title: Prescription drug misuse and sexual risk taking among HIV-negative MSM.
abstract: Men who have sex with men (MSM) misuse prescription drugs at high rates. Little research has examined the connection between prescription drug misuse and HIV risk in this population. With a community sample of MSM, the authors assessed prescription drug misuse-not including erectile dysfunction medications-and sexual risk behaviors among HIV-negative MSM. The findings indicate that recent prescription drug misusers had higher odds of engaging in unprotected anal intercourse (UAI; OR = 1.63), specifically receptive UAI (OR = 1.58), and more likely to have UAI with a higher number of seroconcordant partners (b = 0.268). MSM who reported recently misusing prescription drugs during sexual encounters were more likely to engage in UAI (OR = 2.02), specifically insertive UAI (OR = 1.86). There was no association between prescription drug misuse and identification as a barebacker. This research indicates that prescription drug misusing MSM are a risk group who may benefit from HIV prevention and intervention efforts.
authors.affiliation: Department of Sociology, Purdue University, 700 W State St, West Lafayette, IN, 47907, USA. bckelly@purdue.edu
authors.forename: Brian C
authors.initials: BC
authors.lastname: Kelly
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
mesh_terms: D000328:Adult; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control; D018023:HIV Seronegativity; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D063487:Prescription Drug Misuse; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D047568:Unsafe Sex / Q000706:statistics & numerical data*