Predictors of frequent use of amphetamine type stimulants among HIV-negative gay men in Sydney, Australia

Prestage, Garrett; Degenhardt, Louisa; Jin, Fengyi; Grulich, Andrew E.; Imrie, John; Kaldor, John; Kippax, Susan

doi:10.1016/j.drugalcdep.2007.06.009

Cited by 53 publications

(41 citation statements)

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“…The prevalence of drug use among the MSM population in Shenyang, a large northeast city with medium economic level, was higher than in other parts of China [14–17, 23], including male commercial sex workers (money boys) in Shenzhen [23] and Shanghai [19]. The prevalence is similar to that among MSM in Washington D.C. (22.6%) [24] but less than in Sydney (80.3%) [7]. Poppers are the most common drug in this study site, compared to Ketamine in Shenzhen [23], ecstasy in Shanghai [19], and methamphetamine in six other Chinese cities [18].…”

Section: Discussionmentioning

confidence: 99%

Recreational Drug Use among Chinese Men Who Have Sex with Men: A Risky Combination with Unprotected Sex for Acquiring HIV Infection

Qian

Chu

et al. 2014

BioMed Research International

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Objective. To investigate the prevalence of recreational drug use and its relationship with HIV infection among Chinese MSM. Methods. A cross-sectional study of 625 MSM was conducted in Shenyang, China. Questionnaires were administered to collect information on recreational drug use and sexual behaviors. Blood specimens were collected to test for HIV and syphilis antibodies. Results. Nearly a quarter (23.2%, 145/625) of participants reported ever using recreational drugs, among which alkyl nitrites (poppers) was the most frequently used drug (19.2%), followed by methylmorphine phosphate (5.1%), methamphetamine (4.0%), and ketamine (0.8%). The overall prevalence of HIV and syphilis was 9.6% and 10.4%, respectively. Multivariate logistic analysis showed that recreational drug use was significantly correlated with age ≤25 year (adjusted odds ratio [aOR] = 1.6, 95% CI, 1.1–2.9), single marital status (aOR = 2.1, 95% CI, 1.2–3.6), and seeking male sexual partners mainly through Internet (aOR = 1.8, 95% CI, 1.8–2.8). Recreational drug use was independently associated with an increased risk of HIV infection (aOR = 3.5, 95% CI, 2.0–6.2). Conclusions. Our study suggests that recreational drug use is popular among Chinese MSM and is associated with significantly increased HIV infection risk. HIV prevention intervention programs should reduce both drug use and risky sexual behaviors in this population.

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Section: Discussionmentioning

confidence: 99%

Recreational Drug Use among Chinese Men Who Have Sex with Men: A Risky Combination with Unprotected Sex for Acquiring HIV Infection

Qian

Chu

et al. 2014

BioMed Research International

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“…Research on positive motivations for alcohol and drug use among MSM remains sparse, but a growing literature suggests that specific drugs have specific effects that MSM understand and actively seek 36 39. Ostrow and Stall40 suggest that some drugs increase motivation to have sex (eg, alcohol and cannabis), while others increase the intensity of the sexual session by enhancing pleasure (such as poppers, amphetamines and ecstasy), and others still are used to increase the duration of intercourse (including crystal meth and erectile dysfunction drugs).…”

Section: Motivations For Substance Usementioning

confidence: 99%

Substance use among men who have sex with men: patterns, motivations, impacts and intervention development need

2017

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“…Other studies have also described the use of illicit drugs to enhance sexual performance and pleasure (42)(43)(44). A study conducted in drug-using sex workers in South Africa revealed that cocaine, ecstasy, heroin, and methaqualone were used to enhance the sexual experience and prolong sex sessions (45).…”

Section: And Discussionmentioning

confidence: 99%

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2013

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OBJECTIVES:To assess the demographic characteristics, psychiatric symptoms, substance use patterns, and sexual risk behaviors in a sample of club drug users to identify factors associated with unprotected sex during the 12 months prior to the interview. METHODS: This cross-sectional study employed the targeted sampling and ethnographic mapping approaches via face-to-face interviews conducted at bars and electronic music festivals using an adapted, semi-structured version of the Global Appraisal of Individual Needs questionnaire. The sample comprised 240 male and female young adults who had used ecstasy and/or LSD in the 90 days prior to the interview and who were not receiving treatment for alcohol or drug abuse. RESULTS: Of the 240 subjects selected (mean age: 22.9¡4.5 years), 57.9% were men; of the male subjects, 52.5% reported having had unprotected sex in the previous 12 months. Of the total sample, 63.33% reported having had unprotected sex. Multivariate regression analysis showed that anal sex (PR = 1.26; 95% confidence interval (CI): 1.044-1.543; p = 0.017) and the use of alcohol/drugs to make sex last longer (PR = 1.430; 95% CI: 1.181-1.732; p,0.001) are associated with unprotected sex. CONCLUSIONS: The implementation of intervention strategies aimed at reducing sexually risky behaviors should take into consideration the specific characteristics of drug users and should include the development of safer sex negotiation skills.

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Predictors of frequent use of amphetamine type stimulants among HIV-negative gay men in Sydney, Australia

Abstract: Background-Rates of use of amphetamine type stimulants among gay men have raised questions about the role of these drugs in increases in HIV infections and risk behaviour, but the role risk behaviours play with regard to illicit drug use within this population has not been investigated.

Cited by 53 publications

References 43 publications

Recreational Drug Use among Chinese Men Who Have Sex with Men: A Risky Combination with Unprotected Sex for Acquiring HIV Infection

Recreational Drug Use among Chinese Men Who Have Sex with Men: A Risky Combination with Unprotected Sex for Acquiring HIV Infection

Substance use among men who have sex with men: patterns, motivations, impacts and intervention development need

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