@article{ref1,
title="Crystal methamphetamine: a source of added sexual risk for Hispanic men who have sex with men?",
journal="Drug and alcohol dependence",
year="2007",
author="Fernandez, M. Isabel and Bowen, G. Stephen and Warren, Jacob C. and Ibañez, Gladys E. and Hernandez, Nilda and Harper, Gary W. and Prado, Guillermo",
volume="86",
number="2-3",
pages="245-252",
abstract="OBJECTIVES: To determine whether use of crystal methamphetamine increases HIV risk behaviors beyond the risk associated with use of other recreational drugs among Hispanic men who have sex with men (HMSM). DESIGN: We compared the sexual behaviors and psychosocial characteristics of non-recreational drug users (non-users), recreational drug users who did not use crystal (non-crystal drug users), and recreational drug users who used crystal (crystal users). METHODS: We recruited 294 HMSM from Internet and 272 from community venues. Eligible men completed an ACASI to assess socio-demographic factors, drug use, sexual behaviors and psychosocial factors and received 50 dollars. RESULTS: In the multivariate model, crystal users were more likely than non-crystal drug users to have lower Hispanicism, higher attachment to the gay community, and history of suicide attempts. Crystal users were not significantly different from non-crystal drug users in number of sex partners; however, differences in unprotected receptive anal sex approached significance. CONCLUSIONS: The additional risk of crystal above that of other recreational drugs needs to be disentangled from those associated with poly-drug use. Our data suggest that it may depend on how one defines risky sexual behavior and is influenced by psychological, physiologic and social factors.<p /><p>Language: en</p>",
language="en",
issn="0376-8716",
doi="10.1016/j.drugalcdep.2006.06.016",
url="http://dx.doi.org/10.1016/j.drugalcdep.2006.06.016"
}