title: Associations of Perceived Parental Psychopathology with Mental Health Burden and Lifetime Drug Use in Gay, Bisexual, and other YMSM: The P18 Cohort Study.
abstract: Parental mental health may be a critical component in understanding the overlapping health burdens of mental health symptomatology and drug use in young men who have sex with men (YMSM), yet studies of YMSM have not fully examined these associations. To understand these relationships, data drawn from a study of gay, bisexual, and other YMSM were used to examine associations between perceived parental psychopathology and the health of YMSM. Findings suggest that YMSM reporting at least one parent with perceived depression, manic depression, schizophrenia, or antisocial behavior anytime during their childhoods were more likely to report higher levels of both depressive symptomatology and post-traumatic stress disorder (PTSD) than those reporting no perception of any of these psychopathologies in their parents. Number of different drugs used in one's life were higher among participants who perceived at least one parent as depressed. Mediation analyses indicated that the relationship between perceived parental depression and lifetime drug use of YMSM was mediated both by YMSM depression and YMSM PTSD. These results suggest that parental psychopathology plays an important role in the health of sexual minority men, a population with elevated levels of mental health burden and drug use across the lifespan.
authors.affiliation: a Center for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, and Department of Applied Psychology, Steinhardt School, and Department of Population Health , Langone School of Medicine, New York University , New York , USA.
authors.forename: Perry N
authors.initials: PN
authors.lastname: Halkitis
authors.affiliation: b Center for Health, Identity, Behavior, and Prevention Studies, New York University , New York , USA.
authors.forename: Marybec
authors.initials: M
authors.lastname: Griffin-Tomas
authors.affiliation: b Center for Health, Identity, Behavior, and Prevention Studies, New York University , New York , USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Levy
authors.affiliation: c Center for Health, Identity, Behavior, and Prevention Studies, and Department of Medicine , Langone School of Medicine, New York University , New York , USA.
authors.forename: Richard E
authors.initials: RE
authors.lastname: Greene
authors.affiliation: d Center for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health Public Health, and Department of Population Health , Langone School of Medicine, New York University , New York , USA.
authors.forename: Farzana
authors.initials: F
authors.lastname: Kapadia
mesh_terms: D000293:Adolescent; D001727:Bisexuality / Q000523:psychology*; D015331:Cohort Studies; D005192:Family Health; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders; D008603:Mental Health; D010290:Parents / Q000523:psychology*; D000072339:Sexual and Gender Minorities; D019966:Substance-Related Disorders / Q000523:psychology*; D055815:Young Adult
keywords: YMSM; bisexual; drug use; gay; mental health; parental psychopathology; syndemic