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Mental health disorders among homeless, substance-dependent men who have sex with men.
Drug Alcohol Rev. 2017 07; 36(4):555-559.DA

Abstract

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 of America. Gay, bisexual and other men who have sex with men (MSM) living in the United States 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. [Fletcher JB, Reback CJ. Mental health disorders among homeless, substance-dependent men who have sex with men. Drug Alcohol Rev 2016;36:555-559].

Authors+Show Affiliations

Friends Research Institute Inc, Los Angeles, USA.Friends Research Institute Inc, Los Angeles, USA. Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27516073

Citation

Fletcher, Jesse B., and Cathy J. Reback. "Mental Health Disorders Among Homeless, Substance-dependent Men Who Have Sex With Men." Drug and Alcohol Review, vol. 36, no. 4, 2017, pp. 555-559.
Fletcher JB, Reback CJ. Mental health disorders among homeless, substance-dependent men who have sex with men. Drug Alcohol Rev. 2017;36(4):555-559.
Fletcher, J. B., & Reback, C. J. (2017). Mental health disorders among homeless, substance-dependent men who have sex with men. Drug and Alcohol Review, 36(4), 555-559. https://doi.org/10.1111/dar.12446
Fletcher JB, Reback CJ. Mental Health Disorders Among Homeless, Substance-dependent Men Who Have Sex With Men. Drug Alcohol Rev. 2017;36(4):555-559. PubMed PMID: 27516073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental health disorders among homeless, substance-dependent men who have sex with men. AU - Fletcher,Jesse B, AU - Reback,Cathy J, Y1 - 2016/08/12/ PY - 2016/01/29/received PY - 2016/05/13/revised PY - 2016/05/19/accepted PY - 2016/8/16/pubmed PY - 2018/4/5/medline PY - 2016/8/13/entrez KW - comorbidity KW - dual diagnosis KW - men who have sex with men (MSM) KW - mental health disorder KW - substance use disorder SP - 555 EP - 559 JF - Drug and alcohol review JO - Drug Alcohol Rev VL - 36 IS - 4 N2 - 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 of America. Gay, bisexual and other men who have sex with men (MSM) living in the United States 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. [Fletcher JB, Reback CJ. Mental health disorders among homeless, substance-dependent men who have sex with men. Drug Alcohol Rev 2016;36:555-559]. SN - 1465-3362 UR - https://www.unboundmedicine.com/medline/citation/27516073/Mental_health_disorders_among_homeless_substance_dependent_men_who_have_sex_with_men_ L2 - https://doi.org/10.1111/dar.12446 DB - PRIME DP - Unbound Medicine ER -