The Association Between Self-Reported Depressive Symptoms and Risky Sexual Interactions in an Injection Drug Using Population in Winnipeg, Canada

Background: Vulnerable populations in Canada shoulder a disproportionately high burden of disease. Transmission of sexually transmitted infections is behaviourally mediated. Previous research indicates an association between depression and sexual risk-taking. Evidence also suggests that social support is an effect modifier. \ud \ud Methods: Data were collected from a population of injection drug users, between 2003 and 2004 in Winnipeg, using respondent driven sampling. Demographic and social behaviors were analyzed to characterize the population, as well as social networks and ego networks. Logistic regression was used to examine the association between depressive symptoms and sexual risk interactions. Social support was examined as an effect modifier. \ud \ud Results: The majority of the study participants and network members were aged between 35 and 44, and a high percentage identified as Native Canadians. The highest percentage of people reported welfare as their primary source of income, and injecting stimulants, as their most frequently injected drug. Logistic regression models indicated an increase in the odds of individuals engaging in high-risk sexual interactions, if they had also self-reported elevated depressive symptoms. It was not possible to conclude that social support was an effect modifier. \ud \ud Conclusion: This research supports a positive association between elevated depressive symptoms, and higher levels of sexual risk interactions. Further research is needed to understand the role of social support