Methamphetamine-Using HIV-Positive Men Who Have Sex with Men: Correlates of Polydrug Use

Patterson, Thomas L.; Semple, Shirley J.; Zians, Jim; Strathdee, Steffanie A.

doi:10.1093/jurban/jti031

Cited by 118 publications

(110 citation statements)

References 20 publications

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“…There is evidence to support a link between crystal methamphetamine use and HIV sexual risk behaviours among men who have sex with men (MSM) (Patterson et al, 2005;Semple et al, 2004). However, our findings pertaining to drug-related HIV-risk behaviours indicate that injection-related risk practices may represent another important mode of HIV transmission among crystal methamphetamine users.…”

Section: Discussionmentioning

confidence: 57%

Increasing use and associated harms of crystal methamphetamine injection in a Canadian setting

Fairbairn

Kerr

Buxton

et al. 2007

Drug and Alcohol Dependence

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Background-There is a growing concern surrounding crystal methamphetamine use in Canada despite surprisingly little empirical data to support such claims. We evaluated the trends in crystal methamphetamine injection and factors associated with injection of the drug among a cohort of injection drug users (IDU) in Vancouver.Methods-We conducted a prospective analysis of factors associated with crystal methamphetamine injection among participants enrolled in the Vancouver Injection Drug Users Study (VIDUS). Since serial measures for each individual were available, variables potentially associated with crystal methamphetamine injection were evaluated using generalized estimating equations (GEE) with logit link for binary outcomes.Results-Overall, 1587 IDU were enrolled into the VIDUS cohort between May 1996 and December 2004. The proportion of IDU who reported injecting crystal methamphetamine during the last six months increased during the study period (Cochran-Armitage trend test, p < 0.001). In multivariate GEE analyses, crystal methamphetamine injection was independently associated with younger age (Adjusted Odds Ratio [AOR]: 4.77, 95% Confidence Interval [CI] = 3.40 -6.70), Caucasian ethnicity (AOR = 2.21, 95% CI = 1.57 -3.12), syringe borrowing (AOR = 1.62, 95% CI = 1.22 -2.13), and syringe lending (AOR = 1.40, 95% CI = 1.02 -1.86).Interpretation-There was a significant trend towards increasing crystal methamphetamine injection in this setting and elevated HIV risk behavior and younger age were independently associated with crystal methamphetamine injection. Given that banning precursor chemicals has had a limited effect on reducing methamphetamine supply in other jurisdictions, pragmatic and effective interventions are needed to address the growing use of this drug.

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Section: Discussionmentioning

confidence: 57%

Increasing use and associated harms of crystal methamphetamine injection in a Canadian setting

Fairbairn

Kerr

Buxton

et al. 2007

Drug and Alcohol Dependence

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“…Numerous studies document MA use by men who have sex with men to enhance sexual activity, especially at "circuit parties" involving multiple partners, contributes to unsafe sex behaviors that increase the risk of HIV transmission, leads to noncompliance with prescription medication to treat HIV, and interferes with antiretroviral therapy. [9][10][11][12][13][14]16 Because of the serious health risk associated with MA, identifying and entering users into substance abuse treatment is critical.…”

Section: Discussionmentioning

confidence: 99%

“…2,[5][6][7] Methamphetamine is rapidly surpassing other illicit drugs in popularity throughout the United States, particularly among homosexual men, and is considered to be in epidemic proportions in the western and midwestern states. 2,[8][9][10][11][12][13][14] Dentists successful treatment and prevention of disease progression. The purpose of this paper is to alert health care providers to the dental signs and symptoms of MA abuse.…”

Section: Introduction Rmentioning

confidence: 99%

"Meth Mouth": Rampant Caries in Methamphetamine Abusers

Shaner

Kimmes

Saini

et al. 2006

AIDS Patient Care and STDs

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Rampant dental caries is a characteristic finding in methamphetamine abusers. The popularity of methamphetamine, particularly among the gay community where it is linked to the spread of HIV, its ready availability, and rapid spread across the nation have placed methamphetamine use in an epidemic status in many communities unaccustomed to dealing with drug abuse. We present a case of a 25-year-old male "meth" abuser of unknown HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) status to promote recognition by the health care team of the association of rampant dental caries with methamphetamine abuse for appropriate intervention to ensure successful treatment and prevention of disease progression. 146

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“…Use-Multiple indicators of methamphetamine use were utilized in the EDGE research project (Patterson et al, 2005). For the current study, a single item asked participants the amount of methamphetamine, in grams, they had used in the past 30 days.…”

Section: Methamphetaminementioning

confidence: 99%

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

Mausbach¹,

Semple²,

Strathdee³

et al. 2007

Drug and Alcohol Dependence

108

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Background-Methamphetamine use has been associated with rising STI/HIV transmission rates, particularly among men who have sex with men (MSM). Interventions which successfully reduce risk for HIV transmission among this population are a public health priority. This study examined the efficacy of a behavioral intervention for increasing safer sex behaviors in the context of ongoing methamphetamine use in a sample of HIV-positive, methamphetamine-using MSM.Methods-Three-hundred forty one participants from San Diego, CA were randomly assigned to receive either a safer sex behavioral intervention (EDGE) or a time-equivalent diet-and-exercise attention-control condition. Random effects regression analyses were used to evaluate change in safer sex behaviors over a 12-month period.Results-Participants in the EDGE intervention engaged in significantly more protected sex acts at the 8-month (p = .034) and 12-month assessment (p = 0.007). By 12-months post-baseline, a greater percentage of protected sex acts that was observed for EDGE (25.8%) vs. control participants (18.7%) (p = 0.038). There was a significant time-by-intervention interaction (p = .018) for self-efficacy for condom use, suggesting that EDGE participants' self-efficacy demonstrated a greater increase over time compared to control participants.Conclusions-These results suggest that it is possible to reduce high risk sexual behaviors in the context of ongoing methamphetamine use among HIV-infected MSM.

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Methamphetamine-Using HIV-Positive Men Who Have Sex with Men: Correlates of Polydrug Use

Abstract: Methamphetamine use has become a major problem among communities of men having sex with men (MSM),

Cited by 118 publications

References 20 publications

Increasing use and associated harms of crystal methamphetamine injection in a Canadian setting

Increasing use and associated harms of crystal methamphetamine injection in a Canadian setting

"Meth Mouth": Rampant Caries in Methamphetamine Abusers

Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study

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