AIDS and Behavior

, Volume 17, Supplement 1, pp 77–81

A Description of Common Mental Disorders in Men Who Have Sex with Men (MSM) Referred for Assessment and Intervention at an MSM Clinic in Cape Town, South Africa


    • Department of Psychiatry and Mental HealthUniversity of Cape Town
    • Department of Psychiatry and Mental healthGroote Schuur Hospital
  • John A. Joska
    • Department of Psychiatry and Mental HealthUniversity of Cape Town
  • Dorothy Feast
    • Department of Psychiatry and Mental HealthUniversity of Cape Town
  • Glenn De Swardt
    • Anova Health Institute
  • Johan Hugo
    • Anova Health Institute
  • Helen Struthers
    • Anova Health Institute
  • James McIntyre
    • Anova Health Institute
    • Centre for Infectious Diseases Epidemiology and Research, School of Public Health and Family MedicineUniversity of Cape Town
  • Kevin Rebe
    • Anova Health Institute
Brief Report

DOI: 10.1007/s10461-013-0430-3

Cite this article as:
Stoloff, K., Joska, J.A., Feast, D. et al. AIDS Behav (2013) 17: 77. doi:10.1007/s10461-013-0430-3


Men who have sex with men (MSM) have a higher prevalence of common mental disorders (CMD), as compared with heterosexual men. HIV infection is independently associated with higher rates of CMD. Given this context, and the high background community prevalence of HIV in South Africa, MSM are at even greater risk of developing CMD. The aim of this research was to investigate neuropsychiatric symptoms and disorders in MSM who were referred for assessment and management of mental health problems, in an MSM Clinic in urban Cape Town, South Africa. Twenty-five men were screened using the MINI, AUDIT, DUDIT, and IPDE Screener. Depression, suicidality, as well as alcohol and drug use disorders were highly prevalent in this group (44, 56, 48, and 56 % respectively). The personality disorder screening was suggestive of a high prevalence of personality disorders. The high prevalence of neuropsychiatric disorders in this sample supports the idea that integrated mental health services are needed to address the complex needs of this population. Adequate input into the mental health needs of this population could reduce the potential for HIV acquisition and transmission, improve adherence to treatment and care, and ensure the provision a comprehensive health service for MSM.



Copyright information

© Springer Science+Business Media New York 2013