Sociodemographic Factors Contribute to Mental Health Disparities and Access to Services Among Young Men Who Have Sex with Men in New York City

Erik David Storholm, Daniel E. Siconolfi, Perry N. Halkitis, Robert W. Moeller, Jessica A. Eddy, Michael G. Bare

Research output: Contribution to journalArticle

Abstract

Young men who have sex with men (YMSM) may be at increased risk for mental health problems including depression, post-traumatic stress disorder (PTSD), and suicidality. The overriding goal of the current investigation was to examine mental health and mental health services in a diverse sample of YMSM. We analyzed cross-sectional data from a cohort study of 598 YMSM, including sociodemographics, mental health, and mental health care. We then tested for bivariate associations and used multivariable modeling to predict depression, PTSD, suicidality, and mental health care utilization. Lower socioeconomic status, unstable housing, and school nonenrollment predicted depression and PTSD scores, while unstable housing and school nonenrollment predicted recent suicide attempt(s). These recent suicide attempt(s) also predicted current utilization of counseling or treatment, any history of psychiatric hospitalization, and any history of psychiatric diagnosis. Black and Asian/Pacific Islander (API) men were less likely to have ever accessed mental health counseling or treatment. There were significant class-based differences with regard to mental health outcomes but not mental health services. Further, recent crises (i.e., suicide attempt, hospitalization) were strong predictors of accessing mental health services. Improving the mental health of YMSM requires addressing the underlying structural factors that influence mental health outcomes and service access.

Original languageEnglish (US)
Pages (from-to)294-313
Number of pages20
JournalJournal of Gay and Lesbian Mental Health
Volume17
Issue number3
DOIs
StatePublished - Jul 2013

Fingerprint

sociodemographic factors
Mental Health
mental health
Mental Health Services
Post-Traumatic Stress Disorders
Suicide
suicide attempt
posttraumatic stress disorder
Depression
Counseling
health service
Hospitalization
Patient Acceptance of Health Care
hospitalization
counseling
utilization
housing
Mental Disorders
Social Class
health care

Keywords

  • depression
  • mental health
  • post-traumatic stress disorder
  • sociodemographics
  • suicide
  • YMSM

ASJC Scopus subject areas

  • Clinical Psychology
  • Health(social science)
  • Psychiatry and Mental health

Cite this

Sociodemographic Factors Contribute to Mental Health Disparities and Access to Services Among Young Men Who Have Sex with Men in New York City. / Storholm, Erik David; Siconolfi, Daniel E.; Halkitis, Perry N.; Moeller, Robert W.; Eddy, Jessica A.; Bare, Michael G.

In: Journal of Gay and Lesbian Mental Health, Vol. 17, No. 3, 07.2013, p. 294-313.

Research output: Contribution to journalArticle

Storholm, Erik David ; Siconolfi, Daniel E. ; Halkitis, Perry N. ; Moeller, Robert W. ; Eddy, Jessica A. ; Bare, Michael G. / Sociodemographic Factors Contribute to Mental Health Disparities and Access to Services Among Young Men Who Have Sex with Men in New York City. In: Journal of Gay and Lesbian Mental Health. 2013 ; Vol. 17, No. 3. pp. 294-313.
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