Nonmedical Use of Prescription Drugs and HIV Risk Behavior in Gay and Bisexual Men

Benotsch, Eric G.; Martin, Aaron M.; Koester, Stephen; Cejka, Anna; Luckman, Diana

doi:10.1097/olq.0b013e3181f0bc4b

Cited by 45 publications

(49 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Though these data present a picture of those most likely to have sex and report sexual risk behavior under the influence of prescription drugs, it is unknown if sexual motivations were a primary motivation for the prescription drug misuse. Also, because all participants reported prescription drug misuse, analyses cannot examine differential rates of risk according to whether or not participants indicated prescription drug misuse, as past studies have done (Benotsch, Koester, Luckman, Martin, & Cejka, 2011; Benotsch, Martin, Koester, Cejka, & Luckman, 2011; Kelly & Parsons, 2013). The analyses are also limited in comparisons of different racial and ethnic groups, as small cell sizes prevented more specific comparisons than those conducted.…”

Section: Discussionmentioning

confidence: 99%

“…In the few studies that have examined associations between prescription drug misuse and sexual risk behavior, research consistently indicates that, when compared to individuals who do not report prescription drug misuse, prescription drug misusers are more likely to report HIV risk behavior (Kelly & Parsons, 2013) and report higher rates of HIV risk behavior, including more partners and more unprotected sex acts (Benotsch, Koester, Luckman, Martin, & Cejka, 2011; Benotsch, Martin, Koester, Cejka, & Luckman, 2011; Bonar, Cunningham, Chermack, Blow, Barry, Booth, & Walton, 2014; Kelly & Parsons, 2013). In a study of risky behaviors among college students, the frequency of prescription drug use without a prescription was positively associated with sexual risk behavior using a metric that assessed and summed across a range of sexual risk behaviors (condom use, AOD use prior to sex, relationship status, sexual regret, etc.)…”

mentioning

confidence: 99%

See 1 more Smart Citation

Prescription Drug Misuse and Sexual Behavior Among Young Adults

Wells

Kelly

Rendina

et al. 2015

The Journal of Sex Research

View full text Add to dashboard Cite

Though research indicates a complex link between substance use and sexual risk behavior, there is limited research on the association between sexual risk behavior and prescription drug misuse. In light of the alarming increases in prescription drug misuse and the role of demographic characteristics in sexual risk behavior and outcomes, the current study examines demographic differences (gender, sexual identity, age, relationship status, parental class background, and race/ethnicity) in sexual risk behavior, sexual behavior under the influence of prescription drugs, and sexual risk behavior under the influence of prescription drugs in a sample of 402 young adults (18–29) who misuse prescription drugs. Nearly half of the sexually active young adult prescription drug misusers in this sample reported recent sex under the influence of prescription drugs, more than three quarters reported recent sex without a condom, and more than one-third reported recent sex without a condom after using prescription drugs. Zero-inflated Poisson regression models indicated that white race, younger age, higher parental class, and being a heterosexual man were all associated with sexual risk behavior, sex under the influence of prescription drugs, and sexual risk under the influence of prescription drugs. Findings have implications for the targeting of prevention and intervention efforts.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prescription Drug Misuse and Sexual Behavior Among Young Adults

Wells

Kelly

Rendina

et al. 2015

The Journal of Sex Research

View full text Add to dashboard Cite

show abstract

“…Literature on motivations for prescription drug misuse among MSM and sexual minorities is scant. In one such quantitative study of 350 MSM (ages 18–78) attending gay pride festival (Benotsch et al, 2011), participants described multiple motivations including pain relief, sleep aid, or more experimental motivations such as “getting high” or trying something new. In addition, another study examined motives for use of erectile dysfunction drugs (EDD) among MSM and reported that the most common reasons were to “add to the fun”, “maintain an erection while using a condom”, and “to have sex for hours” (Pantalone, Bimbi, & Parsons, 2007).…”

