The aim of this study was to assess the association between age, depressive symptoms, and substance use among men who have sex with men (MSM) living with HIV. Baseline data were obtained from 337 MSM living with HIV. Linear and logistic regression models were used to determine the association between age and depressive symptoms and substance use. MSM aged 35–49 had higher depressive symptoms than MSM 50 and older (B = 3.53; 95% CI: 0.33, 6.72); MSM aged 25–34 and MSM 35–49 had higher substance use than MSM 50 and older (B = 2.66; 95% CI: 0.77, 4.54; and B = 1.68; 95% CI: 0.22, 3.14, respectively). MSM aged 35–49 were more likely to be at risk for clinical depression than MSM 50 and older (OR = 1.84; 95% CI: 1.06, 3.22); MSM aged 18–24 and MSM 35–49 were less likely and more likely to have substance abuse than MSM 50 and older (OR = 0.29; 95% CI: 0.09, 0.91; and OR = 1.83; 95% CI: 1.02, 3.29, respectively). Interventions addressing depressive symptoms and substance use tailored to individuals in different age groups should account for varying needs at different stages of life.
BabowitchJDMitzelLDVanablePA, et al.
Depressive symptoms and condomless sex among men who have sex with men living with HIV: a curvilinear association. Arch Sex Behav2018;
47: 2035–2040.
4.
ReisnerSLMimiagaMJSkeerM, et al.
Clinically significant depressive symptoms as a risk factor for HIV infection among black MSM in Massachusetts. AIDS Behav2009;
13: 798–810.
ShoptawS.HIV positive gay men, MSM, and substance use: perspectives on HIV prevention. In: WiltonL (ed) Understanding prevention for HIV positive gay men.
New York:
Springer, 2017, pp.75–92.
7.
Woolf-KingSERiceTMTruongHM, et al.
Substance use and HIV risk behavior among men who have sex with men: the role of sexual compulsivity. J Urban Health2013;
90: 948–952.
8.
MukerjiSHaghighatRMisraV, et al.
Longitudinal modeling of depressive trajectories among HIV-infected men using cocaine. AIDS Behav2017;
21: 1985–1995.
9.
OkaforCNCookRLChenX, et al. Trajectories of marijuana use among HIV-seropositive and HIV-seronegative MSM in the multicenter AIDS Cohort Study (MACS), 1984–2013. AIDS Behav 2017; 21: 1091–1104.
10.
CherenackEMSikkemaKJWattMH, et al.
Avoidant coping mediates the relationship between self-efficacy for HIV disclosure and depression symptoms among men who have sex with men newly diagnosed with HIV. AIDS Behav2018;
22: 3130–3140.
11.
DaskalopoulouMRodgerAPhillipsAN, et al.
Recreational drug use, polydrug use, and sexual behaviour in HIV-diagnosed men who have sex with men in the UK: results from the cross-sectional ASTRA study. Lancet HIV2014;
1: e22–e31.
12.
Evans-PolceRJSchulerMSSchulenbergJE, et al.
Gender- and age-varying associations of sensation seeking and substance use across young adulthood. Addict Behav2018;
84: 271–277.
13.
VasilenkoSAEvans-PolceRJLanzaST.Age trends in rates of substance use disorders across ages 18–90: differences by gender and race/ethnicity. Drug Alcohol Depend2017;
180: 260–264.
14.
AbramsLRMehtaNK.Changes in depressive symptoms over age among older Americans: differences by gender, race/ethnicity, education, and birth cohort. SSM Popul Health2019;
7: 100399.
15.
SalomonEAMimiagaMJHusnikMJ, et al.
Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions. AIDS Behav2009;
13: 811–821.
16.
BrownMJSerovichJMKimberlyJA.Depressive symptoms, substance use and partner violence victimization associated with HIV disclosure among men who have sex with men. AIDS Behav2016;
20: 184–192.
17.
RadloffLS.The CES-D scale: a self-report depression scale for research in the general population. Appl Psych Meas1977;
1: 385–401.
18.
WhettenKReifSSwartzM, et al.
A brief mental health and substance abuse screener for persons with HIV. AIDS Patient Care STDs2005;
19: 89–99.
19.
MerchantRCRomanoffJClarkMA, et al.
Variations in recruitment yield and characteristics of participants recruited across diverse internet platforms in an HIV testing study of young adult men-who-have-sex-with-men (YMSM). Am J Mens Health2017;
11: 1342–1357.
HergenratherKCEmmanuelDDurantS, et al.
Enhancing HIV prevention among young men who have sex with men: a systematic review of HIV behavioral interventions for young gay and bisexual men. AIDS Educ Prev2016;
28: 252–271.
23.
MarksSJMerchantRCClarkMA, et al.
Potential healthcare insurance and provider barriers to pre-exposure prophylaxis utilization among young men who have sex with men. AIDS Patient Care STDs2017;
31: 470–478.
24.
ColemanCL.Qualitative perspectives about living with HIV from seropositive African American MSM aged 50 years and older. Issues Ment Health Nurs2017;
38: 486–492.
25.
KuppratSAKrauseKDOmpadDC, et al.
Substance use and cognitive function as drivers of condomless anal sex among HIV-positive gay, bisexual, and other men who have sex with men aged 50 and older: the gold studies. LGBT Health2017;
4: 434–441.37.
KesslerRCBirnbaumHBrometE, et al.
Age differences in major depression: results from the National Comorbidity Survey Replication (NCS-R). Psychol Med. 2010;
40: 225–237.
HeckmanTGKochmanASikkemaKJ, et al.
Late middle-aged and older men living with HIV/AIDS: race differences in coping, social support, and psychological distress. J Natl Med Assoc2000;
92: 436–444.
30.
BrownMJSerovichJMKimberlyJA, et al.
Disclosure and self-efficacy among HIV-Positive men who have sex with men. AIDS Patient Care STDs2015;
29: 625–633.
31.
OmpadDCKingdonMKuppratS, et al.
Smoking and HIV-related health issues among older HIV-positive gay, bisexual, and other men who have sex with men. Behav Med2014;
40: 99–107.
32.
EmletCA.“You’re awfully old to have this disease”: experiences of stigma and ageism in adults 50 years and older living with HIV/AIDS. Gerontologist2006;
46: 781–790.
33.
EmletCA.A comparison of HIV stigma and disclosure patterns between older and younger adults living with HIV/AIDS. AIDS Patient Care STDs2006;
20: 350–358.
34.
Lelutiu-WeinbergerCPachankisJEGolubSA, et al.
Age cohort differences in the effects of gay-related stigma, anxiety and identification with the gay community on sexual risk and substance use. AIDS Behav2013;
17: 340–349.
35.
CahillSValadezR.Growing older with HIV/AIDS: new public health challenges. Am J Public Health2013;
103: e7–e15.
36.
DewMABeckerJTSanchezJ, et al.
Prevalence and predictors of depressive, anxiety and substance use disorders in HIV-infected and uninfected men: a longitudinal evaluation. Psychol Med1997;
27: 395–409.
37.
KellyJAMurphyDABahrGR, et al.
Factors associated with severity of depression and high-risk sexual behavior among persons diagnosed with human immunodeficiency virus (HIV) infection. Health Psychol1993;
12: 215–219.
38.
TavakolMDennickR.Making sense of Cronbach’s alpha. Int J Med Educ2011;
2: 53–55.
