title: Mental health disorders among homeless, substance-dependent men who have sex with men.
abstract: 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.
  
  
  
  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).
  
  
  
  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%).
  
  
  
  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].
authors: Friends Research Institute Inc, Los Angeles, USA.
authors: Jesse B
authors: JB
authors: Fletcher
authors: Friends Research Institute Inc, Los Angeles, USA.|Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA.
authors: Cathy J
authors: CJ
authors: Reback
mesh_terms: D000328:Adult; D002140:California / Q000453:epidemiology; D006703:Ill-Housed Persons / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008603:Mental Health / Q000639:trends; D008875:Middle Aged; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology*; D055815:Young Adult
keywords: comorbidity; dual diagnosis; men who have sex with men (MSM); mental health disorder; substance use disorder