HIV-associated medical, behavioral, and psychiatric characteristics of treatment-seeking, methamphetamine-dependent men who have sex with men

James A. Peck, Steven Shoptaw, Erin Rotheram-Fuller, Cathy J. Reback, Bernard Bierman

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

This paper examines medical and psychiatric symptoms and disorders associated with reported HIV serostatus among methamphetamine-dependent, treatment-seeking men who have sex with men (MSM) in Los Angeles. Baseline data from a NIDA-funded, randomized clinical trial of behavioral drug abuse therapies included medical examinations and behavioral interviews of the 162 randomized participants. Variables identified as significantly associated with HIV infection were entered into a multivariate, hierarchical logistic regression analysis to optimally predict HIV serostatus. The disturbingly high 61% of the sample with reported HIV-seropositive status represents 3-4 times the prevalence for all MSM in Los Angeles County. HIV infection status strongly associated with prior treatment for methamphetamine dependence; unprotected receptive anal intercourse; history of sexually transmitted infections; and health insurance status. Findings demonstrate the powerful connection between methamphetamine dependence and HIV infection, and strongly suggest a need for development of interventions that function as both substance abuse treatment and HIV prevention for this population.

Original languageEnglish (US)
Pages (from-to)115-132
Number of pages18
JournalJournal of Addictive Diseases
Volume24
Issue number3
DOIs
StatePublished - Nov 10 2005
Externally publishedYes

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Keywords

  • AIDS
  • HIV
  • MSM
  • Methamphetamine
  • Sexual risk behaviors
  • Substance abuse

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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