title: Surfing new territory: club-drug use and risky sex among Hispanic men who have sex with men recruited on the Internet.
abstract: The Internet presents unique and growing opportunities for conducting HIV/ STD research. This article reports on the first 171 participants enrolled in an ongoing study examining use of the Internet to recruit Hispanic men who have sex with men (HMSM) living in an AIDS epicenter to participate in community-based studies. First, it describes initial success with chatroom recruitment. Second, it compares the demographic, psychosocial, and sexual risk practices among HMSM recruited through the Internet who had used club drugs in the last 6 months and those who had not. In 2 months, 211 hours were spent recruiting in chatrooms; 735 chatroom users were engaged. Researchers used a scripted dialogue to describe the study and to invite chatroom users to visit the study's community sites for screening and enrollment. One hundred and seventy-six men came to the community sites; 172 (98%) were eligible and completed an audio-computer assisted self-interview. In the last 6 months, 48.5% of the sample had used club drugs [defined as cocaine, crystal methamphetamines (crystal), amyl nitrites (poppers), Ecstasy, gamma-hydroxybutyrate (GHB), ketamine (Special K), and Viagra]. The proportion of men reporting use of each drug was: cocaine (15.8%), crystal (11.7%), poppers (31.6%), Ecstasy (14%), GHB (3.5%), Special K (3.5%), and Viagra (19.3%). In multivariate analyses, having higher number of sex partners, having higher social isolation scores, and having engaged in unprotected receptive anal intercourse were significantly associated with club-drug use. These initial findings suggest that high-risk HMSM can be successfully recruited through chatroom dialogues to participate in community-based HIV studies. The alarmingly high rates of club-drug use and risky sexual practices among HMSM underscore the need for effective HIV preventive interventions for this population.
authors.affiliation: Behavioral Health Promotion Program (D-93), Department of Epidemiology and Public Health, University of Miami School of Medicine, PO Box 016069, Miami, FL 33101, USA. isa@miami.edu
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Fernández
authors.forename: Tatiana
authors.initials: T
authors.lastname: Perrino
authors.forename: Jose B
authors.initials: JB
authors.lastname: Collazo
authors.forename: Leah M
authors.initials: LM
authors.lastname: Varga
authors.forename: David
authors.initials: D
authors.lastname: Marsh
authors.forename: Nilda
authors.initials: N
authors.lastname: Hernandez
authors.forename: Alfredo
authors.initials: A
authors.lastname: Rehbein
authors.forename: G Stephen
authors.initials: GS
authors.lastname: Bowen
mesh_terms: D000328:Adult; D005431:Florida; D006630:Hispanic or Latino; D018451:Homosexuality, Male / Q000208:ethnology*; D006801:Humans; D013287:Illicit Drugs; D020407:Internet; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000208:ethnology* / Q000523:psychology
chemical_list: D013287:Illicit Drugs
references.citation: Am J Public Health. 2001 Jun;91(6):922-6
references.pmid: 11392935
references.citation: Am J Public Health. 2001 Jun;91(6):927-32
references.pmid: 11392936
references.citation: Am J Public Health. 2001 Jun;91(6):988-9
references.pmid: 11392947
references.citation: AIDS. 2001 Jul 27;15(11):1409-15
references.pmid: 11504962
references.citation: J Acquir Immune Defic Syndr. 2001 Sep 1;28(1):89-93
references.pmid: 11579282
references.citation: Health Educ Res. 2001 Dec;16(6):661-70
references.pmid: 11780706
references.citation: Addiction. 2001 Nov;96(11):1589-601
references.pmid: 11784456
references.citation: Psychiatr Clin North Am. 2002 Mar;25(1):231-43
references.pmid: 11912942
references.citation: Arch Sex Behav. 2002 Apr;31(2):177-83
references.pmid: 11974643
references.citation: AIDS Care. 2002 Aug;14(4):539-44
references.pmid: 12204155
references.citation: J Subst Abuse Treat. 2002 Sep;23(2):151-6
references.pmid: 12220613
references.citation: J Epidemiol Community Health. 2003 Jan;57(1):68-73
references.pmid: 12490652
references.citation: Sex Transm Dis. 2003 Jan;30(1):15-9
references.pmid: 12514436
references.citation: Int J STD AIDS. 2003 Apr;14(4):285-6
references.pmid: 12716501
references.citation: AIDS Educ Prev. 2003 Apr;15(2):122-32
references.pmid: 12739789
references.citation: J Health Care Poor Underserved. 2003 Nov;14(4):550-65
references.pmid: 14619555
references.citation: J Acquir Immune Defic Syndr. 2004 Apr 1;35(4):421-6
references.pmid: 15097159
references.citation: AIDS Care. 2004 Nov;16(8):953-63
references.pmid: 15511727
references.citation: AIDS. 1995 Jul;9(7):769-75
references.pmid: 7546423
references.citation: Am Psychol. 1998 Sep;53(9):1017-31
references.pmid: 9841579
references.citation: Subst Use Misuse. 2005;40(9-10):1347-62
references.pmid: 16048821
references.citation: JAMA. 2000 Jul 12;284(2):198-204
references.pmid: 10889593
references.citation: JAMA. 2000 Jul 26;284(4):447-9
references.pmid: 10904507
references.citation: JAMA. 2000 Jul 26;284(4):485-7
references.pmid: 10904514
references.citation: J Acquir Immune Defic Syndr. 2000 Jun 1;24(2):168-74
references.pmid: 10935693
references.citation: Soc Sci Med. 2000 Sep;51(5):749-58
references.pmid: 10975234
references.citation: Sex Transm Dis. 2000 Oct;27(9):545-50
references.pmid: 11034529