Marijuana Use as a Sex-Drug is Associated with HIV Risk Among Black MSM and Their Network
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Black men who have sex with men (BMSM) are highest risk for HIV seroconversion in the United States. Little attention has been paid to marijuana use among BMSM and potential for HIV risk. A sample of 202 BMSM was generated through respondent driven sampling. The relationship between differential marijuana use and both HIV risk behavior and social network factors were examined using weighted logistic regression. Of the BMSM in this sample 60.4 % use marijuana in general and 20.8 % use marijuana as sex-drug. General marijuana use was significantly associated with participation in group sex (AOR 3.50; 95 % CI 1.10–11.10) while marijuana use as a sex drug was significantly associated with both participation in condomless sex (AOR 2.86; 95% CI 1.07–7.67) and group sex (AOR 3.39; 95% CI 1.03–11.22). Respondents with a moderate or high perception of network members who use marijuana were more likely to use marijuana both in general and as a sex-drug. Network member marijuana use, while not associated with risk behaviors, is associated with individual marijuana use and individual marijuana use in the context of sex is associated with risk practices. Targeting interventions towards individuals and their respective networks that use marijuana as a sex drug may reduce HIV risk.
KeywordsHIV Marijuana BMSM Networks RDS
We would like to thank the study participants for their participation. Research reported in this publication was supported by NCRR U54 RR023560, R01DA033875 and the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1 TR000430.
- 3.Harawa NT, Greenland S, Bingham TA, Johnson DF, Cochran SD, Cunningham WE. Associations of race/ethnicity with HIV prevalence and HIV-related behaviors among young men who have sex with men in 7 urban centers in the United States. JAIDS. 2000;35(5):526–36.Google Scholar
- 14.CDC. HIV among African American gay and bisexual men. http://www.cdc.gov/hiv/risk/racialethnic/bmsm/facts/#refd (2015). Accessed 2015 August 28.
- 22.Wylie JL, Jolly AM. Understanding recruitment: outcomes associated with alternate methods for seed selection in respondent driven sampling. BMC Med Res Methodol. 2013;13(93):1–11.Google Scholar
- 26.Ostrow DG, Plankey MW, Cox C. Specific sex drug combination contriubte to the majority of recent HIV seroconvesions among MSM in the MACS. JAIDS. 1999;51(3):349–55.Google Scholar
- 27.Ostrow DR, Stall RC. Alcohol, tobacco, and drug use among gay and bisexual men. In: Wolitski RJ, Stall R, Valdiserri RO, editors. Unequal opportunity : health disparities affecting gay and bisexual men in the United States. Oxford: Oxford University Press; 2008.Google Scholar