Longitudinal Patterns of Methamphetamine, Popper (Amyl Nitrite), and Cocaine Use and High-Risk Sexual Behavior Among a Cohort of San Francisco Men Who Have Sex with Men

Colfax, Grant; Coates, Thomas J.; Husnik, Marla; Huang, Yijian; Buchbinder, Susan; Koblin, Beryl A.; Chesney, Margaret A.; Vittinghoff, Eric; Team, Explore Study

doi:10.1093/jurban/jti025

Cited by 248 publications

(219 citation statements)

References 22 publications

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“…[13][14][15][16] Although there are no racial differences in drug use and exchange sex among MSM, 6 it is important to address these behaviors because they are associated with sexual risk behaviors in this population. [26][27][28][29][30][31] In focus group interviews conducted among NGI black MSM/MSMW, the men revealed that they use drugs, alcohol, and exchange sex as coping mechanisms to resolve conflicts between their racial and sexual identities. 32 Among the interviewed men, those in treatment for substance abuse indicated that self-acceptance of their sexuality was necessary for recovery.…”

Section: Discussionmentioning

confidence: 99%

History of Arrest and Associated Factors among Men Who Have Sex with Men

et al. 2011

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Incarceration has been proposed to be a driving factor in the disproportionate impact of HIV in African-American communities. However, few data have been reported on disparities in criminal justice involvement by race among men who have sex with men (MSM). To describe history of arrest and associated factors among, we used data from CDC's National HIV Behavioral Surveillance system. Respondents were recruited by time-space sampling in venues frequented by MSM in 15 US cities from 2003 to 2005. Data on recent arrest (in the 12 months before the interview), risk behaviors, and demographic information were collected by face-to-face interview for MSM who did not report being HIV-positive. Six hundred seventy-nine (6.8%) of 10,030 respondents reported recent arrest. Compared with white MSM, black MSM were more likely to report recent arrest history (odds ratio (OR), 1.6; 95% confidence interval (CI), 1.3-2.1). Men who were less gay-identified (bisexual [OR, 1.5; 95% CI, 1.1-1.9] or heterosexual [OR, 2.0; 95% CI, 1.2-3.5]) were more likely to report recent arrest than homosexually identified men. In addition, men who reported arrest history were more likely to have used non-injection (OR, 3.0; 95% CI, 2.4-3.6) and injection (OR, 4.7; 95%, 3.3-6.7) drugs, exchanged sex (OR, 2.7; 95% CI, 2.1-3.4), and had a female partner (OR, 1.5; 95% CI, 1.2-2.0) in the 12 months before interview. Recent arrest was associated with insertive unprotected anal intercourse in the 12 months before interview (OR, 1.4; 95% CI, 1.2-1.7). Racial differences in arrest seen in the general US population are also present among MSM, and history of arrest was associated with high-risk sex. Future research and interventions should focus on clarifying the relationship between criminal justice involvement and sexual risk among MSM, particularly black MSM.

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Section: Discussionmentioning

confidence: 99%

History of Arrest and Associated Factors among Men Who Have Sex with Men

et al. 2011

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“…Recent scientific evidence suggests that among MSM, both light and heavier drug use is significantly associated with increased risk of engaging in unprotected anal sex with an HIV-positive or unknown-status partner (Colfax et al, 2005), and that risk for engaging in unprotected anal intercourse is greater when MSM use methamphetamine (Rusch et al, 2004). However, research also suggests that gay and bisexual methamphetamine users demonstrate significant decreases in sexual risk behaviors following substance abuse treatment (Reback et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Mausbach¹,

