Accounts of HIV Seroconversion Among Substance-Using Gay and Bisexual Men

Aguinaldo, Jeffrey P.; Myers, Ted; Ryder, Karen; Haubrich, Dennis J.; Calzavara, Liviana

doi:10.1177/1049732309348362

Cited by 10 publications

(6 citation statements)

References 61 publications

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“…While first documented in the UK,19 there have since been indications of chemsex in several other Western European countries20–22 and reports from Southern Asia 23. This phenomenon is closely aligned to the notion of ‘party and play’, a similar sexualised drug use practice documented in North America24 and Australia,25 although focusing more specifically on crystal methamphetamine.…”

Section: Patterns Of Substance Use Among Msmmentioning

confidence: 62%

Substance use among men who have sex with men: patterns, motivations, impacts and intervention development need

2017

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Section: Patterns Of Substance Use Among Msmmentioning

confidence: 62%

Substance use among men who have sex with men: patterns, motivations, impacts and intervention development need

2017

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“…2 In general, methamphetamine use has been of particular concern, at least in part because of its prevalence among HIV-positive MSM (Drumright et al, 2006;Schilder et al, 2005). A number of researchers have reported that the sexual enhancement properties of club drugs, particularly methamphetamine, are a major motivating factor for drug use for many MSM (Díaz, Heckert, & Sanchez, 2005;Kurtz, 2005;Myers et al, 2004), although the precise nature of the relationship between substance use and HIV risk, including whether it is causal or merely correlational, is still under debate (e.g., Aguinaldo, Myers, Ryder, Haubrich, & Calzavara, 2009). Reasons attributed to this link include drug-or alcohol-induced disinhibition (Colfax et al, 2004;Drumright et al;Semple, Patterson, & Grant, 2002), erotic arousal (Schilder et al, 2005), and increased longevity of sexual sessions leading to greater opportunities for sexual risk behaviors (Guss, 2000).…”

mentioning

confidence: 99%

“It’s One of the Better Drugs to Use”: Perceptions of Cocaine Use Among Gay and Bisexual Asian American Men

2010

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Research on drug use among gay and bisexual men has primarily focused on examining the link between drug use -most notably, methamphetamine -sexual practices, and risk of HIV transmission. Drawing on in-depth qualitative data from 40 interviews with gay and bisexual Asian American men, we examine perceptions and meanings associated with cocaine use in the San Francisco Bay Area gay community. We found that our participants, in contrast to their negative perceptions of methamphetamine use, believed that cocaine enhanced sociability and was acceptable for use in most social situations. Furthermore, participants perceived little connection between cocaine use and risky sexual practices, emphasizing the drug's safety relative to other illicit substances. Overall, these findings suggest that an increase in the favorability of cocaine use might be an unintended consequence of methamphetamine prevention campaigns, targeting the gay community, with their emphasis on the harmful effects of drug use, unsafe sex and HIV risk. Keywordsaddiction / substance use; bisexuals; ethnicity; gays and lesbians; health behavior; HIV/AIDS prevention; men's health; minorities; risk, behaviors; risk, perceptionsResearchers have documented particularly high levels of drug use among men who have sex with men (MSM) compared to the rest of the population (Cochran, Ackerman, Mays, & Ross, 2004;Greenwood et al., 2001). There have been relatively few large-scale studies comparing drug-use rates and patterns among heterosexuals and MSM, and differing sampling methods used in heterosexual and MSM studies are rarely equivalent . However, those studies that do make these comparisons between MSM and non-MSM drug users typically indicate higher rates of lifetime drug use (Cochran et al., 2004), polydrug use (Halkitis, Palamar, & Mukherjee, 2007;Stall & Wiley, 1988), and overall levels of drug consumption McDowell, 1999) among MSM. Notably, high levels of drug use have been documented among MSM in gay urban epicenters such as New York, Los Angeles, and San Francisco (Clatts, Goldsamt, & Yi, 2005a&b;Grov et al., 2006;Stall & Purcell, 2000). Club drugs, in particular, have been associated with MSM. 1 For example, in studies comparing rates of drug use among MSM and heterosexuals in the dance and club scenes, researchers have highlighted higher rates of marijuana, cocaine, and popper use (McKirnan & Peterson, 1989); of crystal methamphetamine, ecstasy, and ketamine use (Lampinen, McGhee, & Martin, 2006); and of ketamine and methamphetamine use (Degenhardt, 2005) among MSM. Even though a fewCorresponding Author Dr. Geoffrey Hunt, Ph.D., Institute for Scientific Analysis, 1150 Ballena Blvd., Suite 211, Alameda, California 94501, USA huntgisa@ix.netcom.com. Declaration of Conflicting InterestsThe authors declared no conflicts of interest with respect to the authorship and/or publication of this article. NIH Public Access Author ManuscriptQual Health Res. Author manuscript; available in PMC 2012 May 1. NIH-PA Author ManuscriptNIH-PA Author Manus...

