title: Temporal relations between methamphetamine use and HIV seroconversion in gay, bisexual, and other men who have sex with men.
abstract: Data from a cross-sectional study of gay, bisexual, and other men who have sex with men who were active methamphetamine users were analyzed to assess temporal relations between HIV seroconversion and initiation of methamphetamine use. Of the 100 men, 58 reported being HIV-positive. Most HIV-positive participants (65%) initiated methamphetamine use after seroconverting. Among those who initiated use before seroconversion, 8 years elapsed between onset of use and time of infection. Findings suggest the need to develop nuanced and targeted interventions aimed at disentangling the "meth-sex" link in this population. Findings also suggest use of the drug as a coping mechanism for those living with HIV.
authors.affiliation: New York University, USA pnh1@nyu.edu.
authors.forename: Perry N
authors.initials: PN
authors.lastname: Halkitis
authors.affiliation: New York University, USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Levy
authors.affiliation: New York University, USA.
authors.forename: Todd M
authors.initials: TM
authors.lastname: Solomon
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000209:etiology* / Q000523:psychology; D001727:Bisexuality; D003430:Cross-Sectional Studies; D005260:Female; D006679:HIV Seropositivity / Q000150:complications*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008694:Methamphetamine / Q000008:administration & dosage*; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D013997:Time Factors; D047568:Unsafe Sex
chemical_list: D008694:Methamphetamine
keywords: HIV; MSM; drug use initiation; methamphetamine; seroconversion