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The syndemic production approach [ 3 , 19 — 24 ] and the minority stress model approach [ 25 — 27 ] give an explanation for the interaction of drug consumption, mental health problems, HIV and experience of violence in sexual minority populations.
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There were no other inclusion or exclusion criteria for the study. Furthermore, specific prevention strategies, aimed at both mental and physical well-being, should be developed for substance-using MSM.