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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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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About this Article
- 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
AIDS and Behavior
Volume 13, Issue 4 , pp 811-821
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- Springer US
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- Young men
- Mental health
- Substance use
- Sexual behavior
- Author Affiliations
- 1. The Fenway Institute, Fenway Community Health, Boston, MA, USA
- 2. Clinical Research Program, Massachusetts General Hospital, 185 Cambridge Street – CPZN 2.128, Boston, MA, 02114, USA
- 3. Harvard Medical School/Massachusetts General Hospital, Boston, MA, USA
- 4. Statistical Center for HIV/AIDS Research and Prevention, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
- 5. School of Public Health, Drexel University, Philadelphia, PA, USA
- 6. College of Physicians and Surgeons, Columbia University, New York, NY, USA
- 7. Rollins School of Public Health, Emory University, Atlanta, GA, USA
- 8. New York Blood Center, New York, NY, USA
- 10. Department of Medicine, University of California San Francisco, San Francisco, CA, USA
- 9. Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
- 11. Brown University/Miriam Hospital, Providence, RI, USA