Section: Introductionmentioning

confidence: 99%

Motivations for prescription drug misuse among young men who have sex with men (YMSM) in Philadelphia

Kecojevic

Corliss

Lankenau

2015

International Journal of Drug Policy

View full text Add to dashboard Cite

Background Prescription drug misuse (i.e. opioids, tranquilizers and stimulants) has become the fastest growing area of substance abuse among young adults. Limited studies focus on prescription drug misuse among young men who have sex with men (YMSM, aged 18–29 years). Furthermore, little is known about YMSM’s motivations for misuse. The purpose of this study was to explore personal motivations for prescription drug misuse among YMSM, including the possible connection between misuse and sexual behaviors. Methods As part of a larger mixed methods study of 191 YMSM recruited in Philadelphia during 2012–2013, we conducted semi-structured qualitative interviews with 25 of these participants to gather additional contextual information about their prescription drug misuse. We conducted thematic analysis of qualitative data. Results While our results corroborated previous literature on motives for misuse of prescription drugs, our data yielded some distinct motivations specific among YMSM. These motives included social/recreational motives, facilitating sex with other men (including motives such as use of opioids for less painful anal receptive sex), and psychological motives such as depression, stress management, coping with everyday hardships (opioids and tranquilizers) or feeling more energized (stimulants). Prescription drugs were commonly misused within the broader contexts of participants' polysubstance use, adding to the significance of this problem. Conclusions Our findings offer insights into YMSM’s motivations for prescription drug misuse, and point to the importance of recognizing and addressing them. While substance use is likely related to various psychosocial issues impacting YMSM, it also may lead to significant health consequences. Results support the need to include prescription drugs and polysubstance use in harm reduction messages and treatment approaches aimed at substance using YMSM.

show abstract

“…In 2008, 36,450 people died in the United States as a result of a drug overdose; 20,044 (55%) of these were attributed to a prescription medication (CDC, 2011). In addition, prescription medication misuse has been associated with other negative outcomes, such as interactions with other prescribed medications (Carr & Cooper, 2000; Treisman & Kaplin, 2002) and increased sex risk behaviors that can transmit HIV (Benotsch et al, 2011; Kelly & Parsons, 2010). …”

Section: Introductionmentioning

confidence: 99%

Prescription medication misuse among HIV-infected individuals taking antiretroviral therapy

Newville

Roley

Sorensen

2015

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

HIV has become a highly treatable disease due to advances in antiretroviral therapy (ART). Additionally, HIV-infected individuals often take opiates, barbiturates, and benzodiazepines to treat co-occurring conditions, including pain and symptoms of HIV. We sought to examine prescription medication misuse by surveying 295 HIV-infected patients receiving ART. Participants answered questions about their demographics, alcohol and other drug use, psychiatric diagnoses, ART adherence and side effects, and quality of life. 11% of our sample acknowledged prescription medication misuse. In regression analysis, prescription medication misusers were more likely to report any drinking to intoxication (OR=4.31, 95% CI: 1.35-13.76, p=0.013), reported greater severity of ART side effects (OR=1.05, 95% CI: 1.01-1.10, p=0.041), and demonstrated poorer cognitive functioning (OR=0.97, 95% CI: 0.94-0.99, p=0.048) compared to those who did not misuse prescription medications. Special care should be taken by medical providers before prescribing medications that may be abused or diverted. Patients should also be screened for aberrant use, even if not prescribed. ART side effects, cognitive deficits, and alcohol abuse may serve as risk factors or indicators of prescription medication misuse, and should be monitored.

show abstract

Nonmedical Use of Prescription Drugs and HIV Risk Behavior in Gay and Bisexual Men

Cited by 45 publications

References 47 publications

Prescription Drug Misuse and Sexual Behavior Among Young Adults

Prescription Drug Misuse and Sexual Behavior Among Young Adults

Motivations for prescription drug misuse among young men who have sex with men (YMSM) in Philadelphia

Prescription medication misuse among HIV-infected individuals taking antiretroviral therapy

Contact Info

Product

Resources

About