Methamphetamine Use, Syphilis, and Specific Online Sex Partner Meeting Venues Are Associated With HIV Status Among Urban Black Gay and Bisexual Men Who Have Sex Men

Jennings, Jacky M.; Wagner, Jessica; Tilchin, Carla; Schumacher, Christina; Thornton, Nicole; Hamill, Matthew M; Rompalo, Anne; Ruhs, Sebastian; Rives, Sarah; Ghanem, Khalil G.; Latkin, Carl

doi:10.1097/olq.0000000000001452

Cited by 24 publications

(13 citation statements)

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“…The data utilized in this study were obtained from the Understanding Sexual Health in Networks (USHINE) study. 23 USHINE is a prospective cohort study conducted by the Johns Hopkins Center for Child and Community Health Research (CCHR) in collaboration with the Baltimore City Health Department and the Centers for Disease Control and Prevention (CDC). This study was approved by the Johns Hopkins School of Medicine Institutional Review Board (IRB).…”

Section: Methodsmentioning

confidence: 99%

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Psychological distress and adherence to anti-retroviral therapy or pre-exposure prophylaxis regimens among Urban Black gay and bisexual men (MSM)

Jiménez

Thornton²,

Tilchin

et al. 2022

Int J STD AIDS

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Background Urban Black gay, and bisexual men (MSM) bear a disproportionate burden of HIV in the U.S. Mental health is a barrier to adherence to both antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP). The objective was to determine the association between psychological distress and ART or PrEP adherence among urban Black MSM. Methods Using data from a four-year prospective cohort study, adherence to ART was defined as > 95% and PrEP was defined as > 80% of doses taken in the past 30 days. Psychological distress measures included difficulty sleeping; feeling anxious; suicidality; feeling sad or depressed; feeling sick, ill, or not well in the past 3 months; high (vs. low) overall psychological distress was classified as above the median value. Associations were examined using Chi-square, Fisher’s exact tests, and logistic regression. Results Among 165 Black MSM, 44.2% (73) reported high psychological distress. 65.3% (47/72) of participants living with HIV and 39.8% (37/93) of HIV negative participants were ART or PrEP adherent, respectively. Education was significantly associated with PrEP adherence ( p = 0.038). Non-injection drug use in the past 3 months ( p = 0.008), difficulty sleeping ( p = 0.010), feeling anxious ( p = 0.003), and feeling sad or depressed ( p < 0.001), and overall psychological distress ( p < 0.001) were significantly associated with ART adherence. High psychological distress was significantly associated with a reduced odds of ART adherence (aOR 0.23; 95% CI = 0.08–0.70) adjusting for age and non-injection drug use. Conclusions Increased psychological distress was significantly associated with ART nonadherence and may represent an important barrier to viral suppression.

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Section: Methodsmentioning

confidence: 99%

“…The data utilized in this study were obtained from the Understanding Sexual Health in Networks (USHINE) study. 23…”

Section: Overviewmentioning

confidence: 99%

Psychological distress and adherence to anti-retroviral therapy or pre-exposure prophylaxis regimens among Urban Black gay and bisexual men (MSM)

Jiménez

Thornton²,

Tilchin

et al. 2022

Int J STD AIDS

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“…One hypothesis is that increases in psychological distress due to experiences of enacted sexual minority stigma may result in coping behaviors which place an individual at greater risk for STIs and HIV [10,16,17]. These coping behaviors may include, for example, increases in sexual and drug risk behaviors such as increased numbers of sex partners, transactional sex, and substance use [18][19][20][21][22]. The hypothesized relationships between enacted sexual minority stigma, psychological distress and sexual and drug risk behaviors are depicted in Fig.…”

Section: Introductionmentioning

confidence: 99%

Enacted Sexual Minority Stigma, Psychological Distress, and Sexual and Drug Risk Behaviors Among Urban Men Who Have Sex with Men (MSM)

