TITLE

Pathways to HIV risk and vulnerability among lesbian, gay, bisexual, and transgendered methamphetamine users: a multi-cohort gender-based analysis

AUTHOR(S)
Marshall, Brandon D. L.; Wood, Evan; Shoveller, Jean A.; Patterson, Thomas L.; Montaner, Julio S. G.; Kerr, Thomas
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Methamphetamine (MA) use continues to be a major public health concern in many urban settings. We sought to assess potential relationships between MA use and individual, social, and structural HIV vulnerabilities among sexual minority (lesbian, gay, bisexual or transgendered) drug users. Methods: Beginning in 2005 and ending in 2008, 2109 drug users were enroled into one of three cohort studies in Vancouver, Canada. We analysed longitudinal data from all self-identified sexual minority participants (n = 248). Logistic regression using generalized estimating equations (GEE) was used to examine the independent correlates of MA use over time. All analyses were stratified by biological sex at birth. Results: At baseline, 104 (7.5%) males and 144 (20.4%) females reported sexual minority status, among whom 64 (62.1%) and 58 (40.3%) reported MA use in the past six months, respectively. Compared to heterosexual participants, sexual minority males (odds ratio [OR] = 3.74, p < 0.001) and females (OR = 1.80, p = 0.003) were more likely to report recent MA use. In multivariate analysis, MA use among sexual minority males was associated with younger age (adjusted odds ratio [AOR] = 0.93 per year older, p = 0.011), Aboriginal ancestry (AOR = 2.59, p = 0.019), injection drug use (AOR = 3.98, p < 0.001), having a legal order or area restriction (i.e., "no-go zone") impact access to services or influence where drugs are used or purchased (AOR = 4.18, p = 0.008), unprotected intercourse (AOR = 1.62, p = 0.048), and increased depressive symptoms (AOR = 1.67, p = 0.044). Among females, MA use was associated with injection drug use (AOR = 2.49, p = 0.002), Downtown South residency (i.e., an area known for drug use) (AOR = 1.60, p = 0.047), and unprotected intercourse with sex trade clients (AOR = 2.62, p = 0.027). Conclusions: Methamphetamine use was more prevalent among sexual minority males and females and was associated with different sets of HIV risks and vulnerabilities. Our findings suggest that interventions addressing MA-related harms may need to be informed by more nuanced understandings of the intersection between drug use patterns, social and structural HIV vulnerabilities, and gender/sexual identities. In particular, MA-focused prevention and treatment programs tailored to disenfranchised male and female sexual minority youth are recommended.
ACCESSION #
58027184

 

Related Articles

  • Work-related violence and inconsistent condom use with non-paying partners among female sex workers in Adama City, Ethiopia. Mooney, Alyssa; Kidanu, Aklilu; Bradley, Heather M.; Kuor Kumoji, Evelyn; Kennedy, Caitlin E.; Kerrigan, Deanna // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: Although reported condom use between female sex workers and their clients is high in Ethiopia, condom use with regular, non-paying partners remains low, posing a substantial risk of HIV infection to sex workers, their partners and the general population. Previous studies have...

  • Pathways towards Risk: Syndemic Conditions Mediate the Effect of Adversity on HIV Risk Behaviors among Young Men Who Have Sex with Men (YMSM). Herrick, Amy; Stall, Ron; Egan, James; Schrager, Sheree; Kipke, Michele // Journal of Urban Health;Oct2014, Vol. 91 Issue 5, p969 

    Research shows that young men who have sex with men (YMSM) engage in higher rates of health risk behaviors and experience higher rates of negative health outcomes than their peers. The purpose of this study is to determine if the effects of adversity on HIV risk are mediated by syndemics...

  • HIV "high risk" factors:.  // Part B Insider;8/4/2010, Vol. 11 Issue 28, p221 

    The article presents several high risk factors for HIV including those men and women who have unprotected sex with multiple partners, individuals whose past or present sex partners were HIV-infected, and those individuals who have a history of blood transfusion between 1978 and 1985.

  • Tip of the Iceberg: Young Men Who Have Sex With Men, the Internet, and HIV Risk. Garofalo, Robert; Herrick, Amy; Mustanski, Brian S.; Donenberg, Geri Rachel // American Journal of Public Health;Jun2007, Vol. 97 Issue 6, p1113 

    Objectives. We examined the prevalence of Internet use for meeting sexual partners (Internet partners) and HIV risk behaviors associated with this use among young men who have sex with men (aged 16-24 years). Methods. A sample of 270 young men who have sex with men completed a computer-assisted...

  • Situational, Partner, and Contextual Factors Associated with Level of Risk at Most Recent Intercourse Among Black Men Who Have Sex with Men. Kelly, Jeffrey; DiFranceisco, Wayne; St. Lawrence, Janet; Amirkhanian, Yuri; Anderson-Lamb, Michelle // AIDS & Behavior;Jan2014, Vol. 18 Issue 1, p26 

    African American men who have sex with men (MSM) in the United States bear a disproportionate burden of HIV infection and disease incidence. 178 Black MSM provided detailed situational information concerning their most recent act of anal intercourse (AI) with a male partner including condom use,...

  • Dual HIV Risk: Receptive Syringe Sharing and Unprotected Sex Among HIV-Negative Injection Drug Users in New York City. Neaigus, Alan; Reilly, Kathleen; Jenness, Samuel; Hagan, Holly; Wendel, Travis; Gelpi-Acosta, Camila // AIDS & Behavior;Sep2013, Vol. 17 Issue 7, p2501 

    HIV-negative injection drug users (IDUs) who engage in both receptive syringe sharing and unprotected sex ('dual HIV risk') are at high risk of HIV infection. In a cross-sectional study conducted in New York City in 2009, active IDUs aged ≥18 years were recruited using respondent-driven...

  • HIV Sexual Risk Behaviors and Multilevel Determinants Among Male Labor Migrants from Tajikistan. Weine, Stevan; Bahromov, Mahbat; Loue, Sana; Owens, Linda // Journal of Immigrant & Minority Health;Aug2013, Vol. 15 Issue 4, p700 

    The purpose of this study was to investigate HIV risk behaviors and their multilevel determinants in male labor migrants from Tajikistan to Moscow. In Russia and Central Asia, where AIDS rates are amongst the world's highest, conditions in both sending and receiving countries pose serious...

  • Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment. Mimiaga, Matthew J.; Reisner, Sari L.; Bland, Sean E.; Driscoll, Maura A.; Cranston, Kevin; Isenberg, Deborah; VanDerwarker, Rodney; Mayer, Kenneth H. // AIDS & Behavior;Feb2011, Vol. 15 Issue 2, p305 

    Private sex parties are an emerging risk environment for HIV among men who have sex with men (MSM). In 2009, 103 participants who reported attending at least one sex party in Massachusetts in the prior 12 months completed an in-depth, interviewer-administered quantitative assessment....

  • Gay Men's Use of Condoms With Casual Partners Depends on the Extent of Their Prior Acquaintance. Rouwenhorst, Evelien; Mallitt, Kylie-Ann; Prestage, Garrett // AIDS & Behavior;Aug2012, Vol. 16 Issue 6, p1589 

    Unprotected anal intercourse with casual partners (UAIC) is the strongest predictor of HIV incidence among gay men. Familiarity between sex partners has been associated with likelihood to engage in UAIC, but the decision to use condoms with partners who are previously acquainted is complex and...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics