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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

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

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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.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Carey, JW
Mejia, R
Bingham, T
Ciesielski, C
Gelaude, D
Herbst, JH
Sinunu, M
Sey, E
Prachand, N
Jenkins, RA
Stall, Rrstall@pitt.eduRSTALL
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 December 2009
Date Type: Publication
Journal or Publication Title: AIDS and Behavior
Volume: 13
Number: 6
Page Range: 1084 - 1096
DOI or Unique Handle: 10.1007/s10461-008-9403-3
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1090-7165
MeSH Headings: Adult; Case-Control Studies; Central Nervous System Stimulants--adverse effects; Chicago--epidemiology; HIV Infections--epidemiology; HIV Infections--transmission; Homosexuality, Male--statistics & numerical data; Humans; Los Angeles--epidemiology; Male; Methamphetamine--adverse effects; Middle Aged; Piperazines--adverse effects; Purines--adverse effects; Questionnaires; Risk Factors; Risk-Taking; Socioeconomic Factors; Substance-Related Disorders--epidemiology; Sulfones--adverse effects; Vasodilator Agents--adverse effects
PubMed ID: 18498049
Date Deposited: 25 Jun 2013 19:39
Last Modified: 22 Jun 2021 11:55


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