Sexually transmitted diseases
(STDs) and depression impact millions of individuals each year in the United
States, with direct medical costs exceeding $41 billion. While the interactions
of these conditions are poorly understood, they are increasingly addressed in
primary care whereas historically they have been addressed separately.
We
analyzed data associated with the 18-25 year age group from the 2014 National
Survey of Drug Use and Health, a cross-sectional survey of the civilian,
non-institutionalized US population aged ≥12 years for factors associated with
past year diagnosis of STD (STDy). Independent variables included participant
demographics; lifetime diagnosis of major depressive episode (MDE); participant
behaviors associated with STD risk (patient-provided); and medical record data
associated with mental illness treatment (clinically-observed).
Of 18,142
participants, the prevalence of MDE and STD was 15.3% and 2.4%, respectively,
with significant differences by gender and race. MDE was associated with
increased risk of STDy among females (odds ratio [OR]=1.61; 95% confidence
interval [CI]=1.18-2.20), males (OR=2.32; CI=1.15-4.70), those of white race
(OR=3.02; CI=2.02-4.53), and lower income levels and insurance status.
Univariate modeling found that receiving mental health treatment, and use of
marijuana, alcohol, and illegal drugs were each associated with significantly
increased STDy.
In a multivariate logistic regression, receiving mental health
treatment became protective for STDy (AOR=0.55; CI=0.32-0.95]). Individuals
with a history of depression are at increased risk of STDy, with this risk
modified by factors readily ascertained within primary care. As depression
treatment is increasingly incorporated into primary care there are means to more
effectively target intervention resources.
Purchase full article at: http://goo.gl/54KWZB
By: Jenkins WD1, Botchway A2.
- 1Population Health Science Program, Southern Illinois University School of Medicine, 801 N. Rutledge St, Springfield, IL 62794-9664, United States. Electronic address: wjenkins@siumed.edu.
- 2Center for Clinical Research, Southern Illinois University School of Medicine, 801 N. Rutledge St, Springfield, IL 62794-9664, United States.
- Prev Med. 2016 Apr 4. pii: S0091-7435(16)30042-1. doi: 10.1016/j.ypmed.2016.03.020
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