Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Arch Pediatr Adolesc Med. 2007 Jun;161(6):591-6.

Methamphetamine and young men who have sex with men: understanding patterns and correlates of use and the association with HIV-related sexual risk.

Author information

  • 1Department of Pediatrics, Children's Memorial Hospital/Northwestern University, USA. rgarofalo@childrensmemorial.org

Abstract

OBJECTIVE:

To examine patterns, consequences, and correlates of methamphetamine use among adolescent and young adult men who have sex with men (YMSM).

DESIGN:

Descriptive, bivariate, and hierarchical regression analyses of cross-sectional data.

SETTING:

Howard Brown Health Center, a community-based facility in Chicago, Ill, from August 2004 to September 2005.

PARTICIPANTS:

Three hundred ten YMSM who completed an anonymous, computer-assisted survey.

MAIN OUTCOME MEASURE:

Methamphetamine use in the past year.

RESULTS:

Participants ranged in age from 16 to 24 years (mean age, 20.3 years); 30% were white and 70% were of other race/ethnicity (African American, 33%; Hispanic, 26%; Asian or Pacific Islander, 3%; and other, 8%). Participants reported many high-risk sexual and substance use behaviors. Thirteen percent used methamphetamine in the past year. Methamphetamine use was more common among human immunodeficiency virus-infected participants (odds ratio, 2.8; 95% confidence interval, 1.3-5.3) and varied by age and race/ethnicity; substantially higher prevalence was reported by older and non-African American YMSM (P<.001). Compared with other illicit substance users, methamphetamine users reported more memory difficulties, impairments in daily activities, and unintended risky sex resulting from substance use (all P<.01). Hierarchical regression identified sexual risk (unprotected intercourse and multiple partners), sexualized social context (eg, Internet sex, sex in a bathhouse or sex club, sex with older partners, and commercial sex), lower self-esteem, and psychological distress as correlated with methamphetamine use among participants (P<.05).

CONCLUSIONS:

A substantial percentage of YMSM in this sample used methamphetamine. Methamphetamine use is a public health problem with significant implications for the health and well-being of YMSM. Methamphetamine use was associated with human immunodeficiency virus-related risk, and patterns of use were predicted by demographic data, sexualized social contexts, and psychological variables.

PMID:
17548765
[PubMed - indexed for MEDLINE]
PMCID:
PMC3985401
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Write to the Help Desk