High financial hardship and mental health burden among gay, bisexual and other men who have sex with men

Yazan A. Al-Ajlouni, Su Hyun Park, Steven A. Safren, Noah T. Kreski, Brian Elbel, Andrew Trinidad, Denton Callander, Dustin T. Duncan

Research output: Contribution to journalArticle


Prior research has documented the ways in which financial hardships negatively impact health, particularly mental health. However, this association between financial hardships and mental health outcomes has rarely been examined in sexual minorities. The purpose of this study was to examine associations between financial hardships and mental health burdens among a sample of gay, bisexual and other men who have sex with men (MSM) in Paris, France. Participants (n = 580) completed a cross-sectional survey advertised on a geosocial networking application. Participants responded to measures of mental health, financial hardship, and socio-demographics. Modified Poisson models were used to estimate risk ratios (RRs) and 95% confidence intervals (CI) for the associations between financial hardship and the following outcomes: 1) depressive symptoms, 2) anxiety symptoms, and 3) psychological distress. After adjusting for socio-demographics, high financial hardships were associated with depressive symptoms (aRR: 1.48, 95% CI: 1.04, 2.11) and psychological distress (aRR: 1.56, 95% CI: 1.09, 2.23). Analyses also demonstrated that stress acts as a mediating variable. These preliminary results suggest that future interventions to reduce financial hardships may have positive effects on the mental health of such a population.

Original languageEnglish (US)
JournalJournal of Gay and Lesbian Mental Health
StateAccepted/In press - Jan 1 2020



  • depression
  • gay men
  • Mental health
  • sexual minority

ASJC Scopus subject areas

  • Health(social science)
  • Clinical Psychology
  • Psychiatry and Mental health

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