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Substance Use and Sexual Risk Behavior in HIV-Positive Men Who Have Sex With Men: An Episode-Level Analysis

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Abstract

Men who have sex with men (MSM) make up nearly half of all people living with HIV in the United States. The prevalence of the epidemic in this population makes it vitally important to understand the transmission of the infection and to develop methods to prevent its spread. The current study uses longitudinal diary methods to examine relationships between substance use and unprotected anal intercourse in a sample of 158 HIV-positive, mostly ethnic minority MSM. Results indicate that both general substance use and use of specific drugs (i.e., inhalants, cocaine, crack, and club drugs) have a substantial impact on the sexual risk behavior of this population.

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References

  1. Centers for Disease Control and Prevention: HIV in men who have sex with men. http://www.cdc.gov/hiv/topics/msm/index.htm. 2006.

  2. Stall R, McKusick L, Wiley J, Coates TJ, Ostrow DG. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: the AIDS behavioral research project. Health Educ Behav. 1986;13:359–71.

    Article  CAS  Google Scholar 

  3. Beckett M, Burnam A, Collins RL, Kanouse DE, Beckman R. Substance use and high-risk sex among people with HIV: a comparison across exposure groups. AIDS Behav. 2003;7:209–19.

    Article  PubMed  Google Scholar 

  4. Chesney MA, Barrett DC, Stall R. Histories of substance use and risk behavior: precursors to HIV seroconversion in homosexual men. Am J Public Health. 1998;88:113–6.

    Article  PubMed  CAS  Google Scholar 

  5. Buchbinder SP, Vittinghoff E, Heagerty PJ, Celum CL, Seage GR, Judson FN, et al. Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2005;39:82–9.

    Article  PubMed  Google Scholar 

  6. Hatfield LA, Horvath KJ, Jacoby SM, Simon Rosser BR. Comparison of substance use and risky sexual behavior among a diverse sample of urban, HIV-positive men who have sex with men. J Addict Dis. 2009;28:208–18.

    Article  PubMed  Google Scholar 

  7. Collins R, Kanouse D, Gifford AL, Senterfitt JW, Schuster MA, McCaffrey DF, et al. Changes in health-promoting behavior following diagnosis with HIV: prevalence and correlates in a national probability sample. Health Psychol. 2001;20:251–60.

    Article  Google Scholar 

  8. Colfax G, Shoptaw S. The methamphetamine epidemic: Implications for HIV prevention and treatment. Curr HIV/AIDS Rep. 2005;2:194–9.

    Article  PubMed  Google Scholar 

  9. Kalichman S, Carey M, Johnson BT. Prevention of sexually transmitted HIV infection: a meta-analytic review of the behavioral outcome literature. Ann Behav Med. 1996;18:6–15.

    Article  Google Scholar 

  10. Stall R, Purcell RW. Intertwining epidemics: a review of research on substance use among men who have sex with men and its connection to the AIDS epidemic. AIDS Behav. 2000;4:181–92.

    Article  Google Scholar 

  11. Mimiaga MJ, Reisner SL, Fontaine Y, Bland SE, Driscoll MA, Isenberg D, et al. Walking the line: stimulant use during sex and HIV risk behavior among black urban MSM. Drug Alcohol Depend. 2010;110:30–7.

    Article  PubMed  Google Scholar 

  12. McKirnan DJ, Peterson PL. Psychosocial and cultural factors in alcohol and drug abuse: an analysis of a homosexual community. Addict Behav. 1989;14:551–9.

    Google Scholar 

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Correspondence to Melissa R. Boone.

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Boone, M.R., Cook, S.H. & Wilson, P. Substance Use and Sexual Risk Behavior in HIV-Positive Men Who Have Sex With Men: An Episode-Level Analysis. AIDS Behav 17, 1883–1887 (2013). https://doi.org/10.1007/s10461-012-0167-4

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  • DOI: https://doi.org/10.1007/s10461-012-0167-4

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