ArticleInternational journal for equity in health2016
Mental health among men who have sex with men in Cambodia: Implications for integration of mental health services within HIV programmes.
Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- The global prevalence of suicidal ideation and suicide attempts among men who have sex with men: a systematic review and meta-analysis.European journal of medical research · 2023Pooled it
- Lifetime prevalence of suicidal ideation among men who have sex with men: a meta-analysis.BMC psychiatry · 2017Pooled it
- "No matter what, we just work with the trauma…": Mental Health Therapists' Care of Diverse Sexual and Gender Identity Citizens in Cambodia.Research square · 2023Article
- The Relation between Depressive Symptoms and Unsafe Sex among MSM Living with HIV.International journal of environmental research and public health · 2023Article
- Sex Under the Influence of Drugs Among People Who Use Drugs in Cambodia: Findings From a National Survey.Archives of sexual behavior · 2022Article
- Individual level peer interventions for gay and bisexual men who have sex with men between 2000 and 2020: A scoping review.PloS one · 2022Article
- Depression, Nutrition, and Adherence to Antiretroviral Therapy in Men Who Have Sex With Men in Manila, Philippines.Frontiers in public health · 2021Article
- Article
- Prevalence and correlates of alcohol and tobacco use among key populations in Togo in 2017: a cross-sectional study.BMJ open · 2019Article
- Exposure to gender-based violence and depressive symptoms among transgender women in Cambodia: findings from the National Integrated Biological and Behavioral Survey 2016.International journal of mental health systems · 2018Article
- The psychological health and associated factors of men who have sex with men in China: A cross-sectional survey.PloS one · 2018Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPoor mental health contributes to poor HIV prevention, treatment and care outcomes. This paper documents factors associated with psychological distress among men who have sex with men (MSM) in Cambodia and discusses potential ways in which routine mental health management could be integrated into HIV services.
methodsA cross-sectional study was conducted in 2014 among 394 MSM randomly selected from two provinces using a two-stage cluster sampling method. A structured questionnaire was used to assess psychological distress, sexual behaviors, substance use, adverse childhood experiences and family dysfunction. Multivariate logistic regression analysis was performed to explore factors associated with levels of psychological distress.
resultsIn total, 10.7 % of the respondents reported having suicidal thoughts and 6.6 % reported having attempted to commit suicide in the past three months, while 38.8 % had a higher level of psychological distress (GHQ-12 > 3), which indicates poor mental health. Higher levels of psychological distress were independently associated with older age (AOR = 1.09, 95 % CI 1.03-1.14), alcohol use (AOR = 3.3, 95 % CI 1.36-7.83), illicit drug use (AOR = 3.53, 95 % CI 1.12-11.18), poor self-reported quality of life (AOR = 7.45, 95 % CI 1.79-3.04), and reduced condom use at last sex (AOR = 0.40, 95 % CI 0.21-0.73). MSM with higher levels of psychological distress were significantly more likely to report that a family member said hurtful things to them (AOR = 1.80, 95 % CI 1.10-2.97), a parent or guardian had been physically abused (AOR = 3.51, 95 % CI 1.86-6.62), and a family member had been mentally ill (AOR = 4.01, 95 % CI 2.06-7.81) when they were growing up.
conclusionsIn order to mitigate psychological distress among MSM in Cambodia, integration of mental health interventions within HIV programmes should be strengthened. To achieve optimal impact, these interventions should also address alcohol and other substance use, and low condom use among distressed MSM. In addition, training of clinical and non-clinical HIV service providers to screen for mental health symptoms, and subsequent provision of peer-based outreach and social support for MSM identified with psychological distress is required.
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