taylor & Francis.

ASJC Scopus Subject Areas

  • Gender Studies
  • Social Psychology
  • Education
  • General Psychology

PubMed: MeSH publication types

  • Journal Article

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