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- 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.
- Authors
Carey, James W.; Mejia, Roberto; Bingham, Trista; Ciesielski, Carol; Gelaude, Deborah; Herbst, Jeffrey H.; Sinunu, Michele; Sey, Ekow; Prachand, Nikhil; Jenkins, Richard A.; Stall, Ron
- 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.
- Subjects
CHICAGO (Ill.); LOS Angeles (Calif.); ILLINOIS; CALIFORNIA; DRUG abuse; SEX customs; HIV infections; UNSAFE sex; MALE sex work
- Publication
AIDS & Behavior, 2009, Vol 13, Issue 6, p1084
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-008-9403-3