TY - JOUR PY - 2007// TI - Crystal methamphetamine: a source of added sexual risk for Hispanic men who have sex with men? JO - Drug and alcohol dependence A1 - Fernandez, M. Isabel A1 - Bowen, G. Stephen A1 - Warren, Jacob C. A1 - IbaƱez, Gladys E. A1 - Hernandez, Nilda A1 - Harper, Gary W. A1 - Prado, Guillermo SP - 245 EP - 252 VL - 86 IS - 2-3 N2 - 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.
Language: en
LA - en SN - 0376-8716 UR - http://dx.doi.org/10.1016/j.drugalcdep.2006.06.016 ID - ref1 ER -