AIDS and Behavior

, Volume 12, Issue 5, pp 705–712

Demographic Characteristics and Sexual Behaviors Associated with Methamphetamine Use among MSM and Non-MSM diagnosed with AIDS in Los Angeles County

  • Amy Rock Wohl
  • Douglas M. Frye
  • Denise F. Johnson
Original Paper


Demographic and behavioral factors associated with methamphetamine use are presented for 455 men who have sex with men (MSM) and 228 non-MSM diagnosed with AIDS in Los Angeles County (LAC) from 2000 to 2004, as there are limited population-based data for these subgroups. Lifetime methamphetamine use was 35% for MSM, 14% for non-MSM, 50% for white MSM, and 35% for black MSM. Methamphetamine use in the previous 12 months among MSM (11%) and non-MSM (0.4%) was less than lifetime use. Compared to MSM with no history of methamphetamine use in a multivariate analysis, MSM methamphetamine users were more likely to be non-Latino (white or black) (OR = 2.8, 95% CI: 1.6, 4.9) compared to Latino and reported ≥10 sexual partners in the previous 12 months (OR = 3.1, 95% CI: 1.7, 5.6). These data indicate that methamphetamine has been widely used by both MSM and non-MSM with AIDS in LAC and that lifetime use is associated with sexual risk behaviors among MSM.


