Correlates of obsessive-compulsive disorder in a sample of HIV-positive, methamphetamine-using men who have sex with men.
Substance use has been identified as a risk factor for elevated levels of obsessive-compulsive disorder (OCD). This study examined methamphetamine use and sexual risk behaviors as correlates of OCD in a sample of 245 HIV-positive men having sex with men (MSM) in San Diego, CA. In a logistic regression analysis, OCD was associated with greater frequency of methamphetamine use, more depressive symptoms, seeking out risky venues and risky sexual partners when "high" on methamphetamine, and reporting fewer sex acts in the past 2 months. These data suggest the need for increased awareness and understanding of the role that OCD may play in the drug use behaviors and risky sexual practices of methamphetamine users.
Semple
Shirley J
SJ
Department of Psychiatry (0680), University of California San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0680, USA.
Strathdee
Steffanie A
SA
Zians
Jim
J
McQuaid
John
J
Patterson
Thomas L
TL
D000293:Adolescent; D000328:Adult; D002140:California / Q000453:epidemiology; D000697:Central Nervous System Stimulants / Q000008:administration & dosage*; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006679:HIV Seropositivity / Q000150:complications / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008694:Methamphetamine / Q000008:administration & dosage*; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012309:Risk-Taking; D012720:Severity of Illness Index; D012747:Sexual Partners; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult
D000697:Central Nervous System Stimulants; D008694:Methamphetamine