Outcomes using two tailored behavioral treatments for substance abuse in urban gay and bisexual men

Shoptaw, Steven; Reback, Cathy J.; Larkins, Sherry; Wang, Pin-Chieh; Rotheram-Fuller, Erin; Dang, Jeff; Yang, Xiaowei

doi:10.1016/j.jsat.2007.11.004

Cited by 76 publications

(80 citation statements)

References 24 publications

(23 reference statements)

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“…In a replication study, researchers found that in broader groups of substanceusing gay and bisexual men, both GCBT and the comparator gay social support therapy (GSST) performed equally in reducing substance use during treatment, with GCBT outperforming GSST in reducing methamphetamine use among methamphetamine-abusing gay and bisexual men after 1 year [27]. Reback and Shoptow continued to develop the intervention, reducing it to 8 weeks and 24 sessions, and evaluated the impact of this modification in the size of outcomes in retention, methamphetamine use, and sexual risk behaviors [28].…”

Section: Methamphetamine and Hiv Transmissionmentioning

confidence: 99%

Crystal Methamphetamine Use and HIV Transmission Among Gay and Bisexual Men

et al. 2014

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In the United States, methamphetamine continues to be a substance that is used and abused by gay, bisexual, and other men who have sex with men (MSM). Although there is no evidence that suggests a causal pathway between use of the drug and HIV seroconversion, the two are highly associated. Moreover, numerous studies indicate use and abuse of methamphetamine among gay and bisexual men even after seroconversion. Effective interventions for treating the addiction must fully address the 'meth-sex' link. While strides have been made during the last decade in addressing methamphetamine addiction, the problem perpetuates within the population. It is proposed that future efforts must consider methamphetamine addiction more holistically within the larger framework of the totality of health disparities faced by sexual minority men, which includes, but is not limited to, HIV, and which understands and seeks to address the social and psychosocial stressors experienced by these men, which makes them vulnerable to the addiction.

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Section: Methamphetamine and Hiv Transmissionmentioning

confidence: 99%

Crystal Methamphetamine Use and HIV Transmission Among Gay and Bisexual Men

et al. 2014

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“…Finally, a group therapy treatment for HIV-positive gay or bisexual men found reductions in drug use. 50 This study's findings are limited by the use of a pre-postpost design without a comparison group, reducing our ability to make causal inferences and also precluding us from ruling out regression to the mean. Because we recruited current substance users, it is possible that extremely high initial substance use scores would have decreased at future assessment points even without intervention.…”

Section: Fig 2 Predicted Addiction Severity Indexmentioning

confidence: 97%

A Cross-Site, Comparative Effectiveness Study of an Integrated HIV and Substance Use Treatment Program

Proeschold‐Bell

Heine

Pence

et al. 2010

AIDS Patient Care and STDs

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Co-occurrence of HIV and substance abuse is associated with poor outcomes for HIV-related health and substance use. Integration of substance use and medical care holds promise for HIV patients, yet few integrated treatment models have been reported. Most of the reported models lack data on treatment outcomes in diverse settings. This study examined the substance use outcomes of an integrated treatment model for patients with both HIV and substance use at three different clinics. Sites differed by type and degree of integration, with one integrated academic medical center, one co-located academic medical center, and one co-located community health center. Participants (n ¼ 286) received integrated substance use and HIV treatment for 12 months and were interviewed at 6-month intervals. We used linear generalized estimating equation regression analysis to examine changes in Addiction Severity Index (ASI) alcohol and drug severity scores. To test whether our treatment was differentially effective across sites, we compared a full model including site by time point interaction terms to a reduced model including only site fixed effects. Alcohol severity scores decreased significantly at 6 and 12 months. Drug severity scores decreased significantly at 12 months. Once baseline severity variation was incorporated into the model, there was no evidence of variation in alcohol or drug score changes by site. Substance use outcomes did not differ by age, gender, income, or race. This integrated treatment model offers an option for treating diverse patients with HIV and substance use in a variety of clinic settings. Studies with control groups are needed to confirm these findings.

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“…The potential relationship to Alzheimer's disease is particularly interesting and important. HAD patients and clearly HIV patients in general may be at an increased risk of Alzheimer's disease because of increased life span and adverse metabolic factors, for example, hypercholesterolemia and common mechanisms of toxicity [26]. In 2011, it was estimated that 22% of those with HIV infection in the United Kingdom were aged 50 years or more, almost double the proportion one decade earlier [27].…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Although individuals in GCBT reported greater reductions in unprotected receptive anal intercourse during the first 4 weeks of treatment, participants in all four behavioural interventions for methamphetamine dependence reported sustained reductions in unprotected receptive anal intercourse over 1 year [25]. In a second RCT [26], gay and bisexual men seeking treatment for stimulant and/or alcohol abuse were randomized to GCBT or gay-specific social support therapy. Gay-specific social support therapy was based on a social recovery model of addiction and included peer-delivered substance abuse and HIV risk reduction education.…”

Section: Mental Health Care In Comorbid Handmentioning

confidence: 99%