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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: 30 Mar 2021 11:55


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