title: High-risk behaviors associated with injection drug use among recently HIV-infected men who have sex with men in San Diego, CA.
abstract: The contribution of injection drug use to HIV risk among men who have sex with men (MSM) is understudied. MSM infected with HIV within the prior 12 months completed a questionnaire assessing sociodemographic, sexual, drug use, and social factors. Analyses were performed to identify factors associated with lifetime history of injection drug use. Among 212 participants, the mean age was 33.8 years, 72% were White, 89% had attended college, and 9.4% reported ever injecting drugs. In multivariable logistic regression analysis, ever trading sex and using methamphetamine during sex with at least one of their last three partners were associated with injection drug use. Adjusting for these variables, in separate models, ever perpetrating violence against others (Adjusted Odds Ratio [AOR] = 3.16), having physically abusive sexual partners (AOR = 3.08), or physically abusing sexual partners (AOR = 10.17) were significantly (P < 0.05) associated with injection drug use. These findings suggest that violence is more common among MSM who inject drugs, which should be considered in HIV prevention efforts.
authors: Graduate School of Public Health, San Diego State University, CA, USA.
authors: Angie
authors: A
authors: Ghanem
authors: Susan J
authors: SJ
authors: Little
authors: Lydia
authors: L
authors: Drumright
authors: Lin
authors: L
authors: Liu
authors: Sheldon
authors: S
authors: Morris
authors: Richard S
authors: RS
authors: Garfein
references: Drug Alcohol Rev. 2008 May;27(3):286-91
references: 18368610
references: J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S101-9
references: 18089979
references: AIDS. 2005 Apr;19 Suppl 1:S49-55
references: 15838194
references: Sex Transm Dis. 1998 Aug;25(7):353-60
references: 9713915
references: J Subst Abuse Treat. 1996 Nov-Dec;13(6):483-6
references: 9219145
references: Am J Public Health. 2004 Nov;94(11):1998-2003
references: 15514243
references: Am J Public Health. 2002 Dec;92(12):1964-9
references: 12453817
references: J Homosex. 2002;42(3):31-51
references: 12066991
references: AIDS. 2005 Sep 2;19(13):1423-4
references: 16103774
references: J Infect Dis. 2004 May 15;189(10):1785-92
references: 15122514
references: AIDS Care. 2004 Nov;16(8):1036-47
references: 15511735
references: Arch Intern Med. 2001 May 28;161(10):1281-8
references: 11371255
references: Am J Public Health. 2003 Jun;93(6):939-42
references: 12773359
references: Lancet. 1999 May 15;353(9165):1657-61
references: 10335785
references: Am J Public Health. 2007 Jun;97(6):1067-75
references: 17463384
references: AIDS. 2006 Mar 21;20(5):731-9
references: 16514304
references: Drug Alcohol Depend. 2004 Nov 11;76(2):203-12
references: 15488344
references: AIDS Behav. 2005 Sep;9(3):325-33
references: 16091853
references: AIDS Educ Prev. 2005 Feb;17(1 Suppl A):76-88
references: 15843119
references: N Engl J Med. 2002 Aug 8;347(6):385-94
references: 12167680
references: J Infect Dis. 2006 Sep 15;194(6):725-33
references: 16941337
references: Sex Transm Infect. 2004 Dec;80(6):531-5
references: 15572630
references: Am J Public Health. 2002 Mar;92(3):382-4
references: 11867315
references: Curr HIV/AIDS Rep. 2008 Nov;5(4):212-8
references: 18838061
references: Am J Public Health. 1998 Jan;88(1):113-6
references: 9584015
references: Science. 1998 May 8;280(5365):867-73
references: 9572724
references: Lancet. 2001 May 5;357(9266):1397-401
references: 11356437
references: Subst Use Misuse. 2006;41(10-12):1551-601
references: 17002993
references: N Engl J Med. 2000 Mar 30;342(13):921-9
references: 10738050
references: Drug Alcohol Depend. 2008 Oct 1;97(3):237-46
references: 18487025
references: AIDS. 2002 Jul 26;16(11):1529-35
references: 12131191
references: AIDS Care. 2006 Nov;18(8):961-7
references: 17012086
references: AIDS. 2000 Apr 14;14(6):717-26
references: 10807195
references: J Urban Health. 2007 Sep;84(5):681-90
references: 17610158