Association between self-reported sexually transmitted infection treatment and mental health symptoms in conflict-affected eastern Democratic Republic of the Congo

Research output: Contribution to journalArticle

Abstract

Although poor mental health has been associated with sexual risk behavior, few studies have examined the association between mental health and sexually transmitted infections (STIs) in conflict-affected settings. With elevated symptoms of poor mental health in conflict-affected settings, it is important to consider if and how mental health may be a risk factor for STIs in these settings. We used cross-sectional logistic regression to examine the association between symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) with having been treated for an STI in rural South Kivu, Democratic Republic of the Congo. Among 753 adults, those with elevated self-reported symptoms of depression and anxiety (adjusted OR = 2.73, 95% CI 1.68, 4.44) and PTSD (adjusted OR = 1.89, 95% CI 1.17, 3.06) had higher odds of reporting ever being treated for an STI than those who were not symptomatic. Our findings suggest that future studies are needed to more rigorously examine the relationship between mental health and STIs.

Original languageEnglish (US)
Pages (from-to)212-220
Number of pages9
JournalInternational Journal of STD and AIDS
Volume29
Issue number3
DOIs
StatePublished - Mar 1 2018

Fingerprint

Democratic Republic of the Congo
Sexually Transmitted Diseases
Mental Health
Post-Traumatic Stress Disorders
Mental Health Associations
Anxiety
Depression
Risk-Taking
Sexual Behavior
Logistic Models
Conflict (Psychology)

Keywords

  • conflict-affected setting
  • Democratic Republic of the Congo
  • Mental health
  • sexually transmitted infections

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

Cite this

@article{e599a24287214590806c3660a9ec6afb,
title = "Association between self-reported sexually transmitted infection treatment and mental health symptoms in conflict-affected eastern Democratic Republic of the Congo",
abstract = "Although poor mental health has been associated with sexual risk behavior, few studies have examined the association between mental health and sexually transmitted infections (STIs) in conflict-affected settings. With elevated symptoms of poor mental health in conflict-affected settings, it is important to consider if and how mental health may be a risk factor for STIs in these settings. We used cross-sectional logistic regression to examine the association between symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) with having been treated for an STI in rural South Kivu, Democratic Republic of the Congo. Among 753 adults, those with elevated self-reported symptoms of depression and anxiety (adjusted OR = 2.73, 95{\%} CI 1.68, 4.44) and PTSD (adjusted OR = 1.89, 95{\%} CI 1.17, 3.06) had higher odds of reporting ever being treated for an STI than those who were not symptomatic. Our findings suggest that future studies are needed to more rigorously examine the relationship between mental health and STIs.",
keywords = "conflict-affected setting, Democratic Republic of the Congo, Mental health, sexually transmitted infections",
author = "Erica Koegler and Kennedy, {Caitlin E} and Carol Thompson and Winch, {Peter John} and Mpanano, {Remy M.} and Perrin, {Nancy A} and Glass, {Nancy Ellen}",
year = "2018",
month = "3",
day = "1",
doi = "10.1177/0956462417722128",
language = "English (US)",
volume = "29",
pages = "212--220",
journal = "International Journal of STD and AIDS",
issn = "0956-4624",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - Association between self-reported sexually transmitted infection treatment and mental health symptoms in conflict-affected eastern Democratic Republic of the Congo

AU - Koegler, Erica

AU - Kennedy, Caitlin E

AU - Thompson, Carol

AU - Winch, Peter John

AU - Mpanano, Remy M.

AU - Perrin, Nancy A

AU - Glass, Nancy Ellen

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Although poor mental health has been associated with sexual risk behavior, few studies have examined the association between mental health and sexually transmitted infections (STIs) in conflict-affected settings. With elevated symptoms of poor mental health in conflict-affected settings, it is important to consider if and how mental health may be a risk factor for STIs in these settings. We used cross-sectional logistic regression to examine the association between symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) with having been treated for an STI in rural South Kivu, Democratic Republic of the Congo. Among 753 adults, those with elevated self-reported symptoms of depression and anxiety (adjusted OR = 2.73, 95% CI 1.68, 4.44) and PTSD (adjusted OR = 1.89, 95% CI 1.17, 3.06) had higher odds of reporting ever being treated for an STI than those who were not symptomatic. Our findings suggest that future studies are needed to more rigorously examine the relationship between mental health and STIs.

AB - Although poor mental health has been associated with sexual risk behavior, few studies have examined the association between mental health and sexually transmitted infections (STIs) in conflict-affected settings. With elevated symptoms of poor mental health in conflict-affected settings, it is important to consider if and how mental health may be a risk factor for STIs in these settings. We used cross-sectional logistic regression to examine the association between symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) with having been treated for an STI in rural South Kivu, Democratic Republic of the Congo. Among 753 adults, those with elevated self-reported symptoms of depression and anxiety (adjusted OR = 2.73, 95% CI 1.68, 4.44) and PTSD (adjusted OR = 1.89, 95% CI 1.17, 3.06) had higher odds of reporting ever being treated for an STI than those who were not symptomatic. Our findings suggest that future studies are needed to more rigorously examine the relationship between mental health and STIs.

KW - conflict-affected setting

KW - Democratic Republic of the Congo

KW - Mental health

KW - sexually transmitted infections

UR - http://www.scopus.com/inward/record.url?scp=85041458937&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041458937&partnerID=8YFLogxK

U2 - 10.1177/0956462417722128

DO - 10.1177/0956462417722128

M3 - Article

C2 - 28758569

AN - SCOPUS:85041458937

VL - 29

SP - 212

EP - 220

JO - International Journal of STD and AIDS

JF - International Journal of STD and AIDS

SN - 0956-4624

IS - 3

ER -