Nathan J Lachowsky1,2, Joshun J S Dulai3, Zishan Cui3, Paul Sereda3, Ashleigh Rich3, Thomas L Patterson4, Trevor T Corneil5, Julio S G Montaner3,6, Eric A Roth1,2, Robert S Hogg3,7, David M Moore3,6. 1. a School of Public Health & Social Policy , University of Victoria , Victoria , Canada. 2. b Centre for Addictions Research British Columbia , Victoria , Canada. 3. c British Columbia Centre for Excellence in HIV/AIDS , Vancouver , Canada. 4. d Department of Psychiatry , University of California, San Diego , La Jolla , California , USA. 5. e School of Population and Public Health , University of British Columbia , Vancouver , Canada. 6. f Faculty of Medicine , University of British Columbia , Vancouver , Canada. 7. g Faculty of Health Sciences , Simon Fraser University , Burnaby , Canada.
Abstract
BACKGROUND: Studies have found that gay, bisexual, and other men who have sex with men (GBM) have higher rates of mental health conditions and substance use than heterosexual men, but are limited by issues of representativeness. OBJECTIVES: To determine the prevalence and correlates of mental health disorders among GBM in Metro Vancouver, Canada. METHODS: From 2012 to 2014, the Momentum Health Study recruited GBM (≥16 years) via respondent-driven sampling (RDS) to estimate population parameters. Computer-assisted self-interviews (CASI) collected demographic, psychosocial, and behavioral information, while nurse-administered structured interviews asked about mental health diagnoses and treatment. Multivariate logistic regression using manual backward selection was used to identify covariates for any lifetime doctor diagnosed: (1) alcohol/substance use disorder and (2) any other mental health disorder. RESULTS: Of 719 participants, 17.4% reported a substance use disorder and 35.2% reported any other mental health disorder; 24.0% of all GBM were currently receiving treatment. A lifetime substance use disorder diagnosis was negatively associated with being a student (AOR = 0.52, 95% CI [confidence interval]: 0.27-0.99) and an annual income ≥$30,000 CAD (AOR = 0.38, 95% CI: 0.21-0.67) and positively associated with HIV-positive serostatus (AOR = 2.54, 95% CI: 1.63-3.96), recent crystal methamphetamine use (AOR = 2.73, 95% CI: 1.69-4.40) and recent heroin use (AOR = 5.59, 95% CI: 2.39-13.12). Any other lifetime mental health disorder diagnosis was negatively associated with self-identifying as Latin American (AOR = 0.25, 95% CI: 0.08-0.81), being a refugee or visa holder (AOR = 0.18, 95% CI: 0.05-0.65), and living outside Vancouver (AOR = 0.52, 95% CI: 0.33-0.82), and positively associated with abnormal anxiety symptomology scores (AOR = 3.05, 95% CI: 2.06-4.51). CONCLUSIONS: Mental health conditions and substance use, which have important implications for clinical and public health practice, were highly prevalent and co-occurring.
BACKGROUND: Studies have found that gay, bisexual, and other men who have sex with men (GBM) have higher rates of mental health conditions and substance use than heterosexual men, but are limited by issues of representativeness. OBJECTIVES: To determine the prevalence and correlates of mental health disorders among GBM in Metro Vancouver, Canada. METHODS: From 2012 to 2014, the Momentum Health Study recruited GBM (≥16 years) via respondent-driven sampling (RDS) to estimate population parameters. Computer-assisted self-interviews (CASI) collected demographic, psychosocial, and behavioral information, while nurse-administered structured interviews asked about mental health diagnoses and treatment. Multivariate logistic regression using manual backward selection was used to identify covariates for any lifetime doctor diagnosed: (1) alcohol/substance use disorder and (2) any other mental health disorder. RESULTS: Of 719 participants, 17.4% reported a substance use disorder and 35.2% reported any other mental health disorder; 24.0% of all GBM were currently receiving treatment. A lifetime substance use disorder diagnosis was negatively associated with being a student (AOR = 0.52, 95% CI [confidence interval]: 0.27-0.99) and an annual income ≥$30,000 CAD (AOR = 0.38, 95% CI: 0.21-0.67) and positively associated with HIV-positive serostatus (AOR = 2.54, 95% CI: 1.63-3.96), recent crystal methamphetamine use (AOR = 2.73, 95% CI: 1.69-4.40) and recent heroin use (AOR = 5.59, 95% CI: 2.39-13.12). Any other lifetime mental health disorder diagnosis was negatively associated with self-identifying as Latin American (AOR = 0.25, 95% CI: 0.08-0.81), being a refugee or visa holder (AOR = 0.18, 95% CI: 0.05-0.65), and living outside Vancouver (AOR = 0.52, 95% CI: 0.33-0.82), and positively associated with abnormal anxiety symptomology scores (AOR = 3.05, 95% CI: 2.06-4.51). CONCLUSIONS: Mental health conditions and substance use, which have important implications for clinical and public health practice, were highly prevalent and co-occurring.
Entities:
Keywords:
Anxiety; depression; drug use; mental illness; sexual minority; syndemics
Authors: L N Robins; J Wing; H U Wittchen; J E Helzer; T F Babor; J Burke; A Farmer; A Jablenski; R Pickens; D A Regier Journal: Arch Gen Psychiatry Date: 1988-12
Authors: Viviane D Lima; Josie Geller; David R Bangsberg; Thomas L Patterson; Mark Daniel; Thomas Kerr; Julio S G Montaner; Robert S Hogg Journal: AIDS Date: 2007-05-31 Impact factor: 4.177
Authors: Kiffer G Card; Heather L Armstrong; Allison Carter; Zishan Cui; Lu Wang; Julia Zhu; Nathan J Lachowsky; David M Moore; Robert S Hogg; Eric A Roth Journal: Drug Alcohol Depend Date: 2018-05-22 Impact factor: 4.492
Authors: Kiffer G Card; Nathan J Lachowsky; Heather L Armstrong; Zishan Cui; Lu Wang; Paul Sereda; Jody Jollimore; Thomas L Patterson; Trevor Corneil; Robert S Hogg; Eric A Roth; David M Moore Journal: Addict Behav Date: 2018-03-06 Impact factor: 3.913
Authors: Katherine R Schafer; Amanda E Tanner; Lilli Mann-Jackson; Jorge Alonzo; Eunyoung Y Song; Scott D Rhodes Journal: South Med J Date: 2022-01 Impact factor: 0.954
Authors: R C A Achterbergh; E Hoornenborg; A Boyd; L Coyer; S J A Meuzelaar; A A Hogewoning; U Davidovich; M S van Rooijen; M F Schim van der Loeff; M Prins; H J C de Vries Journal: EClinicalMedicine Date: 2020-08-18
Authors: Frank Y Chou; Heather L Armstrong; Lu Wang; Nicanor Bacani; Nathan J Lachowsky; Thomas L Patterson; Zach Walsh; Gbolahan Olarewaju; Kiffer G Card; Eric A Roth; Robert S Hogg; David M Moore Journal: J Affect Disord Date: 2019-01-15 Impact factor: 4.839
Authors: Mark Gaspar; Zack Marshall; Barry D Adam; David J Brennan; Joseph Cox; Nathan Lachowsky; Gilles Lambert; David Moore; Trevor A Hart; Daniel Grace Journal: Health (London) Date: 2021-02-25