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

37 Citations (Scopus)

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 - 2005
Externally publishedYes

Fingerprint

Methamphetamine
Psychiatry
HIV
HIV Infections
Los Angeles
Substance-Related Disorders
Insurance Coverage
Therapeutics
Health Insurance
Sexually Transmitted Diseases
Health Status
Randomized Controlled Trials
Logistic Models
Regression Analysis
Interviews
Drug Therapy
Population

Keywords

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

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

HIV-associated medical, behavioral, and psychiatric characteristics of treatment-seeking, methamphetamine-dependent men who have sex with men. / Peck, James A.; Shoptaw, Steven; Rotheram-Fuller, Erin; Reback, Cathy J.; Bierman, Bernard.

In: Journal of Addictive Diseases, Vol. 24, No. 3, 2005, p. 115-132.

Research output: Contribution to journalArticle

@article{dbfe825f3f944308a7e1cc82a033ac3f,
title = "HIV-associated medical, behavioral, and psychiatric characteristics of treatment-seeking, methamphetamine-dependent men who have sex with men",
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.",
keywords = "AIDS, HIV, Methamphetamine, MSM, Sexual risk behaviors, Substance abuse",
author = "Peck, {James A.} and Steven Shoptaw and Erin Rotheram-Fuller and Reback, {Cathy J.} and Bernard Bierman",
year = "2005",
doi = "10.1300/J069v24n03_10",
language = "English (US)",
volume = "24",
pages = "115--132",
journal = "Journal of Addictive Diseases",
issn = "1055-0887",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - HIV-associated medical, behavioral, and psychiatric characteristics of treatment-seeking, methamphetamine-dependent men who have sex with men

AU - Peck, James A.

AU - Shoptaw, Steven

AU - Rotheram-Fuller, Erin

AU - Reback, Cathy J.

AU - Bierman, Bernard

PY - 2005

Y1 - 2005

N2 - 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.

AB - 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.

KW - AIDS

KW - HIV

KW - Methamphetamine

KW - MSM

KW - Sexual risk behaviors

KW - Substance abuse

UR - http://www.scopus.com/inward/record.url?scp=27544435240&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=27544435240&partnerID=8YFLogxK

U2 - 10.1300/J069v24n03_10

DO - 10.1300/J069v24n03_10

M3 - Article

C2 - 16186088

AN - SCOPUS:27544435240

VL - 24

SP - 115

EP - 132

JO - Journal of Addictive Diseases

JF - Journal of Addictive Diseases

SN - 1055-0887

IS - 3

ER -