Role of social support in the relationship between sexually transmitted infection and depression among young women in Canada.

Abstract:

BACKGROUND:Individuals with a self-reported history of sexually transmitted infection (STI) are at high risk for depression. However, little is known about how social support affects the association between STI and depression among young women in Canada. METHODS:Data were drawn from the Canadian Community Health Survey (CCHS), conducted in 2005. A total of 2636 women aged 15-24 years who provided information on STI history were included in the analysis. Depression was measured by a depression scale based on the Composite International Diagnostic Interview Short-Form (CIDI-SF). The 19-item Medical Outcomes Study (MOS) Social Support Survey assessed functional social support. A log-binomial model was used to estimate the prevalence ratio (PR) for self-reported STI history associated with depression and to assess the impact of social support on the association. RESULTS:The adjusted PR for self-reported STI history associated with depression was 1.61 (95% CI, 1.03 to 2.37), before social support was included in the model. The association between STI history and depression was no longer significant when social support was included in the model (adjusted PR, 1.28; 95% CI, 0.83 to 1.84). The adjusted PRs for depression among those with low and intermediate levels of social support versus those with a high level of social support were 5.62 (95% CI, 3.50 to 9.56) and 2.19 (1.38 to 3.68), respectively. CONCLUSIONS:Social support is an important determinant of depression and reduces the impact of self-reported STI on depression among young women in Canada.

journal_name

J Epidemiol

journal_title

Journal of epidemiology

authors

Gao Y,MacDonald D,Collins KD,Alaghehbandan R,Chen Y

doi

10.2188/jea.je20090133

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

313-8

issue

4

eissn

0917-5040

issn

1349-9092

pii

JST.JSTAGE/jea/JE20090133

journal_volume

20

pub_type

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