Factors associated with sex in the context of methamphetamine use in different sexual venues among HIV-positive men who have sex with men

BMC Public Health

Research Article

Shirley J Semple¹  Thomas L Patterson¹  Jim Zians¹  Steffanie A Strathdee² 

[1] Department of Psychiatry (MC 0680), University of California - San Diego, 9500 Gilman Drive, La Jolla, 92093-0680, California, USA;Division of Global Public Health, Department of Medicine (MC 0507), University of California - San Diego, 9500 Gilman Drive, La Jolla, 92093-0507, California, USA;

关键词: Methamphetamine;    Sexual Risk Behavior;    Sexual Compulsivity;    Public Venue;    Club Drug;   

DOI  :  10.1186/1471-2458-10-178

 received in 2009-12-11, accepted in 2010-04-01,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundHarm reduction has focused primarily on reduction of high-risk substance using behaviors rather than reductions in high-risk sexual behaviors. Furthermore, most studies focus on individual behavior change, with less attention paid to the social and environmental context. This paper promotes understanding of the interplay between the individual and the social context by examining the psychosocial and behavioral characteristics of 321 methamphetamine-using HIV-positive men who have sex with men (MSM) in San Diego, CA based on the locations or venues of their sexual activities when "high" on methamphetamine.MethodsParticipants in a safer-sex intervention study underwent a baseline assessment that queried demographic and psychosocial characteristics as well as drug use and sexual risk behaviors. For purposes of analysis, respondents were classified according to their preference of sexual venue: private (e.g., home), commercial (e.g., bathhouse), or public (e.g., public park or restroom).ResultsThe commercial venue group was younger, better educated, more likely to identify as gay, and significantly more likely to have used "club drugs" as compared to the other two groups. Men in the commercial- and public-venue groups reported more high-risk sex compared to the private-venue group. The public-venue group reported heavier drug and alcohol use, had significantly higher Beck depression scores, reported more experiences of stigma, and scored higher on a measure of sexual compulsivity than did the other two groups.ConclusionIn an effort to reduce HIV/STI risk-behaviors, future studies should investigate the feasibility of modifying personal, psychosocial and structural factors associated with the use of risky sexual venues where HIV-positive methamphetamine users engage in sexual activity when "high" on methamphetamine.Trial registrationClinicalTrials.gov NCT00432926

【 授权许可】

Unknown   
© Semple et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.