Primary health care project on HIV and depression

This three-year multi-method study was conducted at the National Centre in HIV Social Research at The University of New South Wales in collaboration with the Disciplines of General Practice at The University of Sydney and The University of Adelaide, the Clinical Research Unit for Anxiety and Depression, the National Association of People Living with HIV/AIDS, the Australian Federation of AIDS Organisations and the Australasian Society for HIV Medicine.

The study aimed to: describe, measure and compare depression among HIV-positive and HIV-negative gay men; describe the ways in which depression is managed by general practitioners (GPs) and gay men themselves; and develop the research capacity and skills of GPs to assess and manage depression among gay men. Extensive data were collected through interviews and surveys of patients and GPs conducted through seven high HIV-caseload general practices in Sydney, Adelaide and a rural-coastal town in New South Wales.

Funding Agency

NHMRC General Practice Clinical Research Program

Australian Government Department of Health and Ageing

Non-Staff Involved

Professor Michael Kidd

Professor Deborah Saltman

Partners / Collaborators

The University of Sydney

Discipline of General Practice, The University of Adelaide

Discipline of General Practice, The University of Sydney

Clinical Research Unit for Anxiety and Depression, UNSW

National Association of People Living with HIV Australia

Australian Federation of AIDS Organisations

Australasian Society for HIV Medicine

Körner, H., Newman, C. E., Mao, L., Kidd, M. R., Saltman, D. C., & Kippax, S. C. (2011.) Discourses of depression of Australian general practitioners working with gay nen. Qualitative Health Research, 21(8), 1051-1064. http://dx.doi.org/10.1177/1049732311404030

Körner, H., Newman, C. E.., Mao, L., Kidd, M. R., Saltman, D., & Kippax, S. C. (2011). ‘The black dog just came and sat on my face and built a kennel’: Gay men making sense of ‘depression. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 15(4), 417-436. http://dx.doi.org/10.1177/1363459310372511

Newman, C. E., Kippax, S. C., Mao, L., Saltman, D. C., & Kidd, M. R. (2010). Roles ascribed to general practitioners by gay men with depression. Australian Family Physician, 39(9), 667-671, 674. http://www.racgp.org.au/afp/201009/39118

Newman, C. E., Mao, L., Canavan, P. G., Saltman, D. C., Kidd, M. R., & Kippax, S. C. (2010). HIV generations? Generational discourse in interviews with Australian general practitioners and their HIV positive gay male patients. Social Science & Medicine, 70(11), 1721-1727. http://dx.doi.org/10.1016/j.socscimed.2010.02.006

Newman, C. E., Kippax, S. C., Mao, L., Rogers, G., Saltman, D. C., & Kidd, M. R. (2009). Features of the management of depression in gay men and men with HIV from the perspective of Australian general practitioners. Family Practice, 26(1), 27-33. http://dx.doi.org/10.1093/fampra/cmn089

Mao, L., Newman, C. E., Kidd, M. R., Saltman, D. C., Rogers, G., & Kippax, S. C. (2009). Self-reported sexual difficulties and their association with depression and other factors among gay men attending high-HIV-caseload general practices in Australia. The Journal of Sexual Medicine, 6(5), 1378-1385. http://dx.doi.org/10.1111/j.1743-6109.2008.01160.x

Mao, L., Kidd, M. R., Rogers, G., Andrews, G., Newman, C. E., Booth, A., Saltman, D. C., & Kippax, S. C. (2009). Social factors associated with Major Depressive Disorder in homosexually active, gay men attending general practices in Australia. Australian and New Zealand Journal of Public Health, 33(1), 83-86. http://dx.doi.org/10.1111/j.1753-6405.2009.00344.x

Körner, H., Newman, C. E., Mao, L., Kippax, S. C., Kidd, M. R.., & Saltman, D. (2008). ‘It’s really a myriad of different signals, not just the textbook’: The complexities of diagnosing the depression of gay men and HIV-positive men in general practice. Mental Health in Family Medicine, 5(3), 167-175. http://www.ingentaconnect.com/content/rmp/mhfm/2008/00000005/00000003/art00007

Mao, L., Kippax, S. C., Newman, C. E., Andrews, G., Rogers, G., Saltman, D. C., & Kidd, M. (2008). Rates of depression among men attending high-HIV-caseload general practices in Australia. Mental Health in Family Medicine, 5(2): 79-83. http://www.ingentaconnect.com/content/rmp/mhfm/2008/00000005/00000002/art00004;jsessionid=19q81ehiopy9o.alexandra

Saltman, D. C., Newman, C. E., Mao, L., Kippax, S. C. & Kidd, M. R. (2008). Experiences in managing problematic crystal methamphetamine use and associated depression in gay men and HIV positive men: in-depth interviews with general practitioners in Sydney, Australia. BMC Family Practice, 9(1), 45-52. http://dx.doi.org/10.1186/1471-2296-9-45

Newman, C. E., Kippax, S. C., Mao, L., Saltman, D. C., Kidd, M. R. (2008). GPs understanding of how depression affects gay and HIV positive men. Australian Family Physician, 37(8),678-80. http://www.racgp.org.au/afp/200808/26299

Newman, C., Kippax, S., Saltman, D. C., Mao, L., Körner, H., & Kidd, M. R. (2010). Strengthening our understanding. Annals of Family Medicine, 8(6). http://www.annfammed.org/cgi/eletters/8/6/533. [Invited letter in response to ‘Guidelines for the Primary Care of Lesbian, Gay, and Bisexual People: A Systematic Review’ by Ruth McNair and Kelsey Hegarty]

Newman, C., Mao, L., Kippax, S., Saltman, D., & Kidd, M. (April 2010). Management of HIV and depression in general practice: the Primary Health Care Project on HIV and Depression. HIV Australia, 7(4), 18-19, 45. http://www.afao.org.au/__data/assets/pdf_file/0003/5763/HIVA-7-4-FIN.pdf (PDF). [Invited contribution to special issue on mental health]

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