Semple²,

Strathdee³

et al. 2007

Drug and Alcohol Dependence

106

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Background-Methamphetamine use has been associated with rising STI/HIV transmission rates, particularly among men who have sex with men (MSM). Interventions which successfully reduce risk for HIV transmission among this population are a public health priority. This study examined the efficacy of a behavioral intervention for increasing safer sex behaviors in the context of ongoing methamphetamine use in a sample of HIV-positive, methamphetamine-using MSM.Methods-Three-hundred forty one participants from San Diego, CA were randomly assigned to receive either a safer sex behavioral intervention (EDGE) or a time-equivalent diet-and-exercise attention-control condition. Random effects regression analyses were used to evaluate change in safer sex behaviors over a 12-month period.Results-Participants in the EDGE intervention engaged in significantly more protected sex acts at the 8-month (p = .034) and 12-month assessment (p = 0.007). By 12-months post-baseline, a greater percentage of protected sex acts that was observed for EDGE (25.8%) vs. control participants (18.7%) (p = 0.038). There was a significant time-by-intervention interaction (p = .018) for self-efficacy for condom use, suggesting that EDGE participants' self-efficacy demonstrated a greater increase over time compared to control participants.Conclusions-These results suggest that it is possible to reduce high risk sexual behaviors in the context of ongoing methamphetamine use among HIV-infected MSM.

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“…Injection practices (CDC, 2003) and risky sexual behaviors (Leigh & Stall, 1993) among illicit drug abusing populations have greatly contributed to the rapid growth and spread of HIV in the U.S. Much attention regarding high rates of HIV among illicit drug users in the U.S. has centered on heroin and cocaine/crack users (Gyarmathy, Neaigus, Miller, Friedman, & Des Jarlais, 2002;Neaigus, Miller, Friedman, & Des Jarlais, 2001). However, a growing number of studies have identified methamphetamine (MA) use as a significant cofactor associated with increased HIV infection (Schwarcz, Scheer, McFarland, Katz, Valleroy, et al, 2007;Colfax, Mansergh, Guzman, Vittinghoff, Marks, et al, 2001;Colfax, Vittinghoff, Husnik, McKirnan, Buchbinder, et al, 2004;Colfax, Coates, Husnik, Huang, Buchbinder, et al, 2005;Buchacz, McFarland, Kellogg, Loeb, Holmberg, et al, 2005). Most of this work to date has been on men who have sex with men (MSM) populations (Peck, Shoptaw, Rotheram-Fuller, Reback, & Bierman, 2005;Halkitis, Parsons, & Stirratt, 2001;Reback, Larkins, & Shoptaw, 2004) ;Frosch, Shoptaw, Huber, Rawson, & Ling, 1996;Gorman, Morgan, & Lambert, 1995;Paul, Stall, & Davis, 1993;Shoptaw, Reback, Frosch, & Rawson, 1998;Semple, Patterson, & Grant, 2002).…”

Section: Introductionmentioning

confidence: 99%

Methamphetamine dependence and human immunodeficiency virus risk behavior

Rawson

Gonzales

Pearce

et al. 2008

Journal of Substance Abuse Treatment

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We examined human immunodeficiency virus (HIV) related risk behaviors among methamphetamine (MA) dependent users. Secondary data analysis was performed on data from a large clinical trial: the Methamphetamine Treatment Project (MTP) (N=784). All MA-dependent participants were enrolled in an outpatient treatment program, receiving either a standard psychosocial intervention (Matrix Model) or Treatment-as-Usual. HIV-related risk behavior, including injection and unsafe sexual practices, was assessed using the AIDS Risk Assessment at baseline, treatment discharge, and 6-, 12, and 36 months following treatment participation. Results indicate that HIV-risk behaviors substantially decreased over time. Treatment factors (retention and completion) and frequency of MA use were both positively associated with increased reduction of HIV risk behaviors. Findings suggest that treatment of MA dependence is promising for reducing behaviors that have been shown to transmit HIV.

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Longitudinal Patterns of Methamphetamine, Popper (Amyl Nitrite), and Cocaine Use and High-Risk Sexual Behavior Among a Cohort of San Francisco Men Who Have Sex with Men

Cited by 248 publications

References 22 publications

History of Arrest and Associated Factors among Men Who Have Sex with Men

History of Arrest and Associated Factors among Men Who Have Sex with Men

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Methamphetamine dependence and human immunodeficiency virus risk behavior

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