Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions

Elizabeth A Salomon; Matthew J Mimiaga; Marla J Husnik; Seth L Welles; Marc W Manseau; Arnel B Montenegro; Steven A Safren; Beryl A Koblin; Margaret A Chesney; Kenneth H Mayer

doi:10.1007/s10461-008-9439-4

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Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions

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Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions

Elizabeth A Salomon, Matthew J Mimiaga, Marla J Husnik, Seth L Welles, Marc W Manseau, Arnel B Montenegro, Steven A Safren, Beryl A Koblin, Margaret A Chesney and Kenneth H Mayer

AIDS and behavior, v 13(4), pp 811-821

Aug 2009

DOI: https://doi.org/10.1007/s10461-008-9439-4

PMID: 18709453

Featured in Collection : UN Sustainable Development Goals @ Drexel

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Abstract

United States - epidemiology

Depression - epidemiology

Age Factors

Cross-Sectional Studies

Humans

Middle Aged

Risk Factors

Male

Young Adult

Unsafe Sex - statistics & numerical data

Unsafe Sex - psychology

Substance-Related Disorders - epidemiology

Risk-Taking

Adolescent

Depression - psychology

Adult

Surveys and Questionnaires

Homosexuality, Male - psychology

Mental Health Services - utilization

Sexual Partners

Homosexuality, Male - statistics & numerical data

The EXPLORE study evaluated a behavioral intervention to prevent HIV infection among MSM. We examined depressive symptoms, utilization of mental health care, substance use and HIV risk taking behaviors in YMSM aged 16-25 years compared with their older counterparts. YMSM were more likely to report depressive symptoms (OR = 1.55) and less likely to report use of counseling (OR = 0.39) or medication (OR = 0.20) for psychiatric conditions. YMSM were more likely to report heavy alcohol and drug use. YMSM more often reported engaging in unprotected insertive (OR = 1.60) and receptive (OR = 2.07) anal intercourse with presumed HIV-uninfected partners, and unprotected receptive (OR = 1.72) anal intercourse with partners of unknown-HIV status. These findings suggest the need for more appropriate and accessible mental health care and substance use services for YMSM. Additionally, HIV prevention work with this population should provide comprehensive education about HIV testing and risk reduction counseling that focuses on communication about serostatus and safety in sexual situations.

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124 citations in Web of Science

131 citations in Scopus

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Title: Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions
Creators: Elizabeth A Salomon - The Fenway Institute, Fenway Community Health, Boston, MA, USA. esalomon@partners.org
Matthew J Mimiaga
Marla J Husnik
Seth L Welles
Marc W Manseau
Arnel B Montenegro
Steven A Safren
Beryl A Koblin
Margaret A Chesney
Kenneth H Mayer
Publication Details: AIDS and behavior, v 13(4), pp 811-821
Publisher: Springer Nature; United States
Grant note: U01 AI047995 / NIAID NIH HHS N01 AI45200 / NIAID NIH HHS U01 AI47981 / NIAID NIH HHS U01 AI48016 / NIAID NIH HHS R01 DA032100 / NIDA NIH HHS U01 AI48040 / NIAID NIH HHS U01 AI048016 / NIAID NIH HHS N01 AI045200 / NIAID NIH HHS U01 AI069466 / NIAID NIH HHS U01 AI047981 / NIAID NIH HHS N01 AI35176 / NIAID NIH HHS N01 CA035176 / NCI NIH HHS U01 AI046749 / NIAID NIH HHS 5 U01 AI46749 / NIAID NIH HHS U01 AI47995 / NIAID NIH HHS U01 AI069466-02 / NIAID NIH HHS U01 AI048040 / NIAID NIH HHS
Resource Type: Journal article
Language: English
Academic Unit: Epidemiology and Biostatistics
Web of Science ID: WOS:000268478000021
Scopus ID: 2-s2.0-68549140102
Other Identifier: 991014877780704721

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Collaboration types: Domestic collaboration
Web of Science research areas: Public, Environmental & Occupational Health; Social Sciences, Biomedical

Depressive symptoms, utilization of mental health care, substance use and sexual risk among young men who have sex with men in EXPLORE: implications for age-specific interventions

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Abstract

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Details

UN Sustainable Development Goals (SDGs)

InCites Highlights

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