CDC Consultation on Methamphetamine Use and Sexual Risk Behavior for HIV/STD Infection: Summary and Suggestions

Purcell, David W.; Stall, Ron; McFarlane, Mary; Semaan, Salaam; Valentine, Jo A.; Valdiserri, Ronald O.

doi:10.1177/003335490612100205

Cited by 88 publications

(71 citation statements)

References 20 publications

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“…In the high-risk behavior venues, our results are consistent with previous studies finding an association between STIs, including HIV, and methamphetamine/cocaine use among MSM and heterosexual men (CDC, 2006;Mansergh et al, 2006). Cocaine use and, in particular, crack cocaine, has been strongly associated with HIV high-risk behaviors, sex work, and STIs in various populations in the United States (Compton et al, 1995) and also among Latino immigrants (Paz-Bailey, Teran, Levine, & Markowitz, 2004).…”

Section: Discussionsupporting

confidence: 90%

“…Over time, environmental and behavioral factors may increase the opportunities for HIV-infected individuals to enter into Latino migrant sexual networks, and migrant communities could experience higher rates of HIV infection and transmission (Apostolopoulos et al, 2006;Rangel et al, 2006;Worby & Organista, 2007). Methamphetamine and cocaine use promotes opportunities for becoming infected with HIV and sexually transmitted infections (STIs) among men who have sex with men (MSM) and, more recently, among men who have sex with women, particularly through unprotected anal and vaginal intercourse and unprotected intercourse with a new partner (Centers for Disease Control and Prevention [CDC], 2006;Compton, Lamb, & Fletcher, 1995;Mansergh et al, 2006;Molitor, Truax, Ruiz, & Sun, 1998;Zule, Costenbader, Meyer, & Wechsberg, 2007). Although there is evidence that methamphetamine and crack cocaine smoking is increasing nationally, especially in the border states in Mexico and in the United States, in addition to increasing non-injected methamphetamine use among Latinos diagnosed with AIDS in California, research is scarce addressing these behaviors among Mexican migrants in relation to HIV (Maxwell et al, 2006;Rock Wohl, Johnson, & Frye, 2007).…”

mentioning

confidence: 99%

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Methamphetamine and Cocaine Use among Mexican Migrants in California: The California-Mexico Epidemiological Surveillance Pilot

Hernández¹,

Sanchez²,

Ayala³

et al. 2009

AIDS Education and Prevention

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Methamphetamine and cocaine use have been associated with a vulnerability to HIV infection among men who have sex with men and among men who have sex with women but not specifically among Mexican migrants in the United States. The California-Mexico Epidemiological Surveillance Pilot was a venue-based targeted survey of male and female Mexican migrants living in rural and urban areas in California. Among men (n = 985), the percentage of methamphetamine/cocaine use in the past year was 21% overall, 20% in male work venues, 19% in community venues, and 25% in high-risk behavior venues. Among women, 17% reported methamphetamine/cocaine use in high-risk behavior venues. Among men, methamphetamine/cocaine use was significantly associated with age less than 35 years, having multiple sex partners, depressive symptoms, alcohol use, sexually

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Methamphetamine and Cocaine Use among Mexican Migrants in California: The California-Mexico Epidemiological Surveillance Pilot

Hernández¹,

Sanchez²,

Ayala³

et al. 2009

AIDS Education and Prevention

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“…Reports of four major U.S. cities found 9.5% of MSM reported methamphatimine use within the past 6 months [15]. When erectile dysfunction drugs such as Viagra are combined with methamphetamine use, unprotected anal intercourse increases [16]. Methamphet-amine use also contributes to increased frequency of sex, greater number of sex partners, and engagement in sex marathons [2].…”

Section: Introductionmentioning

confidence: 99%

Formative Assessment of ARM-U: A Modular Intervention for Decreasing Risk Behaviors Among HIV-Positive and HIV-Negative Methamphetamine- Using MSM

Metzner¹

2010

TOAIDJ

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Abstract:Background: Methamphetamine is a major contributor to HIV transmission among men who have sex with men (MSM). Recent studies show that up to one-third of methamphetamine-using MSM (MUMSM) inject the drug. We developed a behavioral intervention for MUMSM to decrease unprotected anal intercourse and increase awareness of parenteral HIV transmission risk. This 6-session (3 in-person, 3 by telephone) modular intervention was designed to be tailored to participants' HIV (+/-) and injection drug user ([IDU] yes/no) status. We present results of formative research used to evaluate the content and to assess feasibility and acceptability of this individual-level HIV risk-reduction intervention.Setting: HIV research clinic in a high MSM and methamphetamine prevalence neighborhood.Project: Avoiding Risks from Methamphetamine-Use (ARM-U) is a brief toolbox intervention that allows counselors to select modules that suit a client's individual risk profile and intervention needs employing motivational interviewing and cognitive behavioral theory. We evaluated the format and content of the intervention through focus groups and pre-testing of the entire intervention using volunteers from the target population stratified into four groups (HIV+/IDU, HIV-/IDU, HIV+/non-IDU, HIV-/non-IDU). Four individuals in each stratum were recruited to undergo the intervention and complete a satisfaction survey at the end of each in-person session.Results: In total, 25 MUMSM attended one of five focus groups. Participants thought all proposed intervention topics were important and could aid in reducing sexual risk behaviors among MUMSM. However, the neurocognitive effects of methamphetamine were reported to be a barrier to practicing safer sex, condom use negotiation or HIV status disclosure. Fifteen (94%) of 16 participants completed all 6 sessions and the satisfaction survey. On average, participants felt the intervention was useful for MUMSM, made them contemplate and move toward behavior change, and would recommend the program to their peers.Lessons Learned: Based on our formative research, we revised the ARM-U intervention to emphasize pre-planning to avoid combining methamphetamine use and sex or develop strategies to avoid sex risk following methamphetamine use. We also increased emphasis on referrals for care and other requested services. Future efficacy trials are needed to evaluate the intervention's ability to reduce HIV-associated risk behaviors.

