Recreational Drug Use, Polydrug Use and Sexual Behaviors Among Men Who Have Sex With Men in Southwestern China: A Cross-Sectional Study

2019 ◽  
Vol 45 (4) ◽  
pp. 314-322 ◽  
Author(s):  
Yingxue Dai ◽  
Patou Masika Musumari ◽  
Huailiang Chen ◽  
Yuling Huang ◽  
Teeranee Techasrivichien ◽  
...  
2021 ◽  
Author(s):  
Changping Li ◽  
Zeyang Yu ◽  
Yang Chen ◽  
Honglu Zhang ◽  
Huijie Huang ◽  
...  

Abstract Background- Recreational drug use among young men who have sex with men (YMSM) was a public health issue of worldwide concern. Evidence had shown the relevance between recreational drug use and human immunodeficiency virus (HIV) infection. This study aimed to investigate the current prevalence state of recreational drug use among YMSM in Tianjin, discern the characteristics of YMSM who used recreational drugs or not and examine the interaction effect of recreational drug use and unprotected anal intercourse (UAI) on HIV infection.Methods- In 2018, a cross-sectional study was conducted in Tianjin, China. The snowball sampling method was used to recruit YMSM. Participants were recruited from gay bars, gay bathhouses, social network sites (WeChat, QQ, gay chat website), gay apps and peer referrals. Structured questionnaires were used to collect data.Results- A total of 1075 YMSM met the eligibility criteria and were included in the study eventually. The overall HIV prevalence was 4.3% (46/1075). Of all the recreational drugs involved in this study (rush poppers, methamphetamine, capsule No.0), rush poppers (406/517,78.5%) were the most popular among YMSM in Tianjin. Compared with non-drug users, drug users were more likely to have first sex earlier, be bisexual, be male sex worker (MSW), have a higher education level, seek sex partners through physical venues, engage in UAI, have sexually transmitted infection (STI), and receive HIV testing. Moreover, recreational drug use and UAI were associated with the increased risk of HIV infection [adjusted OR:3.6 (95%CI: 1.7-7.6) and 4.9 (95%CI: 2.2-10.4), respectively]. There was additive interaction of recreational drug use and UAI on HIV infection [relative excess risk due to interaction (RERI): 6.949 (95%CI: 0.011‐13.887); attributable proportion due to interaction (AP): 0.809 (95%CI: 0.578‐1.039)].Conclusions- Recreational drug use was common and correlated with HIV infection among YMSM in Tianjin. There was an urgent need to build novel targeted HIV prevention strategies to discern and reduce recreational drug use among YMSM in China.


The Lancet ◽  
2016 ◽  
Vol 388 ◽  
pp. S69 ◽  
Author(s):  
Peizhen Zhao ◽  
Songyuan Tang ◽  
Cheng Wang ◽  
Ye Zhang ◽  
John Best ◽  
...  

2014 ◽  
Vol 1 (1) ◽  
pp. e22-e31 ◽  
Author(s):  
Marina Daskalopoulou ◽  
Alison Rodger ◽  
Andrew N Phillips ◽  
Lorraine Sherr ◽  
Andrew Speakman ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Jun-Jie Xu ◽  
Han-Zhu Qian ◽  
Zhen-Xing Chu ◽  
Jing Zhang ◽  
Qing-Hai Hu ◽  
...  

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.


PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0170024 ◽  
Author(s):  
Peizhen Zhao ◽  
Songyuan Tang ◽  
Cheng Wang ◽  
Ye Zhang ◽  
John Best ◽  
...  

2007 ◽  
Vol 37 (4) ◽  
pp. 226-228 ◽  
Author(s):  
C Chimphambano ◽  
O O Komolafe ◽  
A S Muula

A cross-sectional study of 164 prison inmates (142 men [86.6%] and 22 women [13.4%]) in Malawi estimated a HIV prevalence rate of 36.6%; 29.9% among men and 50% among women. Three (2.1%) men reported having sex with men, and none reported intravenous drug use.


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