ArticleSocial psychiatry and psychiatric epidemiology2022
Mental health services use and depressive symptom scores among gay and bisexual men in Canada.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Childhood Threat and Deprivation and Links to Mental Health Behaviors and Health Risk Behaviors Among Young Sexual Minority Men: The Differential Roles of Mindfulness and Emotion Regulation.International journal of environmental research and public health · 2026Article
- Improving prevalence estimates of mental health and well-being indicators among sexual minority men: a propensity-weighting approach.American journal of epidemiology · 2024Article
- Using an intersectionality-based approach to evaluate mental health services use among gay, bisexual and other men who have sex with men in Montreal, Toronto and Vancouver.Epidemiology and psychiatric sciences · 2024Article
- Self-Objectification, Disordered Eating and Sexual Orientation in Men.International journal of environmental research and public health · 2024Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo evaluate the association between mental health services (MHS) use and depressive symptom scores among gay and bisexual men (GBM) and compare with heterosexual men in Canada.
methodsWe used data from the 2015-2016 cycles of the Canadian Community Health Survey. Depressive symptoms were assessed using the PHQ-9 questionnaire (prior two weeks). MHS consultations with any licensed mental health professional (prior year) were categorized as 0, 1, 2-11, ≥ 12. We fit linear regression models to quantify the associations between MHS use and PHQ-9 scores, with an interaction term for sexual identity (GBM and heterosexual men). Models were adjusted for socioeconomic and health-related indicators.
resultsAmong 21,383 men, 97.3% self-identified as heterosexual and 2.7% as GBM. Compared to heterosexual men, GBM used any MHS (21% vs. 10%, p < 0.05) and consulted ≥ 2 health professionals for their mental health (6% vs. 2%, p < 0.05) in the preceding year more frequently. Overall, mean PHQ-9 scores were higher among GBM compared to heterosexual men (3.9 vs. 2.3, p < 0.05). Relative to no consultations, higher MHS use (2-11, ≥ 12 consultations) was associated with higher PHQ-9 scores (1.4-4.9 points higher). Associations between MHS use and PHQ-9 scores did not differ statistically between GBM and heterosexual men.
conclusionOur findings were inconclusive in demonstrating a difference between heterosexual men and GBM for the association between MHS use and PHQ-9 scores. However, GBM consistently had higher average PHQ-9 scores for every category of consultations. Considering the higher use of MHS and higher burden of depressive symptoms among GBM, more research is needed.
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