Violence, Discrimination, and High Levels of Symptoms of Depression Among Adolescent Men Who Have Sex With Men and Transgender Women in Brazil
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | MEDEIROS, Danielle Souto de | |
dc.contributor.author | MAGNO, Laio | |
dc.contributor.author | GUIMARAES, Mark Drew Crosland | |
dc.contributor.author | GRANGEIRO, Alexandre | |
dc.contributor.author | EUSTORGIO FILHO, Marcos | |
dc.contributor.author | SOARES, Fabiane | |
dc.contributor.author | GRECO, Dirceu | |
dc.contributor.author | WESTIN, Mateus | |
dc.contributor.author | FERRAZ, Dulce | |
dc.contributor.author | ZUCCHI, Eliana Miura | |
dc.contributor.author | DOURADO, Ines | |
dc.date.accessioned | 2024-02-15T14:54:02Z | |
dc.date.available | 2024-02-15T14:54:02Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Purpose: This study aimed at describing the prevalence of symptoms of depression among 15-19 year old adolescent men who have sex with men (aMSM) and transgender women (aTGW), who were recruited in an HIV pre-exposure prophylaxis cohort study in three Brazilian capital cities. The study also examined potential associations, including violence and discrimination, with severe symptoms of depression among aMSM. Methods: This is a cross-sectional study of baseline data among 730 aMSM and 56 aTGWrecruited between February 2019 and February 2021. Sociodemographic and behavioral data were collected. The 20-item Center for Epidemiologic Studies Depression scale was used to screen for symptoms of depression. Scores of >= 22 points indicate the presence of severe symptoms associated with major depression. Logistic regression was used to assess independent associations among aMSM, adjusting for sociodemographic variables. Results: Our findings indicate a high prevalence of symptoms of depression (overall prevalence = 58.5% and 69.6%; 21.2% and 25.0% for mild/moderate, and 37.3% and 44.6% for severe) among these aMSM and aTGW, respectively. Psychological violence (aOR = 1.74; 95% CI = 1.12-2.70), sexual violence (aOR = 1.79; 95% CI = 1.07-2.98), and discrimination due to sexual orientation (aOR = 1.71; 95% CI = 1.23-2.38) were independently associated with severe symptoms of depression in aMSM. Discussion: The high prevalence of severe symptoms of depression and its association with psychological and sexual violence and discrimination creates cycles of vulnerability and carries important public health implications. Thus, our findings indicate public policies should consider assessing depression, psychological and sexual violence, as well as discrimination, especially in populations that will be targeted by interventions, such as the use of pre-exposure prophylaxis. (c) 2023 Society for Adolescent Health and Medicine. | eng |
dc.description.index | MEDLINE | |
dc.description.index | PubMed | |
dc.description.index | WoS | |
dc.description.index | Scopus | |
dc.description.sponsorship | [2017-15-FIOTECPrEP] | |
dc.identifier.citation | JOURNAL OF ADOLESCENT HEALTH, v.73, n.6, suppl.S, p.S19-S25, 2023 | |
dc.identifier.doi | 10.1016/j.jadohealth.2023.08.020 | |
dc.identifier.eissn | 1879-1972 | |
dc.identifier.issn | 1054-139X | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/58099 | |
dc.language.iso | eng | |
dc.publisher | ELSEVIER SCIENCE INC | eng |
dc.relation.ispartof | Journal of Adolescent Health | |
dc.rights | restrictedAccess | eng |
dc.rights.holder | Copyright ELSEVIER SCIENCE INC | eng |
dc.subject | Depression | eng |
dc.subject | Adolescents | eng |
dc.subject | Sexual violence | eng |
dc.subject | Gender-based violence | eng |
dc.subject | Gender discrimination | eng |
dc.subject | Sexual and gender minority | eng |
dc.subject.other | health | eng |
dc.subject.other | prevalence | eng |
dc.subject.other | adherence | eng |
dc.subject.other | risk | eng |
dc.subject.other | gay | eng |
dc.subject.other | preexposure | eng |
dc.subject.other | prophylaxis | eng |
dc.subject.other | distress | eng |
dc.subject.other | stress | eng |
dc.subject.other | sample | eng |
dc.subject.wos | Psychology, Developmental | eng |
dc.subject.wos | Public, Environmental & Occupational Health | eng |
dc.subject.wos | Pediatrics | eng |
dc.title | Violence, Discrimination, and High Levels of Symptoms of Depression Among Adolescent Men Who Have Sex With Men and Transgender Women in Brazil | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.affiliation.country | França | |
hcfmusp.affiliation.countryiso | fr | |
hcfmusp.author.external | MEDEIROS, Danielle Souto de:Univ Fed Bahia, Inst Multidisciplinar Saude, Campus Anisio Teixeira,Rua Hormindo Barros 58 Qua, BR-45029094 Vitoria Da Conquista, BA, Brazil | |
hcfmusp.author.external | MAGNO, Laio:Univ Estado Bahia, Dept Ciencias Saude, Salvador, BA, Brazil | |
hcfmusp.author.external | GUIMARAES, Mark Drew Crosland:Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil | |
hcfmusp.author.external | EUSTORGIO FILHO, Marcos:Univ Fed Bahia, Inst Matemat Estat, Salvador, BA, Brazil | |
hcfmusp.author.external | SOARES, Fabiane:Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil | |
hcfmusp.author.external | GRECO, Dirceu:Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil | |
hcfmusp.author.external | WESTIN, Mateus:Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil | |
hcfmusp.author.external | FERRAZ, Dulce:Fundacao Oswaldo Cruz Fiocruz, Diretoria Reg Brasilia, Brasilia, Brazil; Univ Lumiere Lyon 2, gUMR Inserm 1296 Radiat Def Sante Environm, Lyon, France | |
hcfmusp.author.external | ZUCCHI, Eliana Miura:Univ Catolica Santos, Programa Posgrad Saude Colet, Santos, SP, Brazil | |
hcfmusp.author.external | DOURADO, Ines:Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil | |
hcfmusp.citation.scopus | 2 | |
hcfmusp.contributor.author-fmusphc | ALEXANDRE DOMINGUES GRANGEIRO | |
hcfmusp.description.beginpage | S19 | |
hcfmusp.description.endpage | S25 | |
hcfmusp.description.issue | 6 | |
hcfmusp.description.issue | suppl S | |
hcfmusp.description.volume | 73 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 37953004 | |
hcfmusp.origem.scopus | 2-s2.0-85175526116 | |
hcfmusp.origem.wos | WOS:001105994800002 | |
hcfmusp.publisher.city | NEW YORK | eng |
hcfmusp.publisher.country | USA | eng |
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hcfmusp.scopus.lastupdate | 2024-05-17 | |
relation.isAuthorOfPublication | 3d094e2e-f610-41a2-978a-db373a333186 | |
relation.isAuthorOfPublication.latestForDiscovery | 3d094e2e-f610-41a2-978a-db373a333186 |
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