Methamphetamine Sexual risk behaviors Gay and bisexual men Heterosexual men 


  1. Boddiger, D. (2005). Methamphetamine use linked to rising HIV transmission. Lancet, 365, 1217–1218.PubMedCrossRefGoogle Scholar
  2. Bolding, G., Hart, G., Sherr, L., & Elford, J. (2006). Use of crystal methamphetamine among gay men in London. Addiction 101, 1622–1630.PubMedCrossRefGoogle Scholar
  3. Colfax, G., Coates, T. J., Husnik, M. J., Huang, Y., Buchbinder, S., Koblin, B., Chesney, M., & Vittinghoff, E. (2005). Longitudinal patterns of methamphetamine, popper (amyl nitrate) and cocaine use and high-risk sexual behavior among a cohort of San Francisco men who have sex with men. Journal of Urban Health, 82, i62–i70.PubMedGoogle Scholar
  4. Collins, R. L., Kanouse, D. E., Gifford, A. L., Senterfitt, J. W., Schuster, M. A., McCaffrey, D. F., Shapiro, M. F., & Wenger, N. S. (2001). Changes in health-promoting behavior following diagnosis with HIV: Prevalence and correlates in a national probability sample. Health Psychology, 20, 351–360.PubMedCrossRefGoogle Scholar
  5. Diaz, R. M., Heckert, A. L., & Sanchez, J. (2005). Reasons for stimulant use among Latino gay men in San Francisco: A comparison between methamphetamine and cocaine users. Journal of Urban Health, 82, i71–i78.PubMedGoogle Scholar
  6. Fernandez, M. I., Bowen, G. S., Warren, J. C., Ibanez, G. E., Hernandez, N., Harper, G. W., & Prado, G. (2007). Crystal methamphetamine: A source of added sexual risk for Hispanic men who have sex with men?. Drug and Alcohol Dependence, 86, 245–252.PubMedCrossRefGoogle Scholar
  7. Frosch, D., Shoptaw, S., Huber, A., Rawson, R. A., & Ling, W. (1996). Sexual HIV risk among gay and bisexual male methamphetamine abusers. Journal of Substance Abuse Treatment, 13, 483–486.PubMedCrossRefGoogle Scholar
  8. Halkitis, P. N., Parsons, J. T., & Stirratt, M. J. (2001). A double epidemic: crystal methamphetamine drug use in relation to HIV transmission among gay men. Journal of Homosexuality, 41, 17–35.PubMedCrossRefGoogle Scholar
  9. Halkitis, P. N., Shrem, M. T., & Martin, F. W. (2005a). Sexual behavior patterns of methamphetamine-using gay and bisexual men. Substance Use and Misuse, 40, 703–719.PubMedCrossRefGoogle Scholar
  10. Halkitis, P. N., Green, K. A., & Mourgues, P. (2005b). Longitudinal investigation of methamphetamine use among gay and bisexual men in New York City: Findings from project BUMPS. Journal of Urban Health, 82, i18–i125.PubMedGoogle Scholar
  11. Kall, K. I. (1992). Effects of amphetamine on sexual behavior of male IV drug users in Stockholm—A pilot study. AIDS Education and Prevention, 4, 6–17.PubMedGoogle Scholar
  12. Kurtz, S. P. (2005). Post-circuit blues: Motivations and consequences of crystal Meth use among gay men in Miami. AIDS and Behavior, 9, 63–72.PubMedCrossRefGoogle Scholar
  13. Langford, D., Adame, A., Grigorian, A., Grant, I., McCutchan, J. A., Ellis, R. J., Marcotte, T. D., & Masliah, E. (2003). Patterns of selective neuronal damage in Methamphetamine user AIDS patients. Journal of Acquired Immune Deficiency Syndromes, 34, 467–474.PubMedCrossRefGoogle Scholar
  14. Mansergh, G., Colfax, G. N., Marks, G., Rader, M., Guzman, R., & Buchbinder, S. (2001). The circuit party men’s health survey: Findings and implications for gay and bisexual men. American Journal of Public Health, 91, 953–958.PubMedCrossRefGoogle Scholar
  15. Molitor, F., Truax, S. R., Ruiz, J. D., & Sun, R. K. (1998). Association of methamphetamine use during sex with risky sexual behaviors and HIV infection among non-injection drug users. Western Journal of Medicine, 168, 93–97.PubMedGoogle Scholar
  16. Molitor, F., Ruiz, J. D., Flynn, J., Mikanda, J. H., Sun, R. K., Anderson, R. (1999). Methamphetamine use and sexual and injection risk behaviors among out-of-treatment injection drug users. American Journal of Drug and Alcohol Abuse, 3, 475–493.CrossRefGoogle Scholar
  17. Newmeyer, J. A. (2003). Patterns and trends of drug use in the San Francisco Bay area. Journal of Psychoactive Drugs, 35, 127–132.PubMedGoogle Scholar
  18. Reback, C. J., Larkins, S., & Shoptaw, S. (2004). Changes in the meaning of sexual risk behaviors among gay and bisexual male methamphetamine abusers before and after treatment. AIDS and Behavior, 8, 87–98.PubMedCrossRefGoogle Scholar
  19. Semple, S. J., Patterson, T. L., & Grant, I. (2004). A comparison of injection and non-injection methamphetamine-using HIV positive men who have sex with men. Drug and Alcohol Dependency, 76, 203–212.CrossRefGoogle Scholar
  20. Shoptaw, S., Reback, C. J., & Freese, T. E. (2002). Patient characteristics, HIV serostatus, and risk behaviors among gay and bisexual males seeking treatment for methamphetamine abuse and dependence in Los Angeles. Journal of Addictive Diseases, 21, 91–105.PubMedCrossRefGoogle Scholar
  21. Shoptaw, S., Reback, C. J., Peck, J. A., Yang, X., Rotheram-Fuller, E., Larkins, S., Veniegas, R. C., Freese, T. E., & Hucks-Ortiz, C. (2005) Behavioral treatment approaches for methamphetamine dependence and HIV-related sexual risk behaviors among urban gay and bisexual men. Drug and Alcohol Dependence, 78, 125–134.PubMedCrossRefGoogle Scholar
  22. Shoptaw S. (2006) Methamphetamine use in urban gay and bisexual populations. Topics in HIV Medicine, 14, 84–87.PubMedGoogle Scholar
  23. Sullivan, P. S., Nakashima, A. K., Purcell, D. W., David, W., & Ward, J. W. (1998). Geographic differences in noninjection and injection substance use among HIV-seropositive men who have sex with men: Western United States versus other regions. Journal of Acquired Immune Deficiency Syndromes, 19, 266–273.Google Scholar
  24. Urbina, A., Jones, K. (2004). Crystal methamphetamine, its analogies, and HIV infection: medical and psychiatric aspects of a new epidemic. Clinical Infectious Diseases, 38, 890–894.PubMedCrossRefGoogle Scholar
  25. Wohl, A. R., Johnson, D. F., Lu, S., Frye, D., Bunch, G., & Simon, P. A. (2004). Recent increase in high-risk sexual behaviors among sexually-active MSM living with AIDS in Los Angeles County. Journal of Acquired Immune Deficiency Syndromes, 35, 209–211.PubMedCrossRefGoogle Scholar
  26. Wohl A. R., Johnson D. F., Frye D. M. (2007). Increases in non-injection methamphetamine use in men who have sex with men, men who do not have sex with men and Latino men diagnosed with AIDS in Los Angeles County, 2000 through 2004. Journal of Acquired Immune Deficiency Syndromes 45, 601–603.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Amy Rock Wohl
    • 1
    • 2
  • Douglas M. Frye
    • 1
  • Denise F. Johnson
    • 1
  1. 1.HIV Epidemiology ProgramLos Angeles County Department of Public HealthLos AngelesUSA
  2. 2.Department of Preventive MedicineUniversity of Southern California Keck School of MedicineLos AngelesUSA

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