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Use of crystal methamphetamine among gay men in London

ABSTRACT Aim  To examine the use of crystal methamphetamine (crystal meth) and its association with high‐risk sexual behaviour among gay men in London.   Design  Cross‐sectional surveys using self‐administered questionnaires. Settings  National Health Service (NHS) out‐patient human immunodeficiency...

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Published in:Addiction (Abingdon, England) England), 2006-11, Vol.101 (11), p.1622-1630
Main Authors: Bolding, Graham, Hart, Graham, Sherr, Lorraine, Elford, Jonathan
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Sherr, Lorraine
Elford, Jonathan
description ABSTRACT Aim  To examine the use of crystal methamphetamine (crystal meth) and its association with high‐risk sexual behaviour among gay men in London.   Design  Cross‐sectional surveys using self‐administered questionnaires. Settings  National Health Service (NHS) out‐patient human immunodeficiency virus (HIV) treatment clinic in London; NHS HIV testing/sexual health clinics in London; central London gyms.  Participants  HIV‐positive gay men attending the HIV treatment clinic in 2002–03 (n = 388); HIV‐negative gay men attending the HIV testing/sexual health clinics in 2002–03 (n = 266); gay men using the gyms between January and March 2003 (n = 445), 2004 (n = 653) and 2005 (n = 494). Measurements  Percentage of gay men who reported: (i) using crystal meth in the previous 12 months; (ii) using other recreational drugs (e.g. cocaine, ecstasy, ketamine); (iii) high‐risk sexual behaviour in the previous 3 months. Findings  The percentage of gay men who had used crystal meth in the previous year varied by sample (HIV treatment clinic, 12.6%; HIV testing/sexual health clinics, 8.3%; gyms, 19.5%; P  80%) had taken other recreational drugs. Crystal meth and other drug users were more likely to report high‐risk sexual behaviour than other men, e.g. HIV treatment clinic sample: crystal meth users, 34.7%; other drug users, 18.9%, non‐users, 10.6%, P 
doi_str_mv 10.1111/j.1360-0443.2006.01571.x
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Settings  National Health Service (NHS) out‐patient human immunodeficiency virus (HIV) treatment clinic in London; NHS HIV testing/sexual health clinics in London; central London gyms.  Participants  HIV‐positive gay men attending the HIV treatment clinic in 2002–03 (n = 388); HIV‐negative gay men attending the HIV testing/sexual health clinics in 2002–03 (n = 266); gay men using the gyms between January and March 2003 (n = 445), 2004 (n = 653) and 2005 (n = 494). Measurements  Percentage of gay men who reported: (i) using crystal meth in the previous 12 months; (ii) using other recreational drugs (e.g. cocaine, ecstasy, ketamine); (iii) high‐risk sexual behaviour in the previous 3 months. Findings  The percentage of gay men who had used crystal meth in the previous year varied by sample (HIV treatment clinic, 12.6%; HIV testing/sexual health clinics, 8.3%; gyms, 19.5%; P &lt; 0.001) but did not change over time in the gyms (19.8%, 20.7%, 17.8%; P = 0.5). In all samples, the majority of men used crystal meth only once or twice a year. Most crystal meth users (&gt; 80%) had taken other recreational drugs. Crystal meth and other drug users were more likely to report high‐risk sexual behaviour than other men, e.g. HIV treatment clinic sample: crystal meth users, 34.7%; other drug users, 18.9%, non‐users, 10.6%, P &lt; 0.001. Cause and effect could not be established. Conclusion  Among gay men in London surveyed in clinics, approximately one in 10 reported using crystal meth in the previous 12 months (HIV‐positive men 12.6%; HIV‐negative men 8.3%). Most men used it infrequently—only once or twice a year. There was no evidence of increasing use of crystal meth between 2003 and 2005.</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1111/j.1360-0443.2006.01571.x</identifier><identifier>PMID: 17034442</identifier><identifier>CODEN: ADICE5</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Acquired Immunodeficiency Syndrome - epidemiology ; Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Amphetamine-Related Disorders - epidemiology ; Biological and medical sciences ; Cross-Sectional Studies ; Crystal methamphetamine ; Drug abuse ; Drug addiction ; Drug use ; England ; gay men ; Hallucinogens ; Health ; HIV ; HIV-positive men ; Homosexuality, Male - statistics &amp; numerical data ; Homosexuals ; Human viral diseases ; Humans ; Infectious diseases ; London ; Male ; Medical sciences ; Men ; Methamphetamine ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; recreational drugs ; Risk ; Risk behaviour ; Sexual behaviour ; sexual risk behaviour ; Street Drugs ; Toxicology ; United Kingdom ; Unsafe Sex - statistics &amp; numerical data ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids</subject><ispartof>Addiction (Abingdon, England), 2006-11, Vol.101 (11), p.1622-1630</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4971-b8c6d4f89f49e2ed58e80d4e23da9a7e4eba0fe91016d6b693b208b990f6cc373</citedby><cites>FETCH-LOGICAL-c4971-b8c6d4f89f49e2ed58e80d4e23da9a7e4eba0fe91016d6b693b208b990f6cc373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30979,33203</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18177038$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17034442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bolding, Graham</creatorcontrib><creatorcontrib>Hart, Graham</creatorcontrib><creatorcontrib>Sherr, Lorraine</creatorcontrib><creatorcontrib>Elford, Jonathan</creatorcontrib><title>Use of crystal methamphetamine among gay men in London</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>ABSTRACT Aim  To examine the use of crystal methamphetamine (crystal meth) and its association with high‐risk sexual behaviour among gay men in London.   Design  Cross‐sectional surveys using self‐administered questionnaires. Settings  National Health Service (NHS) out‐patient human immunodeficiency virus (HIV) treatment clinic in London; NHS HIV testing/sexual health clinics in London; central London gyms.  Participants  HIV‐positive gay men attending the HIV treatment clinic in 2002–03 (n = 388); HIV‐negative gay men attending the HIV testing/sexual health clinics in 2002–03 (n = 266); gay men using the gyms between January and March 2003 (n = 445), 2004 (n = 653) and 2005 (n = 494). Measurements  Percentage of gay men who reported: (i) using crystal meth in the previous 12 months; (ii) using other recreational drugs (e.g. cocaine, ecstasy, ketamine); (iii) high‐risk sexual behaviour in the previous 3 months. Findings  The percentage of gay men who had used crystal meth in the previous year varied by sample (HIV treatment clinic, 12.6%; HIV testing/sexual health clinics, 8.3%; gyms, 19.5%; P &lt; 0.001) but did not change over time in the gyms (19.8%, 20.7%, 17.8%; P = 0.5). In all samples, the majority of men used crystal meth only once or twice a year. Most crystal meth users (&gt; 80%) had taken other recreational drugs. Crystal meth and other drug users were more likely to report high‐risk sexual behaviour than other men, e.g. HIV treatment clinic sample: crystal meth users, 34.7%; other drug users, 18.9%, non‐users, 10.6%, P &lt; 0.001. Cause and effect could not be established. Conclusion  Among gay men in London surveyed in clinics, approximately one in 10 reported using crystal meth in the previous 12 months (HIV‐positive men 12.6%; HIV‐negative men 8.3%). Most men used it infrequently—only once or twice a year. There was no evidence of increasing use of crystal meth between 2003 and 2005.</description><subject>Acquired Immunodeficiency Syndrome - epidemiology</subject><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Amphetamine-Related Disorders - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Crystal methamphetamine</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug use</subject><subject>England</subject><subject>gay men</subject><subject>Hallucinogens</subject><subject>Health</subject><subject>HIV</subject><subject>HIV-positive men</subject><subject>Homosexuality, Male - statistics &amp; numerical data</subject><subject>Homosexuals</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>London</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Methamphetamine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>recreational drugs</subject><subject>Risk</subject><subject>Risk behaviour</subject><subject>Sexual behaviour</subject><subject>sexual risk behaviour</subject><subject>Street Drugs</subject><subject>Toxicology</subject><subject>United Kingdom</subject><subject>Unsafe Sex - statistics &amp; numerical data</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>8BJ</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkMlOwzAUAC0EgrL8AsoFbgnPsePlwAHKKiq4sBwtx3mBlCwlTkX79yS0giP4YktvxraGkIBCRPt1Mo0oExAC5yyKAUQENJE0WmyQ0c9gk4xAiySMKYcdsuv9FACk0nyb7FAJjHMej4h48hg0eeDape9sGVTYvdlq9oadrYoaA1s19Wvwapf9pA6KOpg0ddbU-2Qrt6XHg_W-R56uLh_HN-Hk4fp2fDYJHdeShqlyIuO50jnXGGOWKFSQcYxZZrWVyDG1kKOmQEUmUqFZGoNKtYZcOMck2yPHq3tnbfMxR9-ZqvAOy9LW2My9SWTMYqXFnyATXGjJdQ-qFejaxvsWczNri8q2S0PBDHHN1AwNzdDQDHHNd1yz6NXD9RvztMLsV1zX7IGjNWC9s2Xe2toV_pdTVPao6rnTFfdZlLj89wfM2cXFcOr9cOUXvsPFj2_bdyMkk4l5ub828p6rc_Y8NnfsCw7jopQ</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Bolding, Graham</creator><creator>Hart, Graham</creator><creator>Sherr, Lorraine</creator><creator>Elford, Jonathan</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope></search><sort><creationdate>200611</creationdate><title>Use of crystal methamphetamine among gay men in London</title><author>Bolding, Graham ; Hart, Graham ; Sherr, Lorraine ; Elford, Jonathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4971-b8c6d4f89f49e2ed58e80d4e23da9a7e4eba0fe91016d6b693b208b990f6cc373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acquired Immunodeficiency Syndrome - epidemiology</topic><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Amphetamine-Related Disorders - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Crystal methamphetamine</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>Drug use</topic><topic>England</topic><topic>gay men</topic><topic>Hallucinogens</topic><topic>Health</topic><topic>HIV</topic><topic>HIV-positive men</topic><topic>Homosexuality, Male - statistics &amp; numerical data</topic><topic>Homosexuals</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>London</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Methamphetamine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>recreational drugs</topic><topic>Risk</topic><topic>Risk behaviour</topic><topic>Sexual behaviour</topic><topic>sexual risk behaviour</topic><topic>Street Drugs</topic><topic>Toxicology</topic><topic>United Kingdom</topic><topic>Unsafe Sex - statistics &amp; numerical data</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bolding, Graham</creatorcontrib><creatorcontrib>Hart, Graham</creatorcontrib><creatorcontrib>Sherr, Lorraine</creatorcontrib><creatorcontrib>Elford, Jonathan</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bolding, Graham</au><au>Hart, Graham</au><au>Sherr, Lorraine</au><au>Elford, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of crystal methamphetamine among gay men in London</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2006-11</date><risdate>2006</risdate><volume>101</volume><issue>11</issue><spage>1622</spage><epage>1630</epage><pages>1622-1630</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><coden>ADICE5</coden><abstract>ABSTRACT Aim  To examine the use of crystal methamphetamine (crystal meth) and its association with high‐risk sexual behaviour among gay men in London.   Design  Cross‐sectional surveys using self‐administered questionnaires. Settings  National Health Service (NHS) out‐patient human immunodeficiency virus (HIV) treatment clinic in London; NHS HIV testing/sexual health clinics in London; central London gyms.  Participants  HIV‐positive gay men attending the HIV treatment clinic in 2002–03 (n = 388); HIV‐negative gay men attending the HIV testing/sexual health clinics in 2002–03 (n = 266); gay men using the gyms between January and March 2003 (n = 445), 2004 (n = 653) and 2005 (n = 494). Measurements  Percentage of gay men who reported: (i) using crystal meth in the previous 12 months; (ii) using other recreational drugs (e.g. cocaine, ecstasy, ketamine); (iii) high‐risk sexual behaviour in the previous 3 months. Findings  The percentage of gay men who had used crystal meth in the previous year varied by sample (HIV treatment clinic, 12.6%; HIV testing/sexual health clinics, 8.3%; gyms, 19.5%; P &lt; 0.001) but did not change over time in the gyms (19.8%, 20.7%, 17.8%; P = 0.5). In all samples, the majority of men used crystal meth only once or twice a year. Most crystal meth users (&gt; 80%) had taken other recreational drugs. Crystal meth and other drug users were more likely to report high‐risk sexual behaviour than other men, e.g. HIV treatment clinic sample: crystal meth users, 34.7%; other drug users, 18.9%, non‐users, 10.6%, P &lt; 0.001. Cause and effect could not be established. Conclusion  Among gay men in London surveyed in clinics, approximately one in 10 reported using crystal meth in the previous 12 months (HIV‐positive men 12.6%; HIV‐negative men 8.3%). Most men used it infrequently—only once or twice a year. There was no evidence of increasing use of crystal meth between 2003 and 2005.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17034442</pmid><doi>10.1111/j.1360-0443.2006.01571.x</doi><tpages>9</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Wiley-Blackwell Read & Publish Collection; SPORTDiscus with Full Text
subjects Acquired Immunodeficiency Syndrome - epidemiology
Addictive behaviors
Adult
Adult and adolescent clinical studies
Amphetamine-Related Disorders - epidemiology
Biological and medical sciences
Cross-Sectional Studies
Crystal methamphetamine
Drug abuse
Drug addiction
Drug use
England
gay men
Hallucinogens
Health
HIV
HIV-positive men
Homosexuality, Male - statistics & numerical data
Homosexuals
Human viral diseases
Humans
Infectious diseases
London
Male
Medical sciences
Men
Methamphetamine
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
recreational drugs
Risk
Risk behaviour
Sexual behaviour
sexual risk behaviour
Street Drugs
Toxicology
United Kingdom
Unsafe Sex - statistics & numerical data
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Use of crystal methamphetamine among gay men in London
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