Silvestri

Tilchin²,

Wagner³

et al. 2022

AIDS Behav

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Urban Black men who have sex with men (MSM) bear a disproportionate burden of HIV and syphilis in the U.S. Experiences of enacted sexual minority stigma and psychological distress among these men may be associated with HIV/STI sexual and drug risk behaviors. The objective was to determine the associations between enacted sexual minority stigma, psychological distress, and sexual and drug risk behaviors. In an urban prospective cohort study, survey measures assessed past 3-month exposure to enacted sexual minority stigma, psychological distress, and sexual and drug risk behaviors. Multivariable logistic regression models were utilized for hypothesis testing. The Black MSM (N = 140) reported the following: 22.1% experiences of enacted sexual minority stigma, 39% high levels of psychological distress, 48.6% > 1 sex partner, 8.6% transactional sex, and 6% injection drug use (IDU). In models adjusted for age and education, enacted sexual minority stigma significantly increased the odds of reporting > 1 sex partner, transactional sex, and IDU. Adjusting additionally for homelessness, the association between enacted sexual minority stigma and transactional sex remained significant. Adding psychological distress to this model showed a significant association between psychological distress and transactional sex, while the association was no longer significant for transactional sex. These findings highlight some of the complex psycho-social relationships that may be associated with sexual and drug risk behaviors among Black MSM placing them at increased risk for HIV and syphilis.

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“…Reported cases of syphilis continue to be characterized by a high rate of HIV co-infection, particularly among MSM (CDC, 2019 ). While data suggest that multiple factors may be contributing to the syphilis and HIV co-infection epidemic among MSM, a handful of studies suggest that drug use and specifically stimulant use, such as methamphetamine use, in combination with sex may be a significant contributing factor (Drückler et al, 2018 ; Landovitz et al, 2013 ; Bourne et al, 2018 ; Race, 2015 ; Chew et al, 2013 ; Klitzman et al, 2000 ; Stall & Purcell, 2000 ; Waldo et al, 2000 ; Jennings et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Acceptability and Feasibility of Geographically Explicit Ecological Momentary Assessment Among Men Who Have Sex with Men

et al. 2021

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Syphilis among men who have sex with men (MSM) has increased greatly in the past twenty years in the U.S. Geographically explicit ecological momentary assessment (GEMA), in which behaviors are geotagged and contextualized in time and space, may contribute to a greater understanding of transmission risk. The objective was to determine the acceptability and feasibility of GEMA for assessing HIV and syphilis transmission risk behaviors among a sample of MSM. Participants responded to a brief survey five times a day for two weeks. Feasibility was measured by participant recruitment, enrollment, prompts received and answered, geotagged prompts, and technical interference with data collection. Acceptability was measured by ratings of enjoyment and willingness for future participation. Summaries of five behavioral measures from the brief survey were calculated. Among the 83 participants contacted, 67.5% (56) expressed interest, 98% (55) were scheduled, and 81.8% (45) were enrolled. Participants answered 78.3% (2,277) of prompts received and 87.7% (1,998) of answered prompts were geotagged. Overall, 70.5% (31) enjoyed participating and 91.1% (41) were willing to participate in the future. Among prompts answered, missingness was low for five behavioral measures (range 0.2% (4) to 0.7% (16)). Feasibility and acceptability were high and missingness was low on behavioral measures in this MSM study population. Most participants reported that they would participate again. Future work should focus on whether GEMA improves our understanding of syphilis and HIV transmission risk.

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Methamphetamine Use, Syphilis, and Specific Online Sex Partner Meeting Venues Are Associated With HIV Status Among Urban Black Gay and Bisexual Men Who Have Sex Men

Abstract: A study among urban Black men who have sex men found that methamphetamine use and syphilis positivity were associated with HIV positivity, and specific sex partner meeting venues may provide intervention access points. Supplemental digital content is available in the text.

Cited by 24 publications

References 24 publications

Psychological distress and adherence to anti-retroviral therapy or pre-exposure prophylaxis regimens among Urban Black gay and bisexual men (MSM)

Psychological distress and adherence to anti-retroviral therapy or pre-exposure prophylaxis regimens among Urban Black gay and bisexual men (MSM)

Enacted Sexual Minority Stigma, Psychological Distress, and Sexual and Drug Risk Behaviors Among Urban Men Who Have Sex with Men (MSM)

Acceptability and Feasibility of Geographically Explicit Ecological Momentary Assessment Among Men Who Have Sex with Men

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