Substance Use and Misuse
Volume 52, Issue 6, 2017, Pages 785-797

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

Lachowsky 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.
  • a School of Public Health & Social Policy, University of Victoria, Victoria, Canada, Centre for Addictions Research British Columbia, Victoria, Canada
  • b British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
  • c British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
  • d British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
  • e British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada
  • f Department of Psychiatry, University of California, San Diego, La Jolla, CA, United States
  • g School of Population and Public Health, University of British Columbia, Vancouver, Canada
  • h British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada, Faculty of Medicine, University of British Columbia, Vancouver, Canada
  • i School of Public Health & Social Policy, University of Victoria, Victoria, Canada, Centre for Addictions Research British Columbia, Victoria, Canada
  • j British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada, Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada
  • k British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada, Faculty of Medicine, University of British Columbia, Vancouver, 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. © 2017 Taylor & Francis Group, LLC.

Author Keywords

Mental illness Depression syndemics Anxiety sexual minority Drug use

Index Keywords

Human immunodeficiency virus infection sexual and gender minority human middle aged statistics and numerical data heroin dependence Sexual and Gender Minorities Substance-Related Disorders Logistic Models HIV Seropositivity drug dependence Mental Disorders Homosexuality, Male male homosexuality mental disease income Humans psychology male risk factor Risk Factors adult Amphetamine-Related Disorders amphetamine dependence statistical model British Columbia
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011850282&doi=10.1080%2f10826084.2016.1264965&partnerID=40&md5=4ea72b9d6a516a2f8cb889ca5c40a554
DOI: 10.1080/10826084.2016.1264965
ISSN: 10826084
Cited by: 3
Original Language: English