Longitudinal Modeling of Methamphetamine Use and Sexual Risk Behaviors in Gay and Bisexual Men

The purpose of the analyses was to examine the associations between methamphetamine and other club drug use with sexual risk taking across time in cohort of gay and bisexual men. Data were collected from a community-based sample. Assessments of unprotected anal intercourse with casual partners, and...

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Bibliographic Details
Published in:AIDS and behavior 2009-08, Vol.13 (4), p.783-791
Main Authors: Halkitis, Perry N., Mukherjee, Preetika Pandey, Palamar, Joseph J.
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adult
AIDS
Bisexuality
Bisexuality - psychology
Bisexuality - statistics & numerical data
Condoms
Disease transmission
Drug Abuse
Drug use
Ecstasy
Female
Health Psychology
HIV
HIV Infections - prevention & control
HIV Infections - transmission
Homosexuality
Homosexuality, Male - psychology
Homosexuality, Male - statistics & numerical data
Human immunodeficiency virus
Humans
Infectious Diseases
Longitudinal Studies
Male
Males
Medicine
Medicine & Public Health
Methamphetamine
Methamphetamine - adverse effects
New York City
Original Paper
Public Health
Risk
Risk taking
Sexual Behavior
Sexual Partners
Sexually transmitted diseases
STD
Street Drugs - adverse effects
Surveys and Questionnaires
Unsafe Sex - statistics & numerical data
Young Adult
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Summary:The purpose of the analyses was to examine the associations between methamphetamine and other club drug use with sexual risk taking across time in cohort of gay and bisexual men. Data were collected from a community-based sample. Assessments of unprotected anal intercourse with casual partners, and use of methamphetamine and other illicit drugs, were assessed at baseline, and at 4-month intervals over the course of a year, and were analyzed using hierarchical linear modeling. Methamphetamine use was related to the frequency of unprotected insertive and receptive intercourse with both HIV-positive and status unknown casual partners across time. The association between methamphetamine use and unprotected acts also was more pronounced for HIV-positive participants. These findings suggest that methamphetamine, and unprotected anal intercourse are co-occurring risk behaviors, that potentially heighten the risk of HIV transmission among gay and bisexual men. HIV prevention and intervention should concurrently target both these behaviors.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-008-9432-y