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“…Large-scale, coordinated anti-methamphetamine campaigns have been implemented in metropolitan areas outside of the Southern U.S. [23,24]. However, with the exception of Nanin and his colleagues' findings that public health antimethamphetamine initiatives in New York City were successful in reaching recent sexual at-risk MSM methamphetamine users [24], there has been minimal evaluation of these community campaigns to date.The U.S. Centers for Disease Control and Prevention (CDC) hosted a national consultation in 2005 on the issue of methamphetamine use and sexual risk for HIV and other sexually-transmitted infections [25]. At this event, the state of the relevant science was summarized, ongoing programs were reviewed, and existing needs related to methamphetamine research and community programming were identified.…”

mentioning

confidence: 99%

Toward a Better Understanding of Non-Addicted, Methamphetamine- Using, Men who Have Sex with Men (MSM) in Atlanta

Dew¹

2010

TOAIDJ

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Methamphetamine use has increasingly become linked with sexual risk behaviors among men have sex with men (MSM). Yet, the majority of research has been done with methamphetamine dependent MSM or with samples in which addiction to the substance was not evaluated. Furthermore, research with methamphetamine-using MSM in the Southern U.S. is lacking. In this study, focus groups and in-depth interviews were conducted in order to understand the motives, context, and other facilitators and barriers of methamphetamine use among non-addicted MSM residing in Atlanta. Participants included 30 non-addicted, methamphetamine-using MSM and 16 local mental and public health officials. Findings from the first of this two-phase formative research project will result in the initial development of a community-tested, culturally-specific social marketing campaign and an individual-based intervention based in HIVtesting facilities.Keywords: Methamphetamine, MSM, non-addicted users, social marketing campaign, drug use in Atlanta.The use of methamphetamine has become increasingly prevalent throughout the United States in recent years, especially among men who have sex with men (MSM) living in urban settings [1,2]. Already recognized for its high propensity for addiction [3] and negative impact on mental [4,5] and affective [6,7] functioning, methamphetamine use is also correlated with significant public health concerns for MSM, specifically high-risk sexual behavior and HIV transmission. This link between HIV risk and methamphetamine use among MSM has been welldocumented in several large urban settings [8][9][10][11][12]. However, there has existed limited methamphetamine-related research conducted with MSM in Atlanta [13,14]. This lack of investigation is surprising given that Atlanta possesses the highest rate of methamphetamine use among any major urban area east of the Mississippi River [15] and the largest proportion of MSM residents in the region [16]. Furthermore, HIV/AIDS infection rates in Atlanta rank in the top 10 of all metropolitan cities, with MSM comprising nearly half (49%) of all cumulative AIDS cases and an increasing proportion of new HIV infections [17]. While recent epidemiological indicators suggest methamphetamine use in Atlanta is down since its peak in 2005 [15], it is difficult to determine the exact prevalence of and trends associated with methamphetamine use within the MSM community given the lack of empirical investigation.Responses to the public health threats associated with methamphetamine use among MSM have mostly involved substance abuse treatment of dependent users and cityspecific, community-level education efforts. In the past decade, effective drug treatment programs have been developed for methamphetamine-dependent MSM. These programs, although not available in the Southeast, have utilized contingency management strategies [18,19], gayspecific cognitive-behavioral therapy [20,21], gay-specific social support therapy [20], and combination psychopharmacology and cognitive-behavioral approa...

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CDC Consultation on Methamphetamine Use and Sexual Risk Behavior for HIV/STD Infection: Summary and Suggestions

Cited by 88 publications

References 20 publications

Methamphetamine and Cocaine Use among Mexican Migrants in California: The California-Mexico Epidemiological Surveillance Pilot

Methamphetamine and Cocaine Use among Mexican Migrants in California: The California-Mexico Epidemiological Surveillance Pilot

Formative Assessment of ARM-U: A Modular Intervention for Decreasing Risk Behaviors Among HIV-Positive and HIV-Negative Methamphetamine- Using MSM

Toward a Better Understanding of Non-Addicted, Methamphetamine- Using, Men who Have Sex with Men (MSM) in Atlanta

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