scholarly journals Delineating Patterns of Sexualized Substance use and its Association with Sexual and Mental Health Outcomes Among Young Gay, Bisexual and Queer Men in Singapore: A Latent Class Analysis

Author(s):  
Rayner Kay Jin Tan ◽  
Caitlin Alsandria O’Hara ◽  
Wee Ling Koh ◽  
Daniel Le ◽  
Avin Tan ◽  
...  

Abstract Background: Young gay, bisexual, and other men who have sex with men (YMSM) are vulnerable to the risks associated with sexualized substance use. This is a novel study in Singapore that aims to classify patterns of sexualized substance use among YMSM, and investigate its association with sexual and mental health outcomes. Methods: In this cross-sectional study among 570 YMSM aged 18 to 25 years old, latent class analysis (LCA) conducted to identify classes with similar patterns of sexualized substance use, across which measures of inconsistent condom use, recent STI diagnoses, past suicide ideation and depression severity were compared. Results: LCA revealed three classes of YMSM based on types of substances ever used in sexualized contexts, which we labelled as ‘substance-naïve’, ‘substance-novice’, and ‘chemsex’. Substance-naïve participants (n=404) had only ever used alcohol, while substance-novice participants (n=143) were primarily amyl nitrite users with a small proportion who reported using chemsex-related drugs. Chemsex partiipants (n=23) comprised individuals who had mostly used such drugs. Those in the chemsex group were more likely to report recent unprotected anal sex with casual partners, depression severity and a history of suicide ideation.Conclusions: Findings of this study highlight how the use of varying substances in sexualized contexts may be classified and characterized by different sexual and mental health outcomes. Health promotion efforts should be differentiated accordingly to address the risks associated with sexualized substance use among YMSM.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rayner Kay Jin Tan ◽  
Caitlin Alsandria O’Hara ◽  
Wee Ling Koh ◽  
Daniel Le ◽  
Avin Tan ◽  
...  

Abstract Background Young gay, bisexual, and other men who have sex with men (YMSM) are vulnerable to the risks associated with sexualized substance use. This is a novel study in Singapore that aims to classify patterns of sexualized substance use among YMSM, and investigate its association with sexual and mental health outcomes. Methods In this cross-sectional study among 570 YMSM aged 18 to 25 years old, latent class analysis (LCA) conducted to identify classes with similar patterns of sexualized substance use, across which measures of inconsistent condom use, recent STI diagnoses, past suicide ideation and depression severity were compared. Results LCA revealed three classes of YMSM based on types of substances ever used in sexualized contexts, which we labelled as ‘substance-naive’, ‘substance-novice’, and ‘chemsex’. Substance-naive participants (n = 404) had only ever used alcohol, while substance-novice participants (n = 143) were primarily amyl nitrite users with a small proportion who reported using chemsex-related drugs. Chemsex participants (n = 23) comprised individuals who had mostly used such drugs. Those in the chemsex group were more likely to report recent unprotected anal sex with casual partners (aPR = 3.28, 95%CI [1.85, 5.79]), depression severity (aβ = 3.69, 95%CI [0.87, 6.51]) and a history of suicide ideation (aPR = 1.64, 95%CI [1.33, 2.03]). Conclusions Findings of this study highlight how the use of varying substances in sexualized contexts may be classified and characterized by different sexual and mental health outcomes. Health promotion efforts should be differentiated accordingly to address the risks associated with sexualized substance use among YMSM.


PLoS ONE ◽  
2016 ◽  
Vol 11 (10) ◽  
pp. e0164790 ◽  
Author(s):  
Leyla Ismayilova ◽  
Eleni Gaveras ◽  
Austin Blum ◽  
Alexice Tô-Camier ◽  
Rachel Nanema

2020 ◽  
Vol 90 (10) ◽  
pp. 771-778
Author(s):  
Katie Heiden‐Rootes ◽  
Joanne Salas ◽  
Rachel Moore ◽  
Shah Hasan ◽  
Lauren Wilson

Author(s):  
Kristin Göbel ◽  
Caroline Cohrdes

Abstract Background The exposure to an accumulation of various risk factors during childhood and adolescence relative to a single risk is associated with poorer mental health. Identification of distinct constellations of risk factors is an essential step towards the development of effective prevention strategies of mental disorders. A Latent class analysis (LCA) extracts different combinations of risk factors or subgroups and examines the association between profiles of multiple risk and mental health outcomes. Methods The current study used longitudinal survey data (KiGGS) of 10,853 German children, adolescents and young adults. The LCA included 27 robust risk and protective factors across multiple domains for mental health. Results The LCA identified four subgroups of individuals with different risk profiles: a basic-risk (51.4%), high-risk (23.4%), parental-risk (11.8%) and social-risk class (13.4%). Multiple risk factors of the family domain, in particular family instability were associated with negative mental health outcomes (e.g. mental health problems, depression, ADHD) and predominately comprised late adolescent girls. The social environment represented a more common risk domain for young males. Conclusion The understanding of multiple risk and different risk “profiles” helps to understand and adjust targeted interventions with a focus on vulnerable groups.


Author(s):  
Bruce G Taylor ◽  
Weiwei Liu ◽  
Elizabeth A. Mumford

The purpose of this study is to understand the availability of employee wellness programs within law enforcement agencies (LEAs) across the United States, including physical fitness, resilience/wellness, coping skills, nutrition, mental health treatment, and substance use treatment. The research team investigated whether patterns of LEA wellness programming are identifiable and, if so, what characteristics describe these patterns. We assess using latent class analysis whether there are distinct profiles of agencies with similar patterns offering different types of wellness programs and explore what characteristics distinguish agencies with certain profiles of wellness programming. Data were from a nationally representative sample of 1135 LEAs: 80.1% municipal, 18.6% county and 1.3% other agencies (state-level and Bureau of Indian Affairs LEAs). We found that many agencies (62%) offer no wellness programming. We also found that 23% have comprehensive wellness programming, and that another group of agencies specialize in specific wellness programming. About 14% of the agencies have a high probability of providing resilience coping skill education, mental health and/or substance use treatment services programming. About 1% of the agencies in the United States limit their programming to fitness and nutrition, indicating that fitness and nutrition programs are more likely to be offered in concert with other types of wellness programs. The analyses revealed that agencies offering broad program support are more likely to be large, municipal LEAs located in either the West, Midwest or Northeast (compared with the southern United States), and not experiencing a recent budget cut that impacted wellness programming.


2019 ◽  
Vol 54 (12) ◽  
pp. 1938-1944 ◽  
Author(s):  
Jordan L. Nelon ◽  
Kris T. De Pedro ◽  
Tamika D. Gilreath ◽  
Megan S. Patterson ◽  
Caitlin B. Holden ◽  
...  

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