Living On the Edge Gay Men, Depression And Risk-Taking Behaviors By Spencer Cox Executive Director The Medius Institute For Gay Men’s Health 12/20/2012 1 The Medius Institute is a non-profit organization dedicated to improving the health, well-being, and longevity of gay men. Special thanks to Founding Sponsor Broadway Cares/Equity Fights AIDS, David Corkery and The Corkery Group, Glaxo-Smithkline, and the Richard E. Lynn and Joe Evall Foundation. Also thanks to: Lynda Dee, Dr. Alan Downs, Dr. Anthony Gaudioso, Dr. Perry Halkitis, Michael Isbell, Michael Joyner, Dr. Robert Kerzner, Jay Laudato, Mark Leidorf, Jon-David Nalley, Catherine McBride, Christopher Murray, David Nimmons, Laura Pinsky, Michele Pronko, David Richwine, Michael Shernoff, John Sirabella, Tom Viola, John Voelcker, Dr. Barbara Warren, Dr. Ron Winchell, and Mark Woodcock. The Medius Institute for Gay Men’s Health. 305 W. 45th St. Suite 4I. New York, NY 10036. Phone: (646) 873-3550. e-mail:
[email protected] Table of Contents: Executive Summary 1 Introduction 4 Gay Men and Depression 8 An Overview of Depression 10 Depression and Substance Abuse 14 Depression and Sexually Transmitted Diseases 21 Depression and HIV-positive Men 24 Discussion 27 Summary of Recommendations 31 Executive Summary The incidence of mood and anxiety disorders, and particularly of depression, dysthymia and generalized anxiety disorder, are substantially higher among gay men than in the population of men as a whole. The most reliable estimates suggest that gay men are about three times more likely than the general population to experience depression. In some gay men – particularly urban gay men – there seems to be a set of risk- taking behaviors that are highly associated with each other, and with depression.