Evidence map›Paper›PMID 38438301›Full record

ArticleEpidemiology and psychiatric sciences2024

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.

Ivan Marbaniang, Erica E M Moodie, Eric Latimer, Shayna Skakoon-Sparling, Trevor A Hart, Daniel Grace, David M Moore, Nathan J Lachowsky, Jody Jollimore, Gilles Lambert and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 96% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 1 country.

Ivan MarbaniangDepartment of Epidemiology, McGill University, Montreal, QC, Canada.ORCID https://orcid.org/0000-0002-8446-9943
Erica E M MoodieDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
Eric LatimerMental Health and Society Division, Douglas Research Centre, Montreal, QC, Canada.
Shayna Skakoon-SparlingDepartment of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.
Trevor A HartDepartment of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.
Daniel GraceDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
David M MooreBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Nathan J LachowskyBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Jody JollimoreCommunity Based Research Centre, Vancouver, BC, Canada.
Gilles LambertInstitut National de Santé Publique du Québec, Montreal, QC, Canada.
Terri ZhangDepartment of Psychology, Toronto Metropolitan University, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-6696-0640
Milada DvorakovaClinical Outcomes Research and Evaluation, Research Institute-McGill University Health Centre, Montreal, QC, Canada.
Joseph CoxDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
Engage Team Members
McGill University · CAMcGill University Health Centre · CAToronto Metropolitan University · CAUniversity of Toronto · CACommunity Based Research Centre · CADouglas Mental Health University Institute · CAInstitut National de Santé Publique du Québec · CAUniversity of British Columbia · CAUniversity of Victoria · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo cope with homonegativity-generated stress, gay, bisexual and other men who have sex with men (GBM) use more mental health services (MHS) compared with heterosexual men. Most previous research on MHS among GBM uses data from largely white HIV-negative samples. Using an intersectionality-based approach, we evaluated the concomitant impact of racialization and HIV stigma on MHS use among GBM, through the mediating role of perceived discrimination (PD).

methodsWe used baseline data from 2371 GBM enrolled in the Engage cohort study, collected between 2017 and 2019, in Montreal, Toronto and Vancouver, using respondent-driven sampling. The exposure was GBM groups:

resultsMean PD scores were highest for racialized HIV-negative GBM (10.3, SD: 5.0) and lowest for white HIV-negative GBM (8.4, SD: 3.9). MHS use was highest in white GBM living with HIV (GBMHIV) (40.4%) and lowest in racialized HIV-negative GBM (26.9%). Compared with white HIV-negative GBM, white GBMHIV had higher TE (OR: 1.71; 95% CI: 1.27, 2.29) and PDE (OR: 1.68; 95% CI: 1.27, 2.24), and racialized HIV-negative GBM had higher PIE (OR: 1.09; 95% CI: 1.02, 1.17). Effects for racialized GBMHIV did not significantly differ from those of white HIV-negative GBM. MIEs across all groups were comparable.

conclusionsHigher MHS use was observed among white GBMHIV compared with white HIV-negative GBM. PD positively mediated MHS use only among racialized HIV-negative GBM. MHS may need to take into account the intersecting impact of homonegativity, racism and HIV stigma on the mental health of GBM.

Indexed as

HIV InfectionsMental Health ServicesSexual and Gender MinoritiesCanadaCohort StudiesHomosexuality, MaleHumansIntersectional FrameworkMalebisexualCanadadiscriminationgayintersectionalitymental health servicesmen who have sex with men

Identifiers

PMID38438301
PMCPMC10940056
OpenAlexW4393107720

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.