“…This is important because multiple studies indicate that gay men have poorer health outcomes than heterosexual men or the male population in general in a number of areas (e.g., Drabble, Keatley, & Marcelle, 2003;Wolitski, Valdiserri, & Stall, 2008). Some of this research has reported that when compared with heterosexual men, gay men have a higher incidence of eating disorders (Russell & Keel, 2002); suicide and suicide attempts (Skegg, Nada-Raja, Dickson, Paul, & Williams, 2003); depression, panic attacks, and psychological distress (Cochran, Sullivan, & Mays, 2003); and have an elevated risk for anxiety, mood, and substance use disorders (Bostwick, Boyd, Hughes, & McCabe, 2009). Gay men, especially those attached to gay communities, are also reported to be more likely to use nonprescription drugs, including alcohol, at higher levels ( Van de Ven, Rawstorne, & Treloar, 2002) and more likely to smoke tobacco than heterosexual men (Dilley, Simmons, Boysun, Pizacani, & Stark, 2010).…”