Lifetime Doctor-Diagnosed Mental Health Conditions and Current Substance Use Among Gay and Bisexual Men Living in Vancouver, Canada

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dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorDulai, Joshun J. S.
dc.contributor.authorCui, Zishan
dc.contributor.authorSereda, Paul
dc.contributor.authorRich, Ashleigh
dc.contributor.authorPatterson, Thomas L.
dc.contributor.authorCorneil, Trevor T.
dc.contributor.authorMontaner, Julio S. G.
dc.contributor.authorRoth, Eric A.
dc.contributor.authorHogg, Robert S.
dc.contributor.authorMoore, David M.
dc.date.accessioned2022-08-31T21:51:21Z
dc.date.available2022-08-31T21:51:21Z
dc.date.copyright2017en_US
dc.date.issued2017
dc.descriptionWe thank our community colleagues at the Health Initiative for Men, YouthCO HIV & Hep-C Society of BC, and Positive Living BC for their support. We also thank the research participants for sharing their important data with the Momentum Health Study.en_US
dc.description.abstractBackground—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 2012–2014, 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: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.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis work was supported by the Canadian Institutes for Health Research [107544]; and the National Institutes for Health, National Institute for Drug Abuse [R01DA031055]. NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. DMM is supported by a Scholar Award from the Michael Smith Foundation for Health Research (#5209). JM is supported with grants paid to his institution by the British Columbia Ministry of Health and by the US National Institutes of Health (R01DA036307). He has also received limited unrestricted funding, paid to his institution, from Abbvie, Bristol-Myers Squibb, Gilead Sciences, Janssen, Merck, and ViiV Healthcare.en_US
dc.identifier.citationLachowsky, N. J., Dulai, J. J. S., Cui, Z., Sereda, P., Rich, A., Patterson, T. L., Corneil, T. T., Montaner, J. S. G., Roth, E. A., Hogg, R. S., & Moore, D. M. (2017). “Lifetime Doctor-Diagnosed Mental Health Conditions and Current Substance Use Among Gay and Bisexual Men Living in Vancouver, Canada.” Substance Use & Misuse, 52(6), 785-797. https://doi.org/10.1080/10826084.2016.1264965en_US
dc.identifier.urihttps://doi.org/10.1080/10826084.2016.1264965
dc.identifier.urihttp://hdl.handle.net/1828/14165
dc.language.isoenen_US
dc.publisherSubstance Use & Misuseen_US
dc.subjectsexual minorityen_US
dc.subjectmental illnessen_US
dc.subjectdepressionen_US
dc.subjectanxietyen_US
dc.subjectdrug useen_US
dc.subjectsyndemicsen_US
dc.titleLifetime Doctor-Diagnosed Mental Health Conditions and Current Substance Use Among Gay and Bisexual Men Living in Vancouver, Canadaen_US
dc.typePostprinten_US

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