Introduction and Aims
Homelessness is associated with increased prevalence of mental health disorders, substance use disorders, and mental health/substance use disorder comorbidity in the United States (US). Gay, bisexual, and other men who have sex with men (MSM) living in the US are at increased risk for homelessness, and have also evidenced elevated mental health and substance use disorder prevalence relative to their non-MSM male counterparts.
Design and Methods
Secondary analysis of data from a randomised controlled trial estimating the diagnostic prevalence of substance use/mental health disorder comorbidity among a sample of homeless, substance-dependent MSM (DSM-IV verified; N = 131).
Results
The most prevalent substance use/mental health disorder comorbidities were stimulant dependence comorbid with at least one depressive disorder (28%), alcohol dependence comorbid with at least one depressive disorder (26%), and stimulant dependence comorbid with antisocial personality disorder (25%).
Discussion and Conclusions
Diagnostic depression and antisocial personality disorder both demonstrated high rates of prevalence among homeless, substance-dependent (particularly stimulant and alcohol dependent) MSM.