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Changes in stimulant drug use over time in the MACS: Evidence for resilience against stimulant drug use among men who have sex with men

Lim, SH and Ostrow, D and Stall, R and Chmiel, J and Herrick, A and Shoptaw, S and Kao, U and Carrico, A and Plankey, M (2012) Changes in stimulant drug use over time in the MACS: Evidence for resilience against stimulant drug use among men who have sex with men. AIDS and Behavior, 16 (1). 151 - 158. ISSN 1090-7165

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Abstract

Stimulant drug use is associated with numerous health problems among men who have sex with men (MSM). This paper describes how stimulant drug use changes over a four and one-half year period from 2003 until 2008. Participants were 2,389 men (17,222 person-visits) from The Multicenter AIDS Cohort Study (MACS)-an ongoing, prospective study of HIV infection among MSM. Groupbased trajectory analyses of data from these men over the study period yielded a four groups solution: consistent users (9.8%), men whose use increased (5.4%), men whose use declined (6.9%), and abstinent or rarely-using men (77.9%). There were significant differences between groups in terms of demographic, behavioral risk and HIV serostatus. Men who increased or decreased stimulant drug use over time reported congruent changes in sexual risk taking. The fact that sexual risk levels parallel stimulant drug use over time suggests that finding ways to lower rates of stimulant drug use among MSM could be a tool in HIV prevention. © 2011 Springer Science+Business Media , LLC.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Lim, SH
Ostrow, D
Stall, Rrstall@pitt.eduRSTALL
Chmiel, J
Herrick, Aalh75@pitt.eduALH75
Shoptaw, S
Kao, U
Carrico, A
Plankey, M
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 January 2012
Date Type: Publication
Journal or Publication Title: AIDS and Behavior
Volume: 16
Number: 1
Page Range: 151 - 158
DOI or Unique Handle: 10.1007/s10461-010-9866-x
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1090-7165
Date Deposited: 12 Jun 2013 21:10
Last Modified: 02 Feb 2019 15:55
URI: http://d-scholarship-dev.library.pitt.edu/id/eprint/18885

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