Posttraumatic Stress Disorder, Depression, and HIV Risk Behavior Among Ohio Army National Guard Soldiers


  • The research was supported by the U.S. Department of Defense congressionally directed medical research program (W81XWH-O7-1-0409, the “Combat Mental Health Initiative”) and a fellowship award from the Canadian Institutes of Health Research. We wish to thank soldiers of the Ohio Army National Guard who participated in this study for contributing to the research.

Correspondence concerning this article should be addressed to Brandon D. L. Marshall, Department of Epidemiology, Brown University, 121 South Main Street, Box G-S-121-2, Providence, RI, 02912. E-mail:


We examined the relationship between posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and human immunodeficiency virus (HIV) risk behavior among the Ohio Army National Guard (OHARNG). We analyzed data collected from a sample of OHARNG enlisted between June 2008 and February 2009. Participants completed interviews assessing HIV risk activities defined by the Behavioral Risk Factor Surveillance System, and were screened for PTSD and MDD based on DSM-IV criteria according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed., DSM-IV; American Psychiatric Association, 1994). Logistic regression was used to examine the independent and combined effects of PTSD and MDD on past-year HIV risk behavior. Of 2,259 participants, 142 (6.3%) reported at least 1 past-year HIV risk behavior. In adjusted models, relative to soldiers with neither disorder, screening positive for MDD only was associated with HIV risk behavior (adjusted odds ratio [AOR] = 2.33, 95% CI = [1.15, 4.71]), whereas PTSD was not significant (AOR = 1.60, 95% CI = [0.80, 3.20]). Participants with both PTSD and depression were most likely to report HIV risk behavior (AOR = 2.75, 95% CI = [1.06, 7.11]). Soldiers with PTSD and MDD may be at greater risk for HIV infection due to increased engagement in HIV risk behavior. Integrated interventions to address mental health problems and reduce HIV risk behavior are in need of development and evaluation.

Traditional and Simplified Chinese Abstracts by AsianSTSS


撮要:本硏究是有關俄亥俄國民警衛軍(OHARNG)中創傷後壓力症(PTSD),抑鬱症(MDD)和HIV風險行為的關係。從2008年6月到2009年2月期間OHARNG樣本中,分析並面見評核他們的HIV風險行為(使用行為風險因素監察系統的定義),和篩選DSM-IV準則的PTSD和MDD。邏輯性回歸檢視以往一年的HIV風險行為中獨立和綜合PTSD和MDD的效果。在2259名參與者中,有142(6.3%)位人有不少於一次往年HIV風險行為。採用調整模型,相對沒有患上PTSD或MDD的軍士,篩選有MDD者與HIV風險行為有關連(調整優勢比[AOR] = 2.33,95%CI[1.15,4.71]),但PTSD則未有與此相關(AOR = 1.60,95%CI[0.80,3.20])。有PTSD和抑鬱症共病者則最有可能報告HIV風險行為(AOR = 2.75,95%CI[1.06,7.11]),而因較多參與HIV風險行為則可導致較高HIV感染風險。綜合介入治療精神健康問題與減少HIV風險行為是極需發展和評估的。


撮要:本硏究是有关俄亥俄国民警卫军(OHARNG)中创伤后压力症(PTSD),抑郁症(MDD)和HIV风险行为的关系。从2008年6月到2009年2月期间OHARNG样本中,分析并面见评核他们的HIV风险行为(使用行为风险因素监察系统的定义),和筛选DSM-IV准则的PTSD和MDD。逻辑性回归检视以往一年的HIV风险行为中独立和综合PTSD和MDD的效果。在2259名参与者中,有142(6.3%)位人在往年有不少于一次HIV风险行为。采用调整模型,相对没有患上PTSD或MDD的军士,筛选有MDD者与HIV风险行为有关连(调整优势比[AOR] = 2.33,95%CI[1.15,4.71]),但PTSD则未有与此相关(AOR = 1.60,95%CI[0.80,3.20])。有PTSD和抑郁症共病者则最有可能报告HIV风险行为(AOR = 2.75,95%CI[1.06,7.11]),而因较多参与HIV风险行为则可导致较高HIV感染风险。综合介入治疗精神健康问题与减少HIV风险行为是非常需要发展和评估的。