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Randomized Controlled Trial
. 2017 Jul;36(4):555-559.
doi: 10.1111/dar.12446. Epub 2016 Aug 12.

Mental health disorders among homeless, substance-dependent men who have sex with men

Jesse B Fletcher  1 , Cathy J Reback  1   2
Affiliations
Randomized Controlled Trial

Mental health disorders among homeless, substance-dependent men who have sex with men

Jesse B Fletcher et al. Drug Alcohol Rev. 2017 Jul.

Abstract

Introduction and aims: Homelessness is associated with increased prevalence of mental health disorders, substance use disorders and mental health/substance use disorder comorbidity in the United States of America. Gay, bisexual and other men who have sex with men (MSM) living in the United States are at increased risk for homelessness, and have also evidenced elevated mental health and substance use disorder prevalence relative to their non-MSM male counterparts.

Design and methods: Secondary analysis of data from a randomised controlled trial estimating the diagnostic prevalence of substance use/mental health disorder comorbidity among a sample of homeless, substance-dependent MSM (DSM-IV verified; n = 131).

Results: The most prevalent substance use/mental health disorder comorbidities were stimulant dependence comorbid with at least one depressive disorder (28%), alcohol dependence comorbid with at least one depressive disorder (26%) and stimulant dependence comorbid with antisocial personality disorder (25%).

Discussion and conclusions: Diagnostic depression and antisocial personality disorder both demonstrated high rates of prevalence among homeless, substance-dependent (particularly stimulant and alcohol dependent) MSM. [Fletcher JB, Reback CJ. Mental health disorders among homeless, substance-dependent men who have sex with men. Drug Alcohol Rev 2016;36:555-559].

Trial registration: ClinicalTrials.gov NCT00607269.

Keywords: comorbidity; dual diagnosis; men who have sex with men (MSM); mental health disorder; substance use disorder.

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