Frequency of reported methamphetamine use linked to prevalence of clinical conditions, sexual risk behaviors, and social adversity in diverse men who have sex with men in Los Angeles

This study tested the hypothesis that reported frequency of methamphetamine use is significantly associated with measures of social adversity, sexual risk behaviors, chronic health conditions, bacterial STIs and HIV-related factors among diverse men who have sex with men (MSM). Data were 2428 visits...

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Bibliographic Details
Published in:Drug and alcohol dependence 2022-03, Vol.232, p.109320-109320, Article 109320
Main Authors: Shoptaw, Steve, Li, Michael J., Javanbakht, Marjan, Ragsdale, Amy, Goodman-Meza, David, Gorbach, Pamina M.
Format: Article
Language:English
Subjects:
Adversity
Aggression
Bacteria
Biological markers
Biomarkers
Chlamydia trachomatis
Chronic illnesses
Cross-Sectional Studies
Gays & lesbians
Gonorrhea
Health behavior
Health risks
Health status
HIV
HIV Infections - epidemiology
Homosexuality, Male
Housing
Human immunodeficiency virus
Humans
Intimate partner violence
Longitudinal Studies
Los Angeles - epidemiology
Male
Men who have sex with men
Mens health
Methamphetamine
Methamphetamine - adverse effects
Multiculturalism & pluralism
Prevalence
Risk
Risk behavior
Risk taking
Sexual and Gender Minorities
Sexual Behavior
Sexual Partners
Sexually transmitted diseases
Social behavior
STD
Syphilis
Unemployment
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Summary:This study tested the hypothesis that reported frequency of methamphetamine use is significantly associated with measures of social adversity, sexual risk behaviors, chronic health conditions, bacterial STIs and HIV-related factors among diverse men who have sex with men (MSM). Data were 2428 visits from 515 mSTUDY participants (261 people living with HIV; 254 HIV-negative). mSTUDY is an ongoing longitudinal study of racially/ethnically diverse MSM in Los Angeles County. Logistic regression with random intercepts modeled associations between self-reported past 6-month methamphetamine use (none, monthly or less, weekly or more) with reported adverse social outcomes (unemployment, housing instability, intimate partner violence), sexual risk behaviors, chronic health conditions, and biomarkers of bacterial STIs (chlamydia, gonorrhea, or syphilis) and detectable HIV viral load (among HIV-positive). Models controlled for confirmed HIV-serostatus. Prevalence of reported monthly or less methamphetamine use was 19%; weekly or more use was 18%. Multivariable models showed escalating odds of adverse social outcomes and sexual risk behaviors (p’s 
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2022.109320