eprintid: 18974
rev_number: 23
userid: 1346
importid: 1851
dir: disk0/00/01/89/74
datestamp: 2013-06-25 19:39:06
lastmod: 2021-06-12 21:55:04
status_changed: 2013-06-25 19:39:06
type: article
metadata_visibility: show
contact_email: rstall@pitt.edu
item_issues_count: 0
eprint_status: archive
creators_name: Carey, JW
creators_name: Mejia, R
creators_name: Bingham, T
creators_name: Ciesielski, C
creators_name: Gelaude, D
creators_name: Herbst, JH
creators_name: Sinunu, M
creators_name: Sey, E
creators_name: Prachand, N
creators_name: Jenkins, RA
creators_name: Stall, R
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creators_email: rstall@pitt.edu
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creators_id: RSTALL
title: Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles
ispublished: pub
divisions: sch_gsph_behavioralcommhealthsci
full_text_status: public
abstract: We examined how drugs, high-risk sexual behaviors, and socio-demographic variables are associated with recent HIV infection among men who have sex with men (MSM) in a case-control study. Interviewers collected risk factor data among 111 cases with recent HIV infection, and 333 HIV-negative controls from Chicago and Los Angeles. Compared with controls, cases had more unprotected anal intercourse (UAI) with both HIV-positive and HIV-negative partners. MSM with lower income or prior sexually transmitted infections (STI) were more likely to be recently HIV infected. Substances associated with UAI included amyl nitrate ("poppers"), methamphetamine, Viagra® (or similar PDE-5 inhibitors), ketamine, and gamma hydroxybutyrate (GHB). Cases more frequently used Viagra®, poppers, and methamphetamine during UAI compared with controls. In multivariate analysis, income, UAI with HIV-positive partners, Viagra®, and poppers remained associated with recent HIV seroconversion. Better methods are needed to prevent HIV among MSM who engage in high-risk sex with concurrent drug use. © 2008 GovernmentEmployee: Centers for Disease Control and Prevention.
date: 2009-12-01
date_type: published
publication: AIDS and Behavior
volume: 13
number: 6
pagerange: 1084 - 1096
refereed: TRUE
issn: 1090-7165
centers: cen_other_lgbthealth
id_number: 10.1007/s10461-008-9403-3
pmid: 18498049
mesh_headings: Adult
mesh_headings: Case-Control Studies
mesh_headings: Central Nervous System Stimulants--adverse effects
mesh_headings: Chicago--epidemiology
mesh_headings: HIV Infections--epidemiology
mesh_headings: HIV Infections--transmission
mesh_headings: Homosexuality, Male--statistics & numerical data
mesh_headings: Humans
mesh_headings: Los Angeles--epidemiology
mesh_headings: Male
mesh_headings: Methamphetamine--adverse effects
mesh_headings: Middle Aged
mesh_headings: Piperazines--adverse effects
mesh_headings: Purines--adverse effects
mesh_headings: Questionnaires
mesh_headings: Risk Factors
mesh_headings: Risk-Taking
mesh_headings: Socioeconomic Factors
mesh_headings: Substance-Related Disorders--epidemiology
mesh_headings: Sulfones--adverse effects
mesh_headings: Vasodilator Agents--adverse effects
chemical_names: Central Nervous System Stimulants
chemical_names: Piperazines
chemical_names: Purines
chemical_names: Sulfones
chemical_names: Vasodilator Agents
chemical_names: sildenafil
chemical_names: Methamphetamine
citation:   Carey, JW and Mejia, R and Bingham, T and Ciesielski, C and Gelaude, D and Herbst, JH and Sinunu, M and Sey, E and Prachand, N and Jenkins, RA and Stall, R  (2009) Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles.  AIDS and Behavior, 13 (6).  1084 - 1096.  ISSN 1090-7165     
document_url: http://d-scholarship-dev.library.pitt.edu/18974/1/licence.txt