A Syndemic of Psychosocial Health Disparities and Associations With Risk for Attempting Suicide Among Young Sexual Minority Men

Mustanski, Brian; Andrews, Rebecca; Herrick, Amy L.; Stall, Ron; Schnarrs, Phillip W.

doi:10.2105/ajph.2013.301744

Cited by 168 publications

(152 citation statements)

References 50 publications

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“…Additionally, use of clear and transparent language that more accurately defines measurements of SMU may be beneficial. Results of this review echo the findings of a body of research that found elevated prevalence of depression and psychological distress among LGB individuals compared to heterosexual counterparts [47][48][49][50]. Our findings point to the variability in experiencing depression and psychological distress in association with SMU for bisexually identified individuals.…”

Section: Discussion Principal Resultssupporting

confidence: 79%

For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities (Preprint)

Escobar-Viera¹,

Whitfield²,

Wessel³

et al. 2018

Preprint

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Section: Discussion Principal Resultssupporting

confidence: 79%

For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities (Preprint)

Escobar-Viera¹,

Whitfield²,

Wessel³

et al. 2018

Preprint

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show abstract

“…Some studies (Balsam and Szymanski, 2005; Carvalho et al, 2011; Finneran and Stephenson, 2014) showed the existence of a relationship between experienced discrimination and a higher risk of IPV. On the other hand, studies on the relationship between experienced discrimination and risk of SSIPV victimization are contradictory: some indicated the existence of such a relationship (Carvalho et al, 2011; Andrews et al, 2014; Finneran and Stephenson, 2014), while some denied it (Barrett and St.Pierre, 2013; Andrews et al, 2014). …”

Section: Sexual Minority Stressmentioning

confidence: 99%

When Intimate Partner Violence Meets Same Sex Couples: A Review of Same Sex Intimate Partner Violence

et al. 2018

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Over the past few decades, the causes of and intervention for intimate partner violence (IPV) have been approached and studied. This paper presents a narrative review on IPV occurring in same sex couples, that is, same sex IPV (SSIPV). Despite the myth that IPV is exclusively an issue in heterosexual relationships, many studies have revealed the existence of IPV among lesbian and gay couples, and its incidence is comparable to (Turell, 2000) or higher than that among heterosexual couples (Messinger, 2011; Kelley et al., 2012). While similarities between heterosexual and lesbian, gay, and bisexual (LGB) IPV were found, unique features and dynamics were present in LGB IPV. Such features are mainly related to identification and treatment of SSIPV in the community and to the need of taking into consideration the role of sexual minority stressors. Our findings show there is a lack of studies that address LGB individuals involved in IPV; this is mostly due to the silence that has historically existed around violence in the LGB community, a silence built on fears and myths that have obstructed a public discussion on the phenomenon. We identified the main themes discussed in the published studies that we have reviewed here. The reviews lead us to the conclusion that it is essential to create a place where this subject can be freely discussed and approached, both by LGB and heterosexual people.

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“…The depression status that contributes to syphilis disparities among MSM is broadly consistent with Meyer’s minority stress model 25. This developmental model argues that early stressors associated with sexual minority status produce external and internal stress processes (eg, antigay prejudice, discrimination, internalised homophobia, expectations of rejection) that contribute to mental health and recreational drugs use disorders later in life 26. Work in China has suggested that depression is associated with lower adherence to antiretroviral drugs and also to higher stigma related to male homosexuality27; it would be important to also study these dynamics with syphilis, as a curable STI.…”

Section: Discussionmentioning

confidence: 58%

Syphilis associated with recreational drug use, depression and high-risk sexual behaviour in men who have sex with men: a case–control study in China

Xiu

et al. 2019

Sex Transm Infect

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ObjectiveWe investigated syphilis prevalence among men who have sex with men (MSM) in China, as well as potential risk factors. Our principal hypothesis was that syphilis would be associated with the use of recreational drugs such as methamphetamines.MethodsFrom April to October 2013, we used several methods to recruit MSM in Qingdao, collecting demographic/behavioural information via self-administrated questionnaires. Trained health workers collected blood for the Treponema pallidum particle assay (TPPA) with positives confirmed by a toluidine red unheated serum test. We used an unmatched case–control study to identify factors that might predict syphilis infection using multivariable logistic regression.ResultsWe recruited 447 MSM who agreed to participate and who completed syphilis testing. Of 71 (15.9%) syphilis-positive MSM, 44 (62.0%) used drugs. Of 376 (84.1%) syphilis-negative MSM, 186 (49.5%) used drugs. We found a positive association with syphilis for any recreational drug use (crude OR (cOR) 1.7, 95 % CI 1.0 to 2.8), frequent methamphetamine use (cOR 2.4, 95% CI 1.1 to 5.3) and multiple drug use (adjusted OR (aOR) 3.4, 95% CI 1.3 to 9.2). Syphilis-positive men were more likely to have a higher physical depression score (aOR 5.2, 95% CI 1.1 to 24.4), be > 30 years old (aOR 2.7, 95% CI 1.5 to 4.8), report a prior STI (aOR 4.1, 95% CI 2.3 to 7.3) and report a sex party experience (aOR 2.2, 95% CI 1.1 to 4.4).ConclusionsRecreational drug use, depression and high-risk sexual behaviours were associated with syphilis infection among MSM in China. Only a multifaceted approach is likely be effective in control of both syphilis and HIV .

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A Syndemic of Psychosocial Health Disparities and Associations With Risk for Attempting Suicide Among Young Sexual Minority Men

Abstract: Interventions addressing multiple psychosocial health outcomes should be developed and tested to better meet the needs of young MSM and MSMW.

Cited by 168 publications

References 50 publications

For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities (Preprint)

For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities (Preprint)

When Intimate Partner Violence Meets Same Sex Couples: A Review of Same Sex Intimate Partner Violence

Syphilis associated with recreational drug use, depression and high-risk sexual behaviour in men who have sex with men: a case–control study in China

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