Complex Drug Use Patterns and Associated HIV Transmission Risk Behaviors in an Internet Sample of U.S. Men Who Have Sex with Men.

Although the relationship between drug use and HIV risk among men who have sex with men (MSM) is well described, relatively few studies have employed empirical methods to assess underlying classes of drug use that may better predict the risk of HIV or sexually transmitted infections (STIs) among MSM...

Descripción completa

Detalles Bibliográficos
Publicado en:Archives of Sexual Behavior Vol. 44; no. 2; pp. 421 - 429
Autores principales: Yu, Gary, Wall, Melanie, Chiasson, Mary, Hirshfield, Sabina
Formato: Artículo
Publicado: Springer Nature Feb2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=100852552&site=ehost-live
header:
  @attributes:
    shortDbName: ssf
    uiTerm: 100852552
    longDbName: Social Sciences Full Text (H.W. Wilson)
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        00040002
        ASX
      jtl: Archives of Sexual Behavior
      issn: 00040002
      maglogo: N
    pubinfo:
      dt: Feb2015
      vid: 44
      iid: 2
      pid: 237
      pub: Springer Nature
    artinfo:
      ui:
        100852552
        10.1007/s10508-014-0337-8
      ppf: 421
      ppct: 8
      formats:
        fmt:
          @attributes:
            type: P
            size: 200KB
      tig:
        atl: Complex Drug Use Patterns and Associated HIV Transmission Risk Behaviors in an Internet Sample of U.S. Men Who Have Sex with Men.
      aug:
        au:
          Yu, Gary
          Wall, Melanie
          Chiasson, Mary
          Hirshfield, Sabina
        affil:
          Department of Biostatistics, Mailman School of Public Health, Columbia University, New York USA
          Research and Evaluation Unit, Public Health Solutions, 40 Worth Street, 5th Floor New York 10013 USA
      su:
        United States
        Men who have sex with men
        Substance use of men
        Drug abuse
        HIV infection risk factors
        Anal sex
        Unsafe sex
        Latent class analysis (Statistics)
      sug:
        subj:
          Men who have sex with men
          Substance use of men
          Drug abuse
          United States
          HIV infection risk factors
          Anal sex
          Unsafe sex
          Latent class analysis (Statistics)
      keyword:
        Drug use
        Gay men
        Group sex
        HIV
        Internet
        Drug use
        Gay men
        Group sex
        HIV
        Internet
      ab: Although the relationship between drug use and HIV risk among men who have sex with men (MSM) is well described, relatively few studies have employed empirical methods to assess underlying classes of drug use that may better predict the risk of HIV or sexually transmitted infections (STIs) among MSM. The aim of this study was to determine whether latent class analysis (LCA) would identify underlying drug classes reported prior to sex, as well as predict unprotected anal intercourse (UAI) in the last sexual encounter among MSM. From 2004 to 2005, an anonymous online survey was conducted among 8,717 sexually active MSM recruited from gay-affiliated U.S. websites. LCA clustered participants into six distinct drug use classes based on the specific types and number of drugs used: (1) low/no drug use, (2) recreational drug use, (3) poppers with prescription erectile dysfunction (ED) drug use, (4) poppers with both prescription and non-prescription ED drug use, (5) recreational, club, and ED drug use, and (6) high polydrug use. Compared with men in Class 1, men in the highest drug use class were 4.84 times more likely to report UAI in their last sexual encounter and 3.78 times more likely to report an STI in the past year (both ps < .001). Younger MSM aged 18-29 were significantly more likely to report an STI than men aged 50 and above ( p < .001). There is a need to better understand the complex relationship between a diverse set of drugs used among MSM and how polydrug use impacts sexual negotiation over time.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: N
    holdings:
      @attributes:
        islocal: N