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“…2,3 Prior studies with MSM have also found a strong association between substance use and UAS, yet the casual link between these two behaviors regarding HIV acquisition is much less understood and critically important for HIV prevention. [3][4][5][6][7][8][9][10][11][12][13][14][15] Two recent and substantive literature reviews describe how assessment of substance use with or without sex among MSM has been inconsistent among prior studies. 16,17 Despite these inconsistencies, several key themes were noted.…”

Section: Introductionmentioning

confidence: 99%

Relationship Characteristics Differ Based on Use of Substances with Sex among an Urban Internet Sample of HIV-Discordant and HIV-Positive Male Couples

Mitchell

2015

J Urban Health

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Previous research with men who have sex with men (MSM) has found that substance use with sex is strongly associated with HIV acquisition and poor adherence to HIV treatments. Although some studies have assessed male couples' use of substances with unprotected anal sex, little is known on whether differences in their relationship dynamics are associated with their usage. Current HIV prevention initiatives underscore the importance of studying male couples' relationship dynamics. Using dyadic data from 28 HIV-positive and 58 HIV-discordant male couples, this analysis sought to: (1) describe, by substance type, whether neither, one, or both partners in the couple used a particular substance with sex within their relationship or outside of the relationship, respectively, and (2) assess, by substance type, whether relationship characteristic differences existed between these three groups of couples with respect to substance use with sex within and outside the relationship. Data from 86 dyads came from a cross-sectional, Internet study. Multivariate multinomial regression models were employed to achieve the aims. Except for alcohol, most did not use substances with sex. Within the relationship, those who used with sex varied by substance type; outside the relationship, most couples had only one partner who used with sex regardless of substance type. Several relationship characteristic differences were noted between the groups of couples. Within the relationship, marijuana and erectile dysfunction medication (EDM) use with sex was associated with having less tangible resources; for outside the relationship, these were associated with perceiving to have greater quality of alternatives. In general, amyl nitrates and party drug use with sex were associated with viewing the main partner as being less dependable for trustworthiness. Marijuana and party drug use with sex within the relationship and EDM use with sex outside the relationship were negatively associated with being able to communicate constructively. Mixed results were noted for relationship satisfaction. Additional research is urgently needed for prevention and promotion of healthy relationships for male couples who use substances with sex.

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Accounts of HIV Seroconversion Among Substance-Using Gay and Bisexual Men

Cited by 10 publications

References 61 publications

Substance use among men who have sex with men: patterns, motivations, impacts and intervention development need

Substance use among men who have sex with men: patterns, motivations, impacts and intervention development need

“It’s One of the Better Drugs to Use”: Perceptions of Cocaine Use Among Gay and Bisexual Asian American Men

Relationship Characteristics Differ Based on Use of Substances with Sex among an Urban Internet Sample of HIV-Discordant and HIV-Positive Male Couples

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