Outcomes associated with anxiety and depression among men who have sex with men in Estonia

Parker, R. David; Lõhmus, Liilia; Valk, Anti; Mangine, Cara

doi:10.1016/j.jad.2015.05.014

Cited by 19 publications

(14 citation statements)

References 29 publications

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“…MSM are disproportionally affected by mental health problems, a finding that has been consistent across research studies and has received increasing attention [ 38 – 40 ]. In the western-based literature, homosexual and bisexual men are reported to have higher risk for mental health problems such as depression, anxiety, substance abuse, and suicidal ideation as compared with the general population [ 3 , 4 , 41 ]. A meta-analysis of studies of lesbians, gay men, and bisexuals found a 2-fold elevated risk of experiencing a psychiatric disorder lasting up to 1 year (OR [odds ratio] = 2.03, 95% CI = 1.68–2.46) or a lifetime (OR = 2.41, 95% CI = 1.91–3.02) [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey

Liu¹,

Zhou²,

Zhao³

et al. 2018

PLoS ONE

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ObjectivesThe psychological health of men who have sex with men (MSM) has received increased attention in recent years. We thus investigated the psychological status and associated factors among MSM in China.MethodsA cross-sectional survey of 248 MSM was conducted from April to September 2015 using Symptom Checklist 90 (SCL-90) in Huludao and Zhengzhou, China. Statistical analyses utilized SPSS version 19.0 for Windows.ResultsAll Cronbach’s α coefficients of the SCL-90 subscales exceeded 0.7, suggesting acceptable reliability. The coefficient range of the collective validity for all the subscales was >0.4. For the divisional validity, each item correlated better with the hypothetical subscale than with other subscales. Collective validity and divisional validity were both acceptable. The four most frequent types of psychological distress among MSM were depression, obsessive-compulsive behavior, interpersonal sensitivity, and anxiety. Results of the univariate analysis revealed that the following groups had significantly higher SCL-90 scores (P < 0.05): peasantry, married MSM, respondents who reported condomless anal intercourse and a greater number of male partners, and respondents who had not undergone psychosocial counseling and whose family or friends did not know about their sexual identity. In a multivariate logistic regression model, the following parameters were independently associated with higher SCL-90 scores: being married (AOR [adjusted odds ratio] = 3.19; 95% CI [confidence interval]: 1.96 to 5.93), condomless anal intercourse (AOR = 1.16; 95% CI: 1.02 to 1.31), number of male partners (AOR = 1.66 and 1.81; 95% CI: 1.08 to 2.34 and 1.32 to 2.69), family or friends not knowing about sexual identity (AOR = 2.13; 95% CI: 1.17 to 4.92), and lack of psychosocial counseling (AOR = 2.09; 95% CI: 1.06 to 4.09).ConclusionsOur results indicate that psychological health problems among MSM in China are of concern. It is thus necessary to strengthen intervention efforts, with more emphasis on intervention programs to improve psychological health among Chinese MSM.

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Section: Discussionmentioning

confidence: 99%

The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey

Liu¹,

Zhou²,

Zhao³

et al. 2018

PLoS ONE

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“…Previous studies have documented high prevalence of suicide in India in the general population, especially among men [61], and markedly high levels (45 %) of suicidality among MSM in particular [17]. Similarly, in other settings MSM have been identified at elevated risk for suicidality [62, 63]. While our study only assessed suicidal ideation instead of a full assessment of suicidality, our data point to a high vulnerability of MSM to suicide in India and the importance of a fuller investigation of suicidality among MSM in India and the potential use of the PHQ-9 as a preliminary indicator for further screening and prevention efforts.…”

Section: Discussionmentioning

confidence: 99%

Diverse Rates of Depression Among Men Who Have Sex with Men (MSM) Across India: Insights from a Multi-site Mixed Method Study

et al. 2015

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Poor psychosocial health contributes to HIV risk behavior and reduced engagement in treatment and care. This study investigates depression and its correlates among 11,992 MSM recruited via respondent driven sampling in 12 cities across India using the Patient Health Questionnaire-9 and supplemented by analysis of qualitative research from 15 sites with 363 MSM. Overall prevalence of depression was 11 %, with substantial variation across sites and subgroups of MSM, and high prevalence of suicidal thoughts among depressed MSM. In multivariable analyses identification as a kothi (feminine sexual identity) [adjusted odds ratio (aOR) = 1.91], disclosure of being MSM to non-family (aOR = 1.7) and family (aOR = 2.4), disclosure of HIV-status (aOR = 5.6), and substance use were associated with significantly higher odds of depression. Qualitative results emphasized dire social consequences of disclosing MSM- and HIV- status, especially to family, including suicidality. Combination prevention interventions should include mental health services that address disclosure, suicidality, and substance use.

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“…An increasingly pressing but less studied mental health problem of MSM is suicidality, which is the likelihood of an individual's dying by suicide and usually referred to as suicidal thoughts and behaviors (Posner et al, 2007). Internationally, the lifetime prevalence for suicidal ideation among MSM ranges approximately between 20% and 50% (Guadamuz et al, 2014;Parker et al, 2015;Paul et al, 2002;Sivasubramanian et al, 2011). The 2015 report of the Chinese National Key Research Project "Risk Analysis and Strategic Prevention of HIV Transmission from MSM to the General Population in China," noted that 26% of MSM in China experienced suicidal ideation (Chen et al, 2015), much higher than the 3.9% for the overall population (Cao et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Psychological pathway to suicidal ideation among men who have sex with men in Shanghai, China: A structural equation model

Cai

Wang

et al. 2016

Journal of Psychiatric Research

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Outcomes associated with anxiety and depression among men who have sex with men in Estonia

Cited by 19 publications

References 29 publications

The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey

The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey

Diverse Rates of Depression Among Men Who Have Sex with Men (MSM) Across India: Insights from a Multi-site Mixed Method Study

Psychological pathway to suicidal ideation among men who have sex with men in Shanghai, China: A structural equation model

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