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
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 d...
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| Veröffentlicht in: | AIDS and behavior 2009-08, Vol.13 (4), p.811-821 |
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| creator | Salomon, Elizabeth A. Mimiaga, Matthew J. Husnik, Marla J. Welles, Seth L. Manseau, Marc W. Montenegro, Arnel B. Safren, Steven A. Koblin, Beryl A. Chesney, Margaret A. Mayer, Kenneth H. |
| description | 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. |
| doi_str_mv | 10.1007/s10461-008-9439-4 |
| format | Article |
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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.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-008-9439-4</identifier><identifier>PMID: 18709453</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acquired Immune Deficiency Syndrome ; Adolescent ; Adult ; Age ; Age Factors ; AIDS ; Behavior modification ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - psychology ; Disease prevention ; Drug use ; Health care ; Health Psychology ; Health risks ; HIV ; Homosexuality ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Hospitals ; Human immunodeficiency virus ; Humans ; Infections ; Infectious Diseases ; Intervention ; Male ; Males ; Medical research ; Medicine ; Medicine & Public Health ; Mental depression ; Mental health care ; Mental Health Services ; Mental Health Services - statistics & numerical data ; Middle Aged ; Original Paper ; Public Health ; Risk Factors ; Risk taking ; Sexual behavior ; Sexual Partners ; Sexually transmitted diseases ; STD ; Substance Abuse ; Substance use ; Substance-Related Disorders - epidemiology ; Surveys and Questionnaires ; United States - epidemiology ; Unsafe Sex - psychology ; Unsafe Sex - statistics & numerical data ; Young Adult</subject><ispartof>AIDS and behavior, 2009-08, Vol.13 (4), p.811-821</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><rights>Springer Science+Business Media, LLC 2009</rights><rights>Springer Science+Business Media, LLC 2008 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-6eca206ec2c374db772a6d7cd3a849f7f906e42b41ee7216f60dd1e87c2bb2703</citedby><cites>FETCH-LOGICAL-c459t-6eca206ec2c374db772a6d7cd3a849f7f906e42b41ee7216f60dd1e87c2bb2703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-008-9439-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-008-9439-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,33752,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18709453$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salomon, Elizabeth A.</creatorcontrib><creatorcontrib>Mimiaga, Matthew J.</creatorcontrib><creatorcontrib>Husnik, Marla J.</creatorcontrib><creatorcontrib>Welles, Seth L.</creatorcontrib><creatorcontrib>Manseau, Marc W.</creatorcontrib><creatorcontrib>Montenegro, Arnel B.</creatorcontrib><creatorcontrib>Safren, Steven A.</creatorcontrib><creatorcontrib>Koblin, Beryl A.</creatorcontrib><creatorcontrib>Chesney, Margaret A.</creatorcontrib><creatorcontrib>Mayer, Kenneth H.</creatorcontrib><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</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>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.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>AIDS</subject><subject>Behavior modification</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Disease prevention</subject><subject>Drug use</subject><subject>Health care</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>HIV</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - psychology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Hospitals</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious Diseases</subject><subject>Intervention</subject><subject>Male</subject><subject>Males</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental health care</subject><subject>Mental Health Services</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Risk taking</subject><subject>Sexual behavior</subject><subject>Sexual Partners</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Substance Abuse</subject><subject>Substance use</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>United States - epidemiology</subject><subject>Unsafe Sex - psychology</subject><subject>Unsafe Sex - statistics & numerical data</subject><subject>Young 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Behav</stitle><addtitle>AIDS Behav</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>13</volume><issue>4</issue><spage>811</spage><epage>821</epage><pages>811-821</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>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.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>18709453</pmid><doi>10.1007/s10461-008-9439-4</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | AIDS and behavior, 2009-08, Vol.13 (4), p.811-821 |
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| source | MEDLINE; SpringerLink Journals; Sociological Abstracts |
| subjects | Acquired Immune Deficiency Syndrome Adolescent Adult Age Age Factors AIDS Behavior modification Cross-Sectional Studies Depression - epidemiology Depression - psychology Disease prevention Drug use Health care Health Psychology Health risks HIV Homosexuality Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Hospitals Human immunodeficiency virus Humans Infections Infectious Diseases Intervention Male Males Medical research Medicine Medicine & Public Health Mental depression Mental health care Mental Health Services Mental Health Services - statistics & numerical data Middle Aged Original Paper Public Health Risk Factors Risk taking Sexual behavior Sexual Partners Sexually transmitted diseases STD Substance Abuse Substance use Substance-Related Disorders - epidemiology Surveys and Questionnaires United States - epidemiology Unsafe Sex - psychology Unsafe Sex - statistics & numerical data Young Adult |
| 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 |
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