title: Crystal methamphetamine: a source of added sexual risk for Hispanic men who have sex with men?
abstract: OBJECTIVE
  To determine whether use of crystal methamphetamine increases HIV risk behaviors beyond the risk associated with use of other recreational drugs among Hispanic men who have sex with men (HMSM).
  
  
  METHODS
  We compared the sexual behaviors and psychosocial characteristics of non-recreational drug users (non-users), recreational drug users who did not use crystal (non-crystal drug users), and recreational drug users who used crystal (crystal users).
  
  
  METHODS
  We recruited 294 HMSM from Internet and 272 from community venues. Eligible men completed an ACASI to assess socio-demographic factors, drug use, sexual behaviors and psychosocial factors and received 50 dollars.
  
  
  RESULTS
  In the multivariate model, crystal users were more likely than non-crystal drug users to have lower Hispanicism, higher attachment to the gay community, and history of suicide attempts. Crystal users were not significantly different from non-crystal drug users in number of sex partners; however, differences in unprotected receptive anal sex approached significance.
  
  
  CONCLUSIONS
  The additional risk of crystal above that of other recreational drugs needs to be disentangled from those associated with poly-drug use. Our data suggest that it may depend on how one defines risky sexual behavior and is influenced by psychological, physiologic and social factors.
authors.affiliation: Nova Southeastern University, College of Osteopathic Medicine, 4th Floor Terry Building, 3200 S. University Drive, Fort Lauderdale, FL 33328-2018, United States. mariafer@nova.edu
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Fernández
authors.forename: G Stephen
authors.initials: GS
authors.lastname: Bowen
authors.forename: Jacob C
authors.initials: JC
authors.lastname: Warren
authors.forename: Gladys E
authors.initials: GE
authors.lastname: Ibañez
authors.forename: Nilda
authors.initials: N
authors.lastname: Hernandez
authors.forename: Gary W
authors.initials: GW
authors.lastname: Harper
authors.forename: Guillermo
authors.initials: G
authors.lastname: Prado
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000453:epidemiology*; D000697:Central Nervous System Stimulants; D005431:Florida; D015658:HIV Infections / Q000635:transmission; D006630:Hispanic or Latino; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008694:Methamphetamine; D012309:Risk-Taking; D012725:Sexual Behavior
chemical_list: D000697:Central Nervous System Stimulants; D008694:Methamphetamine