Substance Use and Depression Among Recently Migrated African Gay and Bisexual Men Living in the United States.

Adedotun Ogunbajo, Chukwuemeka Anyamele, Arjee J Restar, Curtis Dolezal, Theodorus G M Sandfort
Author Information
  1. Adedotun Ogunbajo: Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
  2. Chukwuemeka Anyamele: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
  3. Arjee J Restar: Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
  4. Curtis Dolezal: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
  5. Theodorus G M Sandfort: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA. tgs2001@cumc.columbia.edu. ORCID

Abstract

Immigrant African gay and bisexual men (GBM) are at risk for substance use and adverse mental health outcomes due to negative experiences in home and host countries. Little is known about correlates of substance use and mental health outcomes in this population. We explored pre- and post-migratory factors associated with substance use and depression in recently migrated African GBM. Participants (N = 70) were recruited between July and November 2015 in NYC. Eligible participants were administered a structured questionnaire. Correlates of substance use and depression were identified using bivariate and multivariable analyses. Factors independently associated with current substance use were age, openness about sexual orientation, homophobic experiences in home country, forced sex in home country, current housing instability, and internalized homophobia. Factors independently associated with depression were post-traumatic stress disorder symptoms and alcohol use. substance use and depression were associated with negative experiences in home and host country.

Keywords

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Grants

  1. R25-MH083620/NIMH NIH HHS
  2. R25 MH083620/NIMH NIH HHS
  3. P30 MH043520/NIMH NIH HHS
  4. P2C HD041020/NICHD NIH HHS
  5. T32 MH019139/NIMH NIH HHS
  6. R25 HD045810/NICHD NIH HHS
  7. P30-MH43520/NIMH NIH HHS
  8. R36 DA047216/NIDA NIH HHS
  9. T32-MH19139/NIMH NIH HHS
  10. P2C-HD041020/Eunice Kennedy Shriver National Institute of Child Health and Human Development

MeSH Term

Adult
Africa
Depression
Emigrants and Immigrants
Homophobia
Homosexuality, Male
Humans
Interviews as Topic
Male
Sexual and Gender Minorities
Stress Disorders, Post-Traumatic
Substance-Related Disorders
Surveys and Questionnaires
United States

Word Cloud

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