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01.08.2009 | Original Paper

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

verfasst von: 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

Erschienen in: AIDS and Behavior | Ausgabe 4/2009

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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.

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Titel: 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
verfasst von: 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
Publikationsdatum: 01.08.2009
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 4/2009
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/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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