Methamphetamine and young men who have sex with men: understanding patterns and correlates of use and the association with HIV-related sexual risk.
Arch Pediatr Adolesc Med
; 161(6): 591-6, 2007 Jun.
Article
in En
| MEDLINE
| ID: mdl-17548765
ABSTRACT
OBJECTIVE:
To examine patterns, consequences, and correlates of methamphetamine use among adolescent and young adult men who have sex with men (YMSM).DESIGN:
Descriptive, bivariate, and hierarchical regression analyses of cross-sectional data.SETTING:
Howard Brown Health Center, a community-based facility in Chicago, Ill, from August 2004 to September 2005.PARTICIPANTS:
Three hundred ten YMSM who completed an anonymous, computer-assisted survey. MAIN OUTCOMEMEASURE:
Methamphetamine use in the past year.RESULTS:
Participants ranged in age from 16 to 24 years (mean age, 20.3 years); 30% were white and 70% were of other race/ethnicity (African American, 33%; Hispanic, 26%; Asian or Pacific Islander, 3%; and other, 8%). Participants reported many high-risk sexual and substance use behaviors. Thirteen percent used methamphetamine in the past year. Methamphetamine use was more common among human immunodeficiency virus-infected participants (odds ratio, 2.8; 95% confidence interval, 1.3-5.3) and varied by age and race/ethnicity; substantially higher prevalence was reported by older and non-African American YMSM (P<.001). Compared with other illicit substance users, methamphetamine users reported more memory difficulties, impairments in daily activities, and unintended risky sex resulting from substance use (all P<.01). Hierarchical regression identified sexual risk (unprotected intercourse and multiple partners), sexualized social context (eg, Internet sex, sex in a bathhouse or sex club, sex with older partners, and commercial sex), lower self-esteem, and psychological distress as correlated with methamphetamine use among participants (P<.05).CONCLUSIONS:
A substantial percentage of YMSM in this sample used methamphetamine. Methamphetamine use is a public health problem with significant implications for the health and well-being of YMSM. Methamphetamine use was associated with human immunodeficiency virus-related risk, and patterns of use were predicted by demographic data, sexualized social contexts, and psychological variables.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
HIV Infections
/
Homosexuality, Male
/
Amphetamine-Related Disorders
/
Methamphetamine
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Humans
/
Male
Language:
En
Journal:
Arch Pediatr Adolesc Med
Journal subject:
PEDIATRIA
Year:
2007
Document type:
Article
Affiliation country:
United States