Social and behavioral characteristics of HIV-positive MSM who trade sex for methamphetamine

Am J Drug Alcohol Abuse. 2010 Nov;36(6):325-31. doi: 10.3109/00952990.2010.505273. Epub 2010 Oct 19.

Abstract

Background: Previous research among drug-using men who have sex with men (MSM) indicates that trading sex for methamphetamine may be common.

Objectives: This study identified background characteristics, substance use variables, contextual factors, and sexual risk behaviors associated with trading sex for methamphetamine in a sample of HIV-positive MSM. Baseline data were gathered from 155 participants who were enrolled in a sexual risk-reduction intervention. Logistic regression was used to compare MSM who traded sex for methamphetamine with men who did not.

Results: Forty-three percent of the sample reported trading sex for methamphetamine in the past 2 months. Trading sex for methamphetamine was associated with being a binge user, homelessness, having an income of less than $20,000 per year, being less assertive at turning down drugs, engaging in more anal sex without a condom, and seeking out risky sex partners when high on methamphetamine.

Conclusion and scientific significance: These data suggest that the trading of sex for methamphetamine may be a primary source of new HIV infections within and outside of the MSM community, necessitating targeted interventions with this vulnerable subgroup.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Age Factors
  • Amphetamine-Related Disorders / complications*
  • Black or African American
  • Condoms
  • HIV Infections / complications
  • HIV Infections / epidemiology*
  • HIV Infections / transmission
  • HIV Seropositivity / complications
  • Homosexuality, Male*
  • Humans
  • Male
  • Methamphetamine*
  • Risk-Taking*
  • Sexual Behavior*
  • Sexual Partners
  • Surveys and Questionnaires
  • White People

Substances

  • Methamphetamine