Unprotected Anal Intercourse Associated With Recreational Drug Use Among Young Men Who Have Sex With Men Depends on Partner Type and Intercourse Role

2004 ◽  
Vol 31 (8) ◽  
pp. 492-498 ◽  
Author(s):  
Melanie Rusch ◽  
Thomas M. Lampinen ◽  
Arn Schilder ◽  
Robert S. Hogg
Keyword(s):  
Drug Use ◽  
Young Men ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Recreational Drug ◽  
Partner Type ◽  
Recreational Drug Use ◽  
Sex With Men

Risk factors for HIV seroconversion in homosexual men in Australia

Sexual Health ◽  
2006 ◽  
Vol 3 (1) ◽  
pp. 45 ◽  
Author(s):  
Jonathan E. Volk ◽  
Garrett Prestage ◽  
Fengyi Jin ◽  
John Kaldor ◽  
Jeanne Ellard ◽  
...  
Keyword(s):  
Risk Factors ◽  
Drug Use ◽  
Gay And Bisexual Men ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Recreational Drug ◽  
Bisexual Men ◽  
Recreational Drug Use ◽  
Hiv Seroconversion ◽  
And Bisexual

Background: Rates of newly acquired HIV infection are increasing in Australia, and sexual contact between men accounts for 85% of cases. Objective: To investigate behavioural risk factors for HIV seroconversion among gay and bisexual men from Sydney and Melbourne, Australia. Methods: 103 men with newly acquired HIV infection were recruited from clinics in Sydney and Melbourne and behavioural risk factor questionnaires were administered between January 2003 and October 2004. Results were compared with a cross sectional and a cohort study performed by our group that enrolled similar populations of men. Results: The majority of seroconverters (73%) reported more than five sexual partners in the last six months. Ninety-five men (92%) were able to identify a high-risk event (HRE) that they thought had led to their HIV seroconversion. Most (70%) reported receptive unprotected anal intercourse (UAI), insertive UAI, or both at their HRE. Sixteen men (16%) reported no UAI in the preceding six months including the HRE. Men were more likely to report receptive UAI at their HRE when they perceived a partner to be HIV-negative as compared with when they perceived a partner to be HIV-positive (P = 0.05). Injection drug use was reported by 22% of the men in the previous six months, and 62% reported intoxication with alcohol (≥5 drinks) or mood altering recreational drug use at the HRE. Conclusions: Gay and bisexual men who have recently seroconverted are highly sexually active and report high rates of unprotected anal intercourse and recreational drug use at the HRE.

scholarly journals Investigating Conceptual Models for the Relationship Between Depression and Condomless Sex Among Gay, Bisexual, and Other Men Who have Sex with Men: Using Structural Equation Modelling to Assess Mediation

2019 ◽  
Vol 24 (6) ◽  
pp. 1793-1806
Author(s):  
A. R. Miltz ◽  
◽  
A. J. Rodger ◽  
A. Cozzi Lepri ◽  
J. Sewell ◽  
...  
Keyword(s):  
Drug Use ◽  
Structural Equation Modelling ◽  
Self Efficacy ◽  
Structural Equation ◽  
Recreational Drug ◽  
Condomless Sex ◽  
Equation Modelling ◽  
Recreational Drug Use ◽  
Sex With Men ◽  
The Relationship

AbstractThe aim of this study is to investigate five hypothesized mechanisms of causation between depression and condomless sex with ≥ 2 partners (CLS2+) among gay, bisexual, and other men who have sex with men (GBMSM), involving alternative roles of self-efficacy for sexual safety and recreational drug use. Data were from the AURAH cross-sectional study of 1340 GBMSM attending genitourinary medicine clinics in England (2013–2014). Structural equation modelling (SEM) was used to investigate which conceptual model was more consistent with the data. Twelve percent of men reported depression (PHQ-9 ≥ 10) and 32% reported CLS2+ in the past 3 months. AURAH data were more consistent with the model in which depression was considered to lead to CLS2+ indirectly via low self-efficacy for sexual safety (indirect Beta = 0.158; p < 0.001) as well as indirectly via higher levels of recreational drug use (indirect Beta = 0.158; p < 0.001). SEM assists in understanding the relationship between depression and CLS among GBMSM.

Syphilis associated with recreational drug use, depression and high-risk sexual behaviour in men who have sex with men: a case–control study in China

2019 ◽  
Vol 95 (4) ◽  
pp. 267-272
Author(s):  
Huichao Wu ◽  
Cuizhen Xiu ◽  
Xiaojing Fu ◽  
Menglong Li ◽  
Zhenhong Wang ◽  
...  
Keyword(s):  
High Risk ◽  
Drug Use ◽  
Case Control Study ◽  
Case Control ◽  
Multiple Drug ◽  
Recreational Drug ◽  
Syphilis Infection ◽  
Recreational Drug Use ◽  
Sex With Men ◽  
Control Study

ObjectiveWe investigated syphilis prevalence among men who have sex with men (MSM) in China, as well as potential risk factors. Our principal hypothesis was that syphilis would be associated with the use of recreational drugs such as methamphetamines.MethodsFrom April to October 2013, we used several methods to recruit MSM in Qingdao, collecting demographic/behavioural information via self-administrated questionnaires. Trained health workers collected blood for the Treponema pallidum particle assay (TPPA) with positives confirmed by a toluidine red unheated serum test. We used an unmatched case–control study to identify factors that might predict syphilis infection using multivariable logistic regression.ResultsWe recruited 447 MSM who agreed to participate and who completed syphilis testing. Of 71 (15.9%) syphilis-positive MSM, 44 (62.0%) used drugs. Of 376 (84.1%) syphilis-negative MSM, 186 (49.5%) used drugs. We found a positive association with syphilis for any recreational drug use (crude OR (cOR) 1.7, 95 % CI 1.0 to 2.8), frequent methamphetamine use (cOR 2.4, 95% CI 1.1 to 5.3) and multiple drug use (adjusted OR (aOR) 3.4, 95% CI 1.3 to 9.2). Syphilis-positive men were more likely to have a higher physical depression score (aOR 5.2, 95% CI 1.1 to 24.4), be > 30 years old (aOR 2.7, 95% CI 1.5 to 4.8), report a prior STI (aOR 4.1, 95% CI 2.3 to 7.3) and report a sex party experience (aOR 2.2, 95% CI 1.1 to 4.4).ConclusionsRecreational drug use, depression and high-risk sexual behaviours were associated with syphilis infection among MSM in China. Only a multifaceted approach is likely be effective in control of both syphilis and HIV .

scholarly journals Findings from within-subjects comparisons of drug use and sexual risk behaviour in men who have sex with men in England

2016 ◽  
Vol 28 (3) ◽  
pp. 250-258 ◽  
Author(s):  
GJ Melendez-Torres ◽  
Ford Hickson ◽  
David Reid ◽  
Peter Weatherburn ◽  
Chris Bonell
Keyword(s):  
Drug Use ◽  
Online Survey ◽  
Multilevel Models ◽  
Risk Behaviour ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Social Contexts ◽  
Sexual Risk Behaviour ◽  
Within Subjects ◽  
Sex With Men

Epidemiological evidence for the encounter-level association between sexualised drug use and unprotected anal intercourse in men who have sex with men is unclear and has not examined men who have sex with men in England. To estimate this association, we compared dyadic sexual encounters within respondents. We used encounter-level data from a longitudinal online survey of men who have sex with men living in England and multilevel models to test univariate and multivariate associations between any respondent or partner drug use, specific respondent drug use, additional situational characteristics and unprotected anal intercourse. Based on 6742 encounters from 2142 men who have sex with men, respondent drug use and respondent use of certain specific drugs were associated with increased unprotected anal intercourse odds. In univariate models, partner drug use was associated with increased unprotected anal intercourse odds, but in multivariate models, only non-specific knowledge of partner drug use was associated with the same. Encounters with non-regular-and-steady partners or that were not HIV-seroconcordant were associated with decreased unprotected anal intercourse odds. This is the first within-subjects comparison of drug use and unprotected anal intercourse conducted on a sample from England, and the largest of its kind. Findings are consistent with other studies, though associations between drug use and unprotected anal intercourse are shaped by social contexts that may change over time.

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