Psychosocial and cultural correlates of depression among Hispanic men with HIV infection: a pilot study

J Psychiatr Ment Health Nurs. 2012 Dec;19(10):860-9. doi: 10.1111/j.1365-2850.2011.01865.x. Epub 2012 Feb 1.

Abstract

Depression is a common mental health condition among persons with human immunodeficiency virus (HIV) infection. Depression influences quality of life, social relationships and adherence to medication therapy. Little is known about depression among Hispanic men with HIV infection. The purpose of this pilot study was to describe the relationships of depression to other psychosocial factors (self-esteem, Hispanic stress, substance abuse and violence) and cultural factors (familism and Hispanic stress) among a sample of Hispanic men with HIV infection. Using a cross-sectional, descriptive research design a convenience sample of 46 Hispanic men with HIV infection was recruited and surveyed from the South Florida area of the USA. The majority of the participants (65%; n = 30) were depressed. In addition, the majority of participants reported high familism and self-esteem and low Hispanic stress. A history of substance abuse and childhood and adult violence were common. Significant relationships were noted between depression, and self-esteem, Hispanic stress, substance abuse, and adult physical violence. Healthcare providers need to be aware of the high rates of depression, substance abuse and violence that may occur among Hispanic men with HIV infection. More research is needed to further explore the relationship of these factors, as well as to determine the impact that these variables have on adherence to medication therapy among Hispanic men with HIV infection.

MeSH terms

  • Adult
  • Comorbidity
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Depression / ethnology*
  • Depression / psychology
  • Florida
  • HIV Infections / epidemiology
  • HIV Infections / ethnology*
  • HIV Infections / psychology
  • Hispanic Americans / ethnology*
  • Hispanic Americans / psychology
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Self Concept
  • Stress, Psychological / epidemiology
  • Stress, Psychological / ethnology
  • Stress, Psychological / psychology
  • Substance-Related Disorders / epidemiology
  • Violence / ethnology
  • Violence / psychology