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Testing the synergistic effects of depression, anxiety, and substance use in unsafe sex: a cross-sectional study

dc.creatorVillalobos-Gallegos, Luises_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.creatorMarín-Navarrete, Rodrigoes_ES
dc.creatorMagis-Rodriguez, Carloses_ES
dc.creatorRuiz-Velasco Acosta, Silviaes_ES
dc.date2021
dc.date.accessioned2023-10-18T16:36:59Z
dc.date.available2023-10-18T16:36:59Z
dc.date.issued2021
dc.identifierJC52DIEP20es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7784
dc.identifier.urihttps://doi.org/10.1007/s11469-020-00291-3
dc.descriptionCondom use is the most affordable method to prevent sexually transmitted infections (STIs). Anxiety, depression, and substance use have been used as covariates of condom use, but little is known about the possibility of synergistic effects. The objective of this study was to determine the synergist effect of depression, anxiety, and substance use in unsafe sex. Individuals receiving residential treatment for substance use were recruited in 21 centers in Mexico City. Data on substance use, depression (PHQ-9), anxiety (GAD-7), and condom use (number of unsafe sex occasions) was collected. Four Poisson regression models were adjusted to compare the additive or interactive effect of these variables. We found that model 2 (anxiety and depression interactive model) showed a better fit when compared with its additive-only counterpart (model 1), χ2[1] = 29.538, p < .001; model 4 (anxiety, depression, and substance use interactive model) had a better fit that model 3 (anxiety, depression, and substance use additive model), χ2[1] = 23.479, p < .001. Models with interactive terms produced better predictions of condom use. Only depression symptoms displayed a synergistic effect with substance use. These findings may be the result of unique components of the symptoms, and they stress the importance of including interactive terms when testing the associations or the effects of mental health variables in health outcomes, particularly in condom use.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherSpringeres_ES
dc.relation19:1951-1962
dc.rightsAcceso Cerradoes_ES
dc.titleTesting the synergistic effects of depression, anxiety, and substance use in unsafe sex: a cross-sectional studyes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationFacultad de Medicina y Psicología, Universidad Autónoma de Baja California-Tijuana, Universidad 14418, Parque Internacional Industrial Tijuana, 22390 Tijuana, B.C., Mexico
dc.contributor.emailvillalobos.luis@uabc.edu.mx (Luis Villalobos-Gallegos)
dc.relation.jnabreviadoINT J MENT HEALTH ADDICT
dc.relation.journalInternational Journal of Mental Health and Addiction
dc.identifier.placeEstados Unidos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.doi10.1007/s11469-020-00291-3
dc.subject.kwCondoms
dc.subject.kwSubstance use
dc.subject.kwAnxiety
dc.subject.kwDepression


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