Evidence map›Paper›PMID 30814165›Full record

ArticleSexually transmitted infections2019

Associations of depression and anxiety symptoms with sexual behaviour in women and heterosexual men attending sexual health clinics: a cross-sectional study.

Rachel Margaret Coyle, Fiona C Lampe, Ada Rose Miltz, Janey Sewell, Jane Anderson, Vanessa Apea, Simon Collins, Rageshri Dhairyawan, Anne M Johnson, Monica Lascar and 8 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Sexually transmitted infections, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Reduced social risk-taking in depression.Journal of psychopathology and clinical science · 2023
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  17. Depressive symptoms as a longitudinal predictor of sexual risk behaviors among African-American adolescents.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Rachel Margaret CoyleInstitute for Global Health, University College London, Royal Free Hospital, London, UK rachelcoyle@nhs.net.ORCID 0000-0002-5657-2484
Fiona C LampeInstitute for Global Health, University College London, Royal Free Hospital, London, UK.
Ada Rose MiltzInstitute for Global Health, University College London, Royal Free Hospital, London, UK.ORCID 0000-0003-2771-7880
Janey SewellInstitute for Global Health, University College London, Royal Free Hospital, London, UK.ORCID 0000-0001-7148-2391
Jane AndersonCentre for the Study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London, UK.
Vanessa ApeaAmbrose King Centre, Barts Health NHS Trust, London, UK.
Simon CollinsHIV i-Base, London, UK.
Rageshri DhairyawanOutpatients East, Barking, Havering and Redbridge University Hospitals NHS Trust, London, UK.
Anne M JohnsonInstitute for Global Health, University College London, Royal Free Hospital, London, UK.
Monica LascarAmbrose King Centre, Barts Health NHS Trust, London, UK.
Sue MannCamberwell Sexual Health Centre, King's College Hospital, London, UK.
Rebecca O'ConnellAmbrose King Centre, Barts Health NHS Trust, London, UK.
Lorraine SherrInstitute for Global Health, University College London, Royal Free Hospital, London, UK.
Andrew SpeakmanInstitute for Global Health, University College London, Royal Free Hospital, London, UK.
Alan TangRoyal Berkshire Hospital NHS Foundation Trust, Reading, UK.
Andrew N PhillipsInstitute for Global Health, University College London, Royal Free Hospital, London, UK.
Alison RodgerInstitute for Global Health, University College London, Royal Free Hospital, London, UK.
AURAH Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the association of symptoms of depression and anxiety with sexual risk behaviour and history, among women and heterosexual men attending genitourinary medicine (GUM) clinics.

methodsAttitudes to and Understanding of Risk of Acquisition of HIV (AURAH) was a cross-sectional, self-administered questionnaire study recruited from 20 GUM clinics in England, 2013-2014. This analysis included women and heterosexual men. The prevalence of depression and anxiety symptoms was assessed. Modified Poisson regression was used to produce adjusted prevalence ratios (aPR) for the association of t demographic, socioeconomic and lifestyle factors with depression and anxiety, adjusted for gender, age, ethnicity, education level and study region. Among individuals reporting sex in the past 3 months, associations of depression and anxiety with sexual risk behaviour and history were assessed separately by gender, adjusted for age, ethnicity, study region, education and relationship status.

resultsQuestionnaires were completed by 676 women and 470 heterosexual men. Depression symptoms were reported by 100 (14.8%) women and 33 men (7.0%). Anxiety symptoms were reported by 79 women (11.7%) and 21 men (4.5%). Among women reporting recent sex, those with depression symptoms were more likely to report condomless sex with a non-regular partner, aPR 1.38 (1.07-1.77) and recent condomless sex with two or more partners, 1.80 (1.25-2.59). Women with anxiety symptoms more likely to report recent condomless sex with two or more partners, 1.68 (1.13-2.50), low self-efficacy for condom use, 1.54 (1.02-2.31) and STI diagnosis in the last year 1.51 (1.04-2.20). Among heterosexual men reporting recent sex, depression and anxiety symptoms were associated with low self-efficacy with condom use, 2.32 (1.29-4.19) for depression and 2.23 (1.26-3.94) for anxiety, but not with measures of condomless sex. DISCUSSION: The associations between psychological symptoms and sexual risk behaviours highlight the importance of holistic assessment of need by both general and sexual health clinicians. We highlight the challenge in delivering holistic care associated with fragmentation of sexual health services.

Indexed as

Patient Acceptance of Health CareAmbulatory Care FacilitiesAnxiety DisordersCross-Sectional StudiesDepressive DisorderFemaleHumansLondonMaleRisk-TakingSex FactorsSexual BehaviorSexually Transmitted DiseasesState MedicineSurveys and QuestionnairesYoung Adultclinical caregenitourinary medicine servicessexual behavioursexual health

Identifiers

PMID30814165
PMCPMC6585278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.