Predictors of Depression Among Hispanic Men with HIV Infection

Friday, July 15, 2011: 10:50 AM

Joseph P. De Santis, PhD, ARNP, ACRN1
Rosa Maria Gonzalez-Guarda, PhD, MPH, RN, CPH1
Elias Vasquez, PhD, NP, FAAN2
(1)School of Nursing & Health Studies, University of Miami, Coral Gables, FL
(2)School of Nursing, University of Miami, Coral Gables, FL

Learning Objective 1: Discuss sources of depression among Hispanic men with HIV infection.

Learning Objective 2: Describe predictors of depression among Hispanic men with HIV infection.

Background:  The prevalence of depression is greater among men with HIV infection when compared to the general population of men.  A recent study reported that nearly half of all men with HIV infection were depressed.  Predictors of depression among men with HIV infection include a psychiatric co-morbidity and alcohol dependence.  The predictors of depression among Hispanic men is not currently known.

Purpose:  The purpose of this study was to determine predictors of depression in a sample of Hispanic men (n = 46).

Method:  A convenience sample of Hispanic men with HIV infection was obtained from organizations and agencies where Hispanic men receive services.  Participants completed standardized measures of depression, substance use, self-esteem, stress,  violence, and a demographic questionnaire.

Results:  Multiple regression and descriptive statistics were used to analyze the data.  Over half of the participants were depressed; 11% reported alcohol use; 11% reported substance use; 22% reported adult physical abuse; 13% reported verbal or psychological abuse during adulthood; and one participant reported sexual abuse during adulthood.  After controlling for demographic variables, the model that include alcohol use, drug use, self-esteem, stress, and abuse accounted for 45.*% of the variance in depression. 

Conclusions:  Nurses and other clinicians need to be aware of the co-occurring mental health conditions of Hispanic men with HIV infection.  More research is needed to on Hispanic men with HIV infection, including the relationship between physical abuse and depression in the context of HIV infection.