By
Siyan Yi, Sovannary Tuot, Pheak Chhoun,
Khuondyla Pal, Sok Chamreun Choub & Gitau Mburu
Published: 24 March 2016

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.

A 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.

This study found that psychological distress among MSM in Cambodia is associated with low condom use, alcohol and illicit drug use, older age, poor quality of life, as well as social and family contexts related to child abuse, family violence, and family history of mental illness.

In 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.

full study https://equityhealthj.biomedcentral.com ... 016-0342-8

These outcomes, even if they can be considered reliable, are more attributable to poverty than sexuality.

95% illicit drug use?

fax wrote: ↑Fri Nov 15, 2019 7:32 pm 95% illicit drug use?

I'm not an educated person and not sure I'm correct, I'm probably wrong, but don't AORs (illicit drug use Associated Odds Ratios = 3.53, 95 % CI 1.12–11.18) include other related variables, and not just represent illicit drug use alone?

Any tertiary